613 — Neonate- Birth Weight <750 Grams- Died
Cite this view
HANK Price Transparency. (n.d.). NEONATE- BIRTH WEIGHT <750 GRAMS- DIED (MS_DRG 613) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/613?code_type=MS_DRG
“NEONATE- BIRTH WEIGHT <750 GRAMS- DIED (MS_DRG 613) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/613?code_type=MS_DRG. Accessed .
“NEONATE- BIRTH WEIGHT <750 GRAMS- DIED (MS_DRG 613) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/613?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $37,974–$77,067 (25th–75th percentile) across 75 hospitals · 34 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under MS_DRG 613 — the consumer-grade median across the country. An inpatient (DRG) price bundles the whole admission: operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies. It does not include the surgeon’s or anesthesiologist’s professional fees, which 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 |
|---|---|---|---|---|---|---|---|
| Uh Geauga Medical Center InpatientFacility | Molina | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | The Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Devoted Health | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Humana | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | SummaCare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Cigna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | United Healthcare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Anthem | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Valor Health Plans | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | NC+ Preferred | $6,527.00 | — | — | 2025-10-08 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Whole Health | $6,955.00 | — | — | 2025-10-08 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH DIRECT [101021302] | $8,004.62 | $99,071.22 | $49,535.61 | 2025-12-15 | MRF ↗ |
| LEXINGTON MEMORIAL HOSPITAL INC InpatientFacility | Aetna | Broad Network | $8,452.00 | — | — | 2025-10-08 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $20,070.90 | $245,258.25 | $73,577.48 | 2026-03-23 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Oscar Health | — | $21,976.36 | — | — | 2026-07-30 | MRF ↗ |
| MEMORIAL HEALTHCARE SYSTEM, INC Inpatient | Amerigroup | Medicaid|All Plans | $28,311.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Amerigroup | Medicaid|All Plans | $28,311.00 | — | — | 2026-02-28 | MRF ↗ |
| NORTHRIDGE HOSPITAL MEDICAL CENTER Inpatient | Amerigroup | Medicaid|All Plans | $28,311.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI Memorial Hospital - Hixson Inpatient | Amerigroup | Medicaid|All Plans | $28,311.00 | — | — | 2026-02-28 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Bcbs Select Blue Choice | — | $30,736.21 | — | — | 2026-07-30 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Amerigroup | Medicaid|All Plans | $31,674.00 | — | — | 2026-02-28 | MRF ↗ |
| CHI MEMORIAL HOSPITAL- GEORGIA Inpatient | Amerigroup | Medicaid|All Plans | $31,674.00 | — | — | 2026-02-28 | MRF ↗ |
| METHODIST JENNIE EDMUNDSON | Bcbs Network Blue | — | $36,160.25 | — | — | 2026-07-30 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Inpatient | Healthnet | Tricare | $37,077.23 | — | — | 2026-07-15 | MRF ↗ |
| MCLEOD MEDICAL CENTER - DILLON Inpatient | Tricare | Dha | $37,973.54 | — | — | 2026-07-15 | MRF ↗ |
| MCLEOD LORIS HOSPITAL Inpatient | Tricare | Dha | $37,973.54 | — | — | 2026-07-18 | MRF ↗ |
| MCLEOD REGIONAL MEDICAL CENTER-PEE DEE Inpatient | Tricare | Dha | $37,973.54 | — | — | 2026-08-13 | MRF ↗ |
| MCLEOD HEALTH CLARENDON Inpatient | Tricare | Dha | $37,973.54 | — | — | 2026-07-15 | MRF ↗ |
| MCLEOD HEALTH CHERAW Inpatient | Tricare | Dha | $37,973.54 | — | — | 2026-07-15 | MRF ↗ |
| SEVIER VALLEY HOSPITAL Inpatient | Triwest | Veterans Choice | $38,264.62 | — | — | 2026-07-15 | MRF ↗ |
| OREM COMMUNITY HOSPITAL Inpatient | Triwest | Veterans Choice | $38,264.62 | — | — | 2026-07-15 | MRF ↗ |
| RIVERTON HOSPITAL Inpatient | Triwest | Veterans Choice | $38,264.62 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH LAYTON HOSPITAL Inpatient | Triwest | Veterans Choice | $38,264.62 | — | — | 2026-07-31 | MRF ↗ |
| BEAR RIVER VALLEY HOSPITAL Inpatient | Triwest | Veterans Choice | $38,264.62 | — | — | 2026-07-15 | MRF ↗ |
| INTERMOUNTAIN HEALTH ALTA VIEW HOSPITAL Inpatient | Triwest | Veterans Choice | $38,264.62 | — | — | 2026-08-01 | MRF ↗ |
| INTERMOUNTAIN HEALTH UTAH VALLEY HOSPITAL Inpatient | Triwest | Veterans Choice | $38,264.62 | — | — | 2026-08-01 | MRF ↗ |
| LDS HOSPITAL Inpatient | Triwest | Veterans Choice | $38,264.62 | — | — | 2026-08-01 | MRF ↗ |
| LOGAN REGIONAL HOSPITAL Inpatient | Triwest | Veterans Choice | $38,264.62 | — | — | 2026-08-01 | MRF ↗ |
| MCKAY-DEE HOSPITAL Inpatient | Triwest | Veterans Choice | $38,264.62 | — | — | 2026-07-31 | MRF ↗ |
| INTERMOUNTAIN MEDICAL CENTER Inpatient | Triwest | Veterans Choice | $38,264.62 | — | — | 2026-07-17 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Inpatient | Tricare | Tricare | $38,403.40 | — | — | 2026-07-19 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Tricare | Tricare | $38,403.40 | — | — | 2026-05-13 | MRF ↗ |
| INDEPENDENCE HEALTH SYSTEM BUTLER MEMORIAL HOSPITA Inpatient | Martin'S Point - Usfhp | Tricare | $38,403.40 | — | — | 2026-07-19 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Martin'S Point - Usfhp | Tricare | $38,403.40 | — | — | 2026-05-23 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Martin'S Point - Usfhp | Tricare | $38,403.40 | — | — | 2026-05-13 | MRF ↗ |
| CLARION HOSPITAL Inpatient | Tricare | Tricare | $38,403.40 | — | — | 2026-05-23 | MRF ↗ |
| CEDAR CITY HOSPITAL Inpatient | Triwest | Veterans Choice | $38,576.88 | — | — | 2026-07-14 | MRF ↗ |
| ST. GEORGE REGIONAL HOSPITAL Inpatient | Triwest | Veterans Choice | $38,576.88 | — | — | 2026-07-15 | MRF ↗ |
| JEFFERSON HOSPITAL Inpatient | Martin's Point | Martin's Point | $39,972.15 | — | — | 2026-04-14 | MRF ↗ |
| GROVE CITY MEDICAL CENTER Inpatient | Martin's Point | Martin's Point | $39,972.15 | — | — | 2026-04-14 | MRF ↗ |
| SAINT VINCENT HOSPITAL Inpatient | Martin's Point | Martin's Point | $39,972.15 | — | — | 2026-04-14 | MRF ↗ |
| WEST PENN HOSPITAL Inpatient | Martin's Point | Martin's Point | $39,972.15 | — | — | 2026-04-14 | MRF ↗ |
| ALLEGHENY VALLEY HOSPITAL Inpatient | Martin's Point | Martin's Point | $39,972.15 | — | — | 2026-04-14 | MRF ↗ |
| AHN WEXFORD HOSPITAL Inpatient | Martin's Point | Martin's Point | $39,972.15 | — | — | 2026-04-14 | MRF ↗ |
| FORBES HOSPITAL Inpatient | Martin's Point | Martin's Point | $39,972.15 | — | — | 2026-04-14 | MRF ↗ |
| KENT COUNTY MEMORIAL HOSPITAL InpatientFacility | Tufts Associated Health Maintenance Organization, Inc. | USHFP | $39,972.15 | — | — | 2026-02-28 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Tufts Associated Health Maintenance Organization, Inc. | USHFP | $39,972.15 | — | — | 2026-02-28 | MRF ↗ |
| ALLEGHENY GENERAL HOSPITAL Inpatient | Martin's Point | Martin's Point | $39,972.15 | — | — | 2026-04-14 | MRF ↗ |
| BARTOW REGIONAL MEDICAL CENTER Inpatient | Humana Military | Commercial Other | $40,142.38 | — | — | 2026-07-15 | MRF ↗ |
| Winter Haven Women's Hospital Inpatient | Humana Military | Commercial Other | $40,143.39 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPHS HOSPITAL Inpatient | Humana Military | Commercial Other | $40,143.39 | — | — | 2026-07-15 | MRF ↗ |
| BAYCARE HOSPITAL WESLEY CHAPEL Inpatient | Humana Military | Commercial Other | $40,143.39 | — | — | 2026-07-15 | MRF ↗ |
| MEASE COUNTRYSIDE HOSPITAL Inpatient | Humana Military | Commercial Other | $40,143.39 | — | — | 2026-07-15 | MRF ↗ |
| SOUTH FLORIDA BAPTIST HOSPITAL Inpatient | Humana Military | Commercial Other | $40,143.39 | — | — | 2026-07-15 | MRF ↗ |
| ST ANTHONYS HOSPITAL Inpatient | Humana Military | Commercial Other | $40,143.39 | — | — | 2026-08-01 | MRF ↗ |
| MORTON PLANT HOSPITAL Inpatient | Humana Military | Commercial Other | $40,143.39 | — | — | 2026-07-15 | MRF ↗ |
| MEASE DUNEDIN HOSPITAL Inpatient | Humana Military | Commercial Other | $40,143.39 | — | — | 2026-07-15 | MRF ↗ |
| MORTON PLANT NORTH BAY HOSPITAL Inpatient | Humana Military | Commercial Other | $40,143.39 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Uh Military Va | Tricare | $40,478.70 | — | — | 2026-07-15 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Tricare | Traditional | $41,882.54 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Tricare | Traditional | $41,882.54 | — | — | 2026-05-24 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | WELLSENSE HEALTH PLAN [1010202] | WELLSENSE HEALTH PLAN SOUTHCOAST ALLIANCE ACO [101 | $42,470.68 | $99,071.22 | $49,535.61 | 2025-12-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Health Net Fed Svcs | Tricare | $44,526.57 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Bcbs Tx | Tricare | $44,976.34 | — | — | 2026-07-15 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | TUFTS HEALTH PUBLIC PLANS [1010213] | TUFTS HEALTH TOGETHER [101021301] | $48,841.28 | $99,071.22 | $49,535.61 | 2025-12-15 | MRF ↗ |
| ADVANCED SURGICAL HOSPITAL Inpatient | Veteran Administration | Veterans Choice | $48,846.82 | — | — | 2026-07-15 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Tricare | Tricare | $49,200.44 | — | — | 2026-07-14 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Triwest | Veterans Choice | $49,200.44 | — | — | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Tricare | Tricare | $49,200.44 | — | — | 2026-07-17 | MRF ↗ |
| PRIMARY CHILDREN'S HOSPITAL Inpatient | Triwest | Veterans Choice | $49,200.44 | — | — | 2026-07-14 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $52,948.53 | $245,258.25 | $122,629.13 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MSMC | $52,948.53 | $245,258.25 | $122,629.13 | 2026-03-23 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | WELLPOINT MEDICAID MANAGED CARE [5001] | MHS HB WELLPOINT MEDICAID STAR MMMC | $54,364.20 | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |
| MARSHALL MEDICAL CENTER Inpatient | Humana Military | Tricare | $70,136.45 | — | — | 2026-05-08 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $76,387.70 | — | — | 2024-12-19 | MRF ↗ |
| ST MARY'S GENERAL HOSPITAL Inpatient | Humana | Humana Military | $76,387.70 | — | — | 2024-12-19 | MRF ↗ |
| BEAUFORT COUNTY MEMORIAL HOSPITAL Inpatient | Tricare | Humana Military | $76,597.81 | — | — | 2026-09-21 | MRF ↗ |
| Wayne Medical Center Inpatient | Humana Military | Tricare | $76,597.81 | — | — | 2026-05-23 | MRF ↗ |
| Wayne Medical Center Inpatient | Humana Military | Tricare | $76,597.81 | — | — | 2026-05-13 | MRF ↗ |
| UofL Health - Peace Hospital Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-07-15 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-07-17 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-07-17 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-07-17 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-05-14 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-07-15 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - South Hospital Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-07-15 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-08-01 | MRF ↗ |
| UofL Health - Medical Center East Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-08-01 | MRF ↗ |
| UofL Health - Medical Center Southwest Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-07-15 | MRF ↗ |
| UofL Health - Medical Center Northeast Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-07-15 | MRF ↗ |
| MAURY REGIONAL HOSPITAL Inpatient | Humana Military | Tricare | $77,067.16 | — | — | 2026-07-15 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Inpatient | Humana | Military Tricare | $77,067.16 | — | — | 2026-07-17 | MRF ↗ |
| UNIVERSITY MEDICAL CENTER OF EL PASO Inpatient | Healthnet | Tricare | $77,886.61 | — | — | 2026-07-15 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN CONNECTORCARE [10 | MASS GENERAL BRIGHAM HEALTH PLAN CONNECTORCARE [10 | $81,841.04 | $99,071.22 | $49,535.61 | 2025-12-15 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | MASS GENERAL BRIGHAM HEALTH PLAN COMMERCIAL [10122 | MASS GENERAL BRIGHAM HEALTH PLAN HMO/EPO [10122010 | $81,841.04 | $99,071.22 | $49,535.61 | 2025-12-15 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MLMC | $83,896.14 | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MLMC | $83,896.14 | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MRMC | $84,676.14 | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MRMC | $84,676.14 | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MRMC | $84,676.14 | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MRMC | $84,676.14 | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MCMC | $86,601.47 | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCMC | $86,601.47 | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MSMC | $89,069.99 | $245,258.25 | $122,629.13 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MSMC | $89,069.99 | $245,258.25 | $122,629.13 | 2026-03-23 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Uh Military Va | Tricare | $91,060.42 | — | — | 2026-07-15 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MMMC | $91,451.38 | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Health Net Fed Svcs | Tricare | $100,166.46 | — | — | 2026-07-15 | MRF ↗ |
| EL PASO CHILDREN'S HOSPITAL Inpatient | Bcbs Tx | Tricare | $101,178.24 | — | — | 2026-07-15 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Inpatient | MGB CONNECTORCARE [10506] | All MGB (FORMERLY AHP) COMMERCIAL/HMO UM [33] Plans | $105,715.83 | $569,855.21 | $569,855.21 | 2026-03-26 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MDMC | $115,036.09 | $245,258.25 | $122,629.13 | 2026-03-20 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | MOLINA MEDICAID MANAGED CARE [5005] | MHS HB MEDICAID 110% STAR PLUS MDMC | $115,036.09 | $245,258.25 | $122,629.13 | 2026-03-20 | MRF ↗ |
| UMASS MEMORIAL MEDICAL CENTER/UNIVERSITY CAMPUS Inpatient | MGB HLTH PARTNERS [11110] | All MGB (FORMERLY AHP) PPO UM [238] Plans | $121,569.69 | $569,855.21 | $569,855.21 | 2026-03-26 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | — | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | — | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | — | $245,258.25 | $122,629.13 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | — | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | — | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | — | $245,258.25 | $122,629.13 | 2026-03-23 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | — | $245,258.25 | $122,629.13 | 2026-03-20 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | — | $245,258.25 | $122,629.13 | 2026-03-21 | MRF ↗ |