613 — Neonate, Birth Weight <750 Grams, Died
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE, BIRTH WEIGHT <750 GRAMS, DIED (OTHER 613) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/613?code_type=OTHER
MLA (9th ed.)
“NEONATE, BIRTH WEIGHT <750 GRAMS, DIED (OTHER 613) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/613?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE, BIRTH WEIGHT <750 GRAMS, DIED (OTHER 613) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/613?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $3,017–$55,952 (25th–75th percentile) across 138 hospitals · 61 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 613 — 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 |
|---|---|---|---|---|---|---|---|
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $0.14 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $0.14 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $0.14 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $0.14 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $0.14 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $0.14 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $0.14 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $0.14 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $0.14 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $0.15 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $0.15 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $0.23 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $0.27 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $0.28 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $0.30 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $0.31 | $0.36 | $0.25 | 2026-07-30 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Anthem | Commercial | $11.08 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Aetna | Medicare Advantage | $20.25 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Heartland | Hospice | $25.00 | $25.00 | $16.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Cha | Employer Group 4 | $27.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Immergrun | Commercial | $27.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 1 | $28.80 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial Select | $29.25 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | Exchange | $29.25 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 2 | $29.70 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Commercial | $30.24 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Aetna | Commercial | $30.47 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Humana | Commercial | $30.90 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Php | Commercial | $31.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Humana | Commercial | $31.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna | Oap | $32.40 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Multiplan | Commercial | $32.40 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | $32.50 | $25.00 | $16.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | $32.50 | $25.00 | $16.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Caresource | In Medicaid Hip | $32.50 | $25.00 | $16.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | $32.50 | $25.00 | $16.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Signature | Commercial | $32.85 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Encore | Commercial | $33.30 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cigna Sagamore | Ppo | $34.20 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Cha | Employer Group 3 | $35.10 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Plain Church | Commercial | $36.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Immergrun | Commercial | $36.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Heartland | Hospice | $45.00 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mdwise | In Medicaid Hip | $58.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip | $58.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Mhs | In Medicaid Hip Bh | $58.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Inpatient | Caresource | In Medicaid Hip | $58.50 | $45.00 | $29.25 | 2026-05-13 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Cigna | Commercial | $87.28 | $193.96 | $96.98 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Peoples Health | Commercial | $104.74 | $193.96 | $96.98 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Medicare | Medicare | $104.74 | $193.96 | $96.98 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Aetna Medicare | Medicare | $104.74 | $193.96 | $96.98 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Tricare Va | Commercial | $104.74 | $193.96 | $96.98 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Medicare | Medicare | $104.74 | $193.96 | $96.98 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Zelis Ppo | Commercial | $106.68 | $193.96 | $96.98 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Dignity Health | Commercial | $106.83 | $193.96 | $96.98 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Humana Medicaid | Medicaid | $119.89 | $193.96 | $96.98 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Louisana Healthcare Connections | Medicaid | $119.89 | $193.96 | $96.98 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Amerihealth | Commercial | $119.89 | $193.96 | $96.98 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $119.89 | $193.96 | $96.98 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $157.11 | $193.96 | $96.98 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Commercial | Commercial | $174.56 | $193.96 | $96.98 | 2026-05-09 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Peak Health | Commercial | $269.22 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Commercial | $305.12 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Aetna | Commercial | $323.06 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Cigna | Commercial | $326.65 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | United Healthcare | Commercial | $339.58 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Caresource | Wv Marketplace | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Zelis Network | Commercial | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Phcs Multiplan | Commercial | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Healthsmart | Commercial | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Firsthealth | Commercial | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Priority Health | Hmo | $1,959.04 | $4,462.50 | $1,785.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Cigna | Ppo | $1,972.42 | $4,462.50 | $1,785.00 | 2026-05-08 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE InpatientFacility | Humana Military (TRICARE) | Tricare | — | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR InpatientFacility | Humana Military (TRICARE) | Tricare | — | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | Humana Military (TRICARE) | Tricare | — | — | — | 2026-05-27 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Asr | Ppo | $2,989.88 | $4,462.50 | $1,785.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Aetna | Ppo | $3,043.43 | $4,462.50 | $1,785.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | United Healthcare | Commercial | $3,217.46 | $4,462.50 | $1,785.00 | 2026-05-08 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicare | — | $3,264.25 | $17,759.77 | $10,655.86 | 2026-07-17 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Humana | Ppo | $3,346.88 | $4,462.50 | $1,785.00 | 2026-05-08 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Marketplace | — | $3,551.95 | $17,759.77 | $10,655.86 | 2026-07-17 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Cofinity Commercial | Ppo | $3,726.19 | $4,462.50 | $1,785.00 | 2026-05-08 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Marketplace | — | $4,053.06 | $17,759.77 | $10,655.86 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Humana Medicare | — | $4,126.95 | $17,759.77 | $10,655.86 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicare | — | $4,250.30 | $17,759.77 | $10,655.86 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Aetna Medicare | — | $4,514.23 | $17,759.77 | $10,655.86 | 2026-07-17 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Medicaid | Caid | $4,710.29 | $4,462.50 | $1,785.00 | 2026-05-08 | MRF ↗ |
| UNIVERSITY OF MICHIGAN HEALTH - WEST Inpatient | Molina Healthcare Of Mi | Caid | $4,710.29 | $4,462.50 | $1,785.00 | 2026-05-08 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicare | — | $5,050.29 | $17,759.77 | $10,655.86 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Healthy Connection Prime | — | $5,191.99 | $17,759.77 | $10,655.86 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Atc Medicaid | — | $5,369.48 | $17,759.77 | $10,655.86 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Blue Cross Blue Shield Medicare | — | $5,582.42 | $17,759.77 | $10,655.86 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Select Medicaid | — | $6,676.80 | $17,759.77 | $10,655.86 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Molina Medicaid | — | $6,998.00 | $17,759.77 | $10,655.86 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Wellcare Medicaid | — | $7,395.23 | $17,759.77 | $10,655.86 | 2026-07-17 | MRF ↗ |
| SELF REGIONAL HEALTHCARE | Bluechoice Medicaid | — | $7,693.29 | $17,759.77 | $10,655.86 | 2026-07-17 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Amerigroup | Amerigroup-Cmo | $8,960.44 | — | — | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-03-13 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Peachstate | Peachstate | $9,229.25 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC InpatientFacility | — | — | — | — | — | 2024-12-23 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Wellcare | Wellcare Cmo | $9,342.92 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Amerigroup | Amerigroup-Cmo | $9,342.92 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Peachstate | Peachstate | $9,623.21 | — | — | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | $9,856.48 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Caresource | Caresource | $10,277.21 | — | — | 2026-05-06 | MRF ↗ |
| Seton Medical Center Inpatient | Tricare West | Tricare West | $12,882.10 | — | — | 2026-07-17 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Department Of Health | Department Of Health | $13,416.20 | — | — | 2026-05-06 | MRF ↗ |
| AHMC SETON MEDICAL CENTER Inpatient | Tricare West | Tricare West | $17,517.17 | — | — | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSP OF LOS ANGELES Inpatient | Champus | Champus Tricare | $19,412.43 | — | — | 2026-07-18 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Inpatient | Tricare | Tricare | $20,777.02 | — | — | 2026-07-20 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Node Martins Point Health Care | Node Martins Point Health Care | $20,886.12 | — | — | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Tricare | Tricare | $21,132.29 | — | — | 2026-07-20 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | Tricare | Tricare | $21,319.55 | — | — | 2026-07-15 | MRF ↗ |
| Adventhealth Port Charlotte InpatientFacility | — | — | — | — | — | 2024-12-18 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Node Tricare | Node Tricare | $23,665.68 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Node Tricare | Node Tricare | $23,665.68 | — | — | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $24,032.32 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| ST CHARLES PARISH HOSPITAL Inpatient | Triwest Military - Tricare | All Payor | $29,273.00 | — | — | 2026-07-15 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Inpatient | Johns Hopkins Healthcare | All Products | $32,113.22 | — | — | 2026-07-18 | MRF ↗ |
| POTTSTOWN HOSPITAL Inpatient | Humana Military | Tricare | $33,594.32 | — | — | 2026-07-17 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | Tricare | Tricare | $33,674.09 | — | — | 2026-07-15 | MRF ↗ |
| SLIDELL MEMORIAL HOSPITAL Inpatient | Triwest Military - Tricare | All Payor | $35,482.00 | — | — | 2026-07-18 | MRF ↗ |
| LEONARD J CHABERT MEDICAL CENTER Inpatient | Triwest Military - Tricare | All Payor | $36,180.00 | — | — | 2026-07-31 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | Tricare | Tricare | $36,495.39 | — | — | 2026-07-15 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL InpatientFacility | Amerigroup GA | Medicaid | $36,762.11 | — | — | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL InpatientFacility | Amerigroup GA | PeachCare for Kids | $36,762.11 | — | — | 2026-01-25 | MRF ↗ |
| Foundation Surgical Hospital Of El Paso Inpatient | Healthnet | Tricare | $37,077.23 | — | — | 2026-05-09 | MRF ↗ |
| PHOENIXVILLE HOSPITAL Inpatient | Humana Military | Tricare | $38,197.76 | — | — | 2026-07-17 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Node Tricare | Node Tricare | $38,342.44 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Node Tricare | Node Tricare | $38,479.95 | — | — | 2026-05-09 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Node Tricare | Node Tricare | $38,577.77 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Node Tricare | Node Tricare | $38,591.94 | — | — | 2026-07-17 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Node Tricare | Node Tricare | $38,827.27 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Node Tricare | Node Tricare | $38,850.03 | — | — | 2026-07-17 | MRF ↗ |
| OCHSNER MEDICAL CENTER-KENNER Inpatient | Triwest Military - Tricare | All Payor | $39,166.00 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Node Tricare | Node Tricare | $39,236.78 | — | — | 2026-05-27 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $39,462.37 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $39,616.98 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $39,616.98 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $39,616.98 | — | — | 2026-05-08 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $39,758.12 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Node Tricare | Node Tricare | $40,007.48 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Node Tricare | Node Tricare | $40,116.39 | — | — | 2026-07-15 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $40,116.39 | — | — | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Node Tricare | Node Tricare | $40,116.39 | — | — | 2026-07-17 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $40,116.39 | — | — | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-04-01 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Tricare | Tricare | $40,343.61 | — | — | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $41,002.70 | — | — | 2026-07-17 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $41,289.74 | — | — | 2026-07-15 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Triwest Military - Tricare | All Payor | $41,902.00 | — | — | 2026-08-17 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $42,227.35 | — | — | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Tricare | Node Tricare | $42,693.30 | — | — | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Tricare | Node Tricare | $42,693.30 | — | — | 2026-07-15 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $42,876.96 | — | — | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $42,964.11 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $43,042.84 | — | — | 2026-07-17 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Tricare - Humana Military | Tricare - Humana Military | $43,948.95 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Tricare - Humana Military | Tricare - Humana Military | $43,948.95 | — | — | 2026-05-14 | MRF ↗ |
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $43,978.79 | — | — | 2026-07-15 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Champva | $44,547.67 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Veterans Administration (Audie) | $44,547.67 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Tricare West Region | $44,547.67 | — | — | 2026-09-28 | MRF ↗ |
| VANDERBILT WILSON COUNTY HOSPITAL Inpatient | Humana | Humana Military East | $44,759.79 | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT UNIVERSITY MEDICAL CENTER Inpatient | Humana | Humana Military East | $44,759.79 | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT BEDFORD HOSPITAL Inpatient | Humana | Humana Military East | $44,759.79 | — | — | 2025-10-01 | MRF ↗ |
| VANDERBILT TULLAHOMA-HARTON HOSPITAL Inpatient | Humana | Humana Military East | $44,759.79 | — | — | 2025-10-01 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Node Champva | Node Champva | $44,808.38 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Department Of Veterans Affairs | Node Champva | $44,808.38 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $44,858.47 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Tricare Usfhp | Node Tricare Usfhp | $44,858.47 | — | — | 2026-07-15 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $44,930.35 | — | — | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Usfhp Tricare | Node Usfhp Tricare | $44,940.31 | — | — | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Usfhp Tricare | Node Usfhp Tricare | $44,940.31 | — | — | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $45,185.86 | — | — | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Node Tricare Usfhp | Node Tricare Usfhp | $45,225.37 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Node Champva | Node Champva | $45,365.84 | — | — | 2026-05-09 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Champva | Node Champva | $45,418.72 | — | — | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Department Of Veterans Affairs | Node Champva | $45,481.16 | — | — | 2026-07-15 | MRF ↗ |
| DOYLESTOWN HOSPITAL Inpatient | Tricare | Tricare | $45,678.16 | — | — | 2026-09-21 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $45,775.31 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $45,802.14 | — | — | 2026-07-17 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Tricare | Tricare | $45,911.57 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Tricare | Tricare | $45,911.57 | — | — | 2026-05-23 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Node Champva | Node Champva | $46,258.10 | — | — | 2026-05-27 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Node Tricare | Node Tricare | $46,276.44 | — | — | 2026-07-15 | MRF ↗ |
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $46,284.19 | — | — | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $46,524.05 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $46,706.33 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $46,706.33 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $46,706.33 | — | — | 2026-05-09 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Inpatient | Node Champva | Node Champva | $46,719.09 | — | — | 2026-07-15 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Tricare | Node Tricare | $46,726.21 | — | — | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Node Champva | Node Champva | $46,872.73 | — | — | 2026-07-15 | MRF ↗ |
| BALDWIN HEALTH Inpatient | Node Tricare | Node Tricare | $47,402.89 | — | — | 2026-07-15 | 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.