614-4 — Neonate Birth Weight 1500-1999 Grams With Or Without Other Significant Condition
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION (OTHER 614-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/614-4?code_type=OTHER
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION (OTHER 614-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/614-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH OR WITHOUT OTHER SIGNIFICANT CONDITION (OTHER 614-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/614-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $4,511–$78,591 (25th–75th percentile) across 158 hospitals · 334 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 614-4 — 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 |
|---|---|---|---|---|---|---|---|
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $725.05 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,044.12 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Peach State Hlth Plan Mcaid Ga | Peach State Hlth Plan Mcaid Ga | $1,095.93 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Amerigroup Medicaid | Amerigroup Medicaid | $1,095.93 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Ga Non Par Medicaid | Non Par Medicaid Ga | $1,095.93 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,120.52 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Caresource Medicaid | Caresource Medicaid | $1,150.72 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,161.76 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Uhc Medicaid | Uhc Medicaid | $1,165.87 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,180.58 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $1,180.58 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,192.04 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,203.50 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,235.42 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,243.08 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $1,244.44 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,251.41 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Molina | Molina Medicaid | $1,251.41 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,263.56 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,275.71 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $1,281.77 | — | — | 2026-05-06 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $1,288.89 | — | — | 2026-05-08 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $1,288.89 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $1,288.89 | — | — | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $1,288.89 | — | — | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $1,288.89 | — | — | 2026-05-06 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $1,288.89 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,306.66 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,306.66 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Bluechoice | Bluechoice Medicaid | $1,306.66 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,315.45 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,324.87 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,338.90 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,342.17 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Medicaid | Medicaid | $1,345.59 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,355.23 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,358.78 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,380.79 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,380.79 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,396.88 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,410.67 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,410.67 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,412.87 | — | — | 2026-05-06 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,424.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,425.84 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,425.84 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,436.93 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,438.06 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,439.78 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,447.67 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,454.80 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,454.80 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,454.80 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,454.80 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,468.92 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,468.92 | — | — | 2026-05-23 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | South Country Health Alliance | Scha Pmap (N) | $1,470.00 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,471.82 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,471.82 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,480.15 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,483.05 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,483.05 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid | $1,493.61 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $1,498.47 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,502.27 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,502.27 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,502.27 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,502.27 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,505.39 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,513.95 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,513.95 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,516.85 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,516.85 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $1,518.64 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,526.22 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,526.59 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,526.59 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,528.65 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,531.44 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,531.44 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,537.59 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,537.59 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,543.35 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,547.43 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,560.61 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,560.61 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Medicaid Sc | Medicaid Sc | $1,579.54 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Medicaid Sc | Medicaid Sc | $1,579.54 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,581.14 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,594.67 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,594.67 | — | — | 2026-05-06 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-05-13 | MRF ↗ |
| MEMORIAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-22 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,610.76 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,624.95 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,624.95 | — | — | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Ga Medicaid | Ga Medicaid | $1,648.70 | — | — | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Ga Medicaid | Ga Medicaid | $1,653.50 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Select Health | Select Health Medicaid | $1,670.60 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Select Health | Select Health Medicaid | $1,670.60 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,690.11 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,690.11 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,691.82 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,731.35 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,731.35 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $1,792.10 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $1,792.10 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,864.10 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,864.10 | — | — | 2026-05-14 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Ga Medicaid | Ga Medicaid | $1,927.49 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Ga Medicaid | Ga Medicaid | $1,927.49 | — | — | 2026-05-06 | MRF ↗ |
| COASTAL COMMUNITIES HOSPITAL Inpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | — | — | — | 2026-05-27 | MRF ↗ |
| ANAHEIM GLOBAL MEDICAL CENTER Inpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | — | — | — | 2026-05-11 | MRF ↗ |
| ORANGE COUNTY GLOBAL MEDICAL CENTER Inpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | — | — | — | 2026-05-27 | MRF ↗ |
| CHAPMAN GLOBAL MEDICAL CENTER Inpatient | Altamed Mcal Hmo (Ancillary) | Altamed Mcal Hmo (Ancillary) | — | — | — | 2026-05-27 | MRF ↗ |
| CHAPMAN GLOBAL MEDICAL CENTER Inpatient | Prime Health Services | Prime Health Services/Mcal Hmo | — | — | — | 2026-05-27 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | South Country Health Alliance | Scha Pmap (R) | $3,319.06 | — | — | 2026-05-08 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Medicaid Other | Medicaid Other | $3,390.58 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,627.92 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $3,845.55 | — | — | 2026-05-06 | MRF ↗ |
| SAN GABRIEL VALLEY MEDICAL CENTER Inpatient | Blue Cross Medi-Cal Managed Care | Blue Cross Healthy Families | $3,866.67 | — | — | 2026-05-08 | MRF ↗ |
| WHITTIER HOSPITAL MEDICAL CENTER Inpatient | Medi-Cal Sub Acute | Medi-Cal Sub Acute | — | — | — | 2026-05-27 | MRF ↗ |
| WHITTIER HOSPITAL MEDICAL CENTER Inpatient | Blue Cross | Blue Cross Healthy Family | $3,866.67 | — | — | 2026-05-27 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Medicaid Of South Carolina | Medicaid | $3,933.66 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Select Health | Select Health Medicaid | $4,051.67 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Molina | Molina Medicaid | $4,051.67 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $4,091.01 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $4,130.35 | — | — | 2026-05-06 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Non-Contracted Medicaid Hmo | Non-Contracted Medicaid Hmo | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Sunshine State Health Plan Medicaid | Sunshine State Health Plan Medicaid | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Medicaid Fl | Medicaid Fl | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Beacon Health Strategies Medicaid | Beacon Health Strategies Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | Illinois Medicaid | Illinois Medicaid | $4,296.30 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | United Healthcare | Uhc Medicaid Fl | $4,296.30 | — | — | 2026-05-09 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Inpatient | State Of Ca Medical Assistance Commission Ccs/Medi-Cal | State Of Ca Medical Assistance Commission Ccs/Medi-Cal | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | Illinois Medicaid-Other | Illinois Medicaid-Other | $4,296.30 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Brand New Day | Universal Care Brand New Day Medi-Cal | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| ANAHEIM GLOBAL MEDICAL CENTER Inpatient | Healthcare Partners | Optum Health Plan Medi-Cal Hmo | $4,296.30 | — | — | 2026-05-11 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Brand New Day | Universal Care Brand New Day Medi-Cal | $4,296.30 | — | — | 2026-05-09 | MRF ↗ |
| ANAHEIM GLOBAL MEDICAL CENTER Inpatient | Kaiser | Kaiser Medi-Cal Hmo | $4,296.30 | — | — | 2026-05-11 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | La Care Health Plan | La Care Healthy Families | $4,296.30 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | La Care Health Plan | La Care Healthy Families | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Blue Cross Of California | Blue Cross Medi Cal | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| ANAHEIM GLOBAL MEDICAL CENTER Inpatient | State Of California | Medical/Medicaid | $4,296.30 | — | — | 2026-05-11 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | La Care Health Plan | La Care Medi-Cal | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| ANAHEIM GLOBAL MEDICAL CENTER Inpatient | Hollywood Presbyterian | Hollywood Presbyterian Mcal | $4,296.30 | — | — | 2026-05-11 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Aids Health Foundation | Aids Health Foundation/Positive Health Medi-Cal | $4,296.30 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Aids Health Foundation | Aids Health Foundation/Positive Health Medi-Cal | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| ANAHEIM GLOBAL MEDICAL CENTER Inpatient | Medi-Cal Hmo/Non Contract | Medi-Cal Hmo/Non Contract | $4,296.30 | — | — | 2026-05-11 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Altamed Health Network | Altamed Health Network Medi-Cal | $4,296.30 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Altamed Health Network | Altamed Health Network Medi-Cal | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Avanti | Elas Drs Hospital/Avanti/Mcal | $4,296.30 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Avanti | Elas Drs Hospital/Avanti/Mcal | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Beverly Hospital | Beverly Hospital Mcl | $4,296.30 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Beverly Hospital | Beverly Hospital Mcl | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Emanate Health | Emanate Health Medi-Cal | $4,296.30 | — | — | 2026-05-09 | MRF ↗ |
| CHILDREN'S HOSPITAL OF ORANGE COUNTY Inpatient | Medi-Cal Out Of County | Medi-Cal Out Of County Medi-Cal | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Emanate Health | Emanate Health Medi-Cal | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Health Net Foundation | Health Net Medi-Cal | $4,296.30 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | State Of California | Medi Cal/Medicaid | $4,296.30 | — | — | 2026-05-09 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | La Care Medi-Cal Hmo | La Care Medi-Cal Hmo | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | Medi-Cal | Medi-Cal | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Inpatient | Florida Medicaid | Fl Medicaid | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Altamed Health Network | Altamed Health Network Medi-Cal | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | Health Net Medi-Cal | Health Net Medi-Cal | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | Blue Cross Medi-Cal Managed Care | Blue Cross Medi-Cal Managed Care | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Non Contracted Medi-Cal | Non Contracted Medi-Cal | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | Altamed Medi-Cal | Altamed Medi-Cal | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| Adventhealth Port Charlotte Inpatient | Florida Medicaid Non-Par | Fl Medicaid Non-Par | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Inpatient | Medicaid | Fl Medicaid | $4,296.30 | — | — | 2026-05-13 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Health Net | Health Net Medi-Cal | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Beverly Hospital | Beverly Hospital Mcl | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Emanate Health | Emanate Health Medi-Cal | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Amerihealth Caritas Medicaid | Amerihealth Caritas Medicaid | $4,296.30 | — | — | 2026-05-07 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Aetna Better Health Medicaid Hmo | Aetna Better Health Medicaid Hmo | $4,296.30 | — | — | 2026-05-07 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Heritage Provider Network | Heritage Provider Network Medi-Cal | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Brand New Day | Universal Care/Brand New Day Medi-Cal | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Humana Healthy Horizons Medicaid | Humana Healthy Horizons Medicaid | $4,296.30 | — | — | 2026-05-07 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Medicaid Fl | Medicaid Fl | $4,296.30 | — | — | 2026-05-07 | MRF ↗ |
| Florida Medical Center Inpatient | Sunshine State Health Plan Medicaid | Sunshine State Health Plan Medicaid | $4,296.30 | — | — | 2026-05-13 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Community Health Plan | Community Health Plan Medi-Cal Managed Care | $4,296.30 | — | — | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Kaiser Foundation Hospitals | Kaiser Medi-Cal | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Non-Contracted Medicaid Hmo | Non-Contracted Medicaid Hmo | $4,296.30 | — | — | 2026-05-07 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Other Non Contracted Medi-Cal Hmo | Other Non Contracted Medi Cal Hmo | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Aids Health Foundation | Aids Health Foundation/Positive Health Medi-Cal | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | La Care Pasc Seiu Misc | La Care Pasc Seiu Misc | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Medi-Cal | Medi-Cal | $4,296.30 | — | — | 2026-05-06 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Sunshine State Health Plan Medicaid | Sunshine State Health Plan Medicaid | $4,296.30 | — | — | 2026-05-07 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | State Of California | Medi Cal/Medicaid | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| Florida Medical Center Inpatient | Beacon Health Strategies Medicaid | Beacon Health Strategies Medicaid | — | — | — | 2026-05-13 | MRF ↗ |
| PALM BAY HOSPITAL Inpatient | Molina Healthcare | Molina Healthcare Fl Kidcare | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | La Care Health Plan | La Care Medi-Cal | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Inpatient | Beacon Health Strategies Medicaid | Beacon Health Strategies Medicaid | — | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | La Care Health Plan | La Care Healthy Family | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Inpatient | Sunshine State Health Plan Medicaid | Sunshine State Health Plan Medicaid | $4,296.30 | — | — | 2026-05-08 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Health Net | Health Net Medi Cal | $4,296.30 | — | — | 2026-05-09 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER Inpatient | Florida Medicaid Non Par | Fl Medicaid Non-Par | $4,296.30 | — | — | 2026-05-13 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Beverly Hospital | Beverly Hospital Medi-Cal | $4,296.30 | — | — | 2026-05-06 | 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.