6133 — Neonate Birth Weight 1500-1999 Grams With Congenital Or Perinatal Infection
Cite this view
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION (OTHER 6133) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6133?code_type=OTHER
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION (OTHER 6133) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6133?code_type=OTHER. Accessed .
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH CONGENITAL OR PERINATAL INFECTION (OTHER 6133) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6133?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $20,024–$48,457 (25th–75th percentile) across 85 hospitals · 177 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 6133 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $4.26 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $4.26 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $4.26 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $4.35 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $4.39 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $4.48 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $7.65 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $7.65 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $7.65 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $8.51 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $12.56 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $13.22 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $14.33 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $14.79 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $17.63 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $18.51 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $22.04 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $22.04 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $22.04 | $22.04 | $15.65 | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Prisma Health | — | $38.50 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $38.50 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $39.38 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $40.59 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Upstate Reedy (Greenville Co Only) | — | $41.03 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Exchange | — | $42.24 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Whole Health Of Sc | — | $56.10 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $58.19 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Magellan Behavioral Health | — | $66.00 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Sc Preferred | — | $66.00 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Hmo Ppo | — | $71.17 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $77.55 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Preferred Ppc | — | $80.52 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna | — | $81.40 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare | — | $81.40 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $81.62 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare Humana Military | — | $88.00 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Behavioral Health | — | $88.00 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Tricare | — | $88.00 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | First Health-Aetna Rental Network | — | $88.00 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Multiplan | — | $93.50 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $93.50 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Cigna Local Plus | — | $110.00 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid Other | — | $745.15 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Blue Choice Medicaid (Greenville County Only) | — | $776.51 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bluechoice Medicaid | — | $826.07 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health Medicaid | — | $850.85 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Molina Medicaid | — | $850.85 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Absolute Total Care Medicaid | — | $867.38 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicaid | — | $953.67 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Healthy Horizons Medicaid | — | $1,020.43 | $110.00 | $71.50 | 2026-05-28 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Aetna | Medicare | $1,689.94 | $4,447.20 | $3,335.40 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Humana | Medicare Pffs | $1,689.94 | $4,447.20 | $3,335.40 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Humana | Medicare Ppo | $1,689.94 | $4,447.20 | $3,335.40 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Blue Cross | Medicare | $1,689.94 | $4,447.20 | $3,335.40 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Apostrophe | Medicare | $1,689.94 | $4,447.20 | $3,335.40 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Medicare | Medicare | $1,689.94 | $4,447.20 | $3,335.40 | 2026-05-08 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $1,776.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $1,776.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $1,776.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $1,776.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $1,776.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $1,776.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Blue Shield | Medicare Adv | $2,575.20 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | United Healthcare | Medicare Adv | $2,575.20 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Health Net | Medicare Adv | $2,575.20 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Slvhmo Friday | Commercial | $3,335.40 | $4,447.20 | $3,335.40 | 2026-05-08 | MRF ↗ |
| AVITA ONTARIO Inpatient | Traditional Medicare | Inpatient | $3,518.05 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Medical Mutual | Medicare Inpatient | $3,588.41 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Cigna | Commercial | $3,620.02 | $4,447.20 | $3,335.40 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Uhc | Commercial | $3,780.12 | $4,447.20 | $3,335.40 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Blue Cross | Commercial | $3,780.12 | $4,447.20 | $3,335.40 | 2026-05-08 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Takecare | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Hawaii Medical Service Association | Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Stratose | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Health Smart | Preferred Care | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Hawaii Medical Service Association | Hmo | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Sana Benefits | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Prime Health Services | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Providence Health Plan | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Alliance Coal Health Plan | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Multiplan | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Calvos Selectcare | Commercial | — | — | — | 2026-05-24 | MRF ↗ |
| SHRINERS HOSPITAL FOR CHILDREN Inpatient | Health Net Federal Services | Tricare | — | — | — | 2026-05-24 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Humana | Choicecare | $4,002.48 | $4,447.20 | $3,335.40 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Cofinity | Commercial | $4,002.48 | $4,447.20 | $3,335.40 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Aetna | Commercial | $4,002.48 | $4,447.20 | $3,335.40 | 2026-05-08 | MRF ↗ |
| RIO GRANDE HOSPITAL Both | Aetna | Medical Rental Cofinity | $4,135.90 | $4,447.20 | $3,335.40 | 2026-05-08 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Medical Mutual | Medicare Outpatient | $4,224.38 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $4,440.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $4,440.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $4,440.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $4,884.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $4,884.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $4,884.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $4,884.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $4,884.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $4,884.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $6,713.28 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $6,713.28 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $6,713.28 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $6,882.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $6,882.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $6,882.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $7,290.48 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $7,290.48 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $7,290.48 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $7,352.64 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $7,352.64 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $7,352.64 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $7,992.00 | $8,880.00 | $6,216.00 | 2026-05-27 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Molina | Medicare Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Buckeye | Medicare Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Mount Carmel | Medicare Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Buckeye | Medicare Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Anthem | Medicare Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | United Healthcare | Medicare Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Molina | Medicare Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | United Healthcare | Medicare Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Anthem | Medicare Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Humana | Medicare Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Mount Carmel | Medicare Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Traditional Medicare | Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Traditional Medicare | Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Humana | Medicare Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Aetna | Medicare Outpatient | $8,204.20 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Medical Mutual | Medicare Outpatient | $8,368.28 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Medical Mutual | Medicare Outpatient | $8,368.28 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Aetna | Medicare Outpatient | $8,368.28 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Mount Carmel | Medicare Outpatient | $8,716.96 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Traditional Medicare | Outpatient | $8,716.96 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Anthem | Medicare Outpatient | $8,716.96 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Molina | Medicare Outpatient | $8,716.96 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | United Healthcare | Medicare Outpatient | $8,716.96 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Humana | Medicare Outpatient | $8,716.96 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Buckeye | Medicare Outpatient | $8,716.96 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Aetna | Medicare Outpatient | $8,891.30 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Molina | Marketplace Outpatient | $13,126.71 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Molina | Marketplace Outpatient | $13,126.71 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Anthem | Blue Access I-Ii Enhanced Choice Pathway X | $13,751.18 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Molina | Marketplace Outpatient | $13,947.13 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Anthem | Pathway Group Hmo Pathway X | $14,382.98 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Anthem | Blue Access I-Ii Enhanced Choice Pathway X | $14,382.98 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $15,318.11 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $15,318.11 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $15,318.11 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $15,318.11 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $15,318.11 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $15,318.11 | — | — | 2026-05-14 | MRF ↗ |
| UofL Health - Medical Center East Inpatient | Anthem | In Medicaid | $15,318.11 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $15,318.11 | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Inpatient | Anthem | In Medicaid | $15,318.11 | — | — | 2026-05-23 | MRF ↗ |
| UofL Health - Peace Hospital Inpatient | Anthem | In Medicaid | $15,318.11 | — | — | 2026-05-23 | MRF ↗ |
| UofL Health - South Hospital Inpatient | Anthem | In Medicaid | $15,318.11 | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Medical Center Northeast Inpatient | Anthem | In Medicaid | $15,318.11 | — | — | 2026-05-23 | MRF ↗ |
| UofL Health - Medical Center Southwest Inpatient | Anthem | In Medicaid | $15,318.11 | — | — | 2026-05-22 | MRF ↗ |
| AVITA ONTARIO Inpatient | Anthem | Traditional Blue Access Blue Preferred | $15,511.06 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Anthem | Traditional Blue Access Blue Preferred | $15,511.06 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $16,119.30 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $16,119.30 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $16,119.30 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $16,119.30 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $16,119.30 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $16,119.30 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $16,119.30 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $16,119.30 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $16,119.30 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $16,119.30 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $16,119.30 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $16,119.30 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $16,119.30 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $16,119.30 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $16,119.30 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $16,119.30 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $16,119.30 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $16,119.30 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $16,119.30 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $16,119.30 | — | — | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Anthem | Blue Access Blue Preferred | $16,152.01 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Anthem | Blue Access Blue Preferred | $16,152.01 | $25,638.11 | $21,792.39 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Anthem | Pathway Group Hmo Pathway X | $16,998.07 | $25,638.11 | $21,792.39 | 2026-05-14 | MRF ↗ |
Showing the first 200 rate rows. The CSV export above returns up to 1,000 rows — filter by state to narrow a code with more than that.