621-4 — Neonate Birth Weight 2000-2499 Grams With Major Anomaly
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY (OTHER 621-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/621-4?code_type=OTHER
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY (OTHER 621-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/621-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY (OTHER 621-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/621-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $57,530–$117,108 (25th–75th percentile) across 159 hospitals · 333 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 621-4 — 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 | $819.13 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,179.61 | — | — | 2026-05-06 | MRF ↗ |
| Florida Medical Center Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-13 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-08 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-07 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-08 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-08 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-24 | MRF ↗ |
| Florida Medical Center Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-24 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,265.92 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,312.51 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $1,333.77 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,333.77 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,346.73 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,359.68 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,395.73 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,404.39 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $1,405.93 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,413.80 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Molina | Molina Medicaid | $1,413.80 | — | — | 2026-05-06 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,427.52 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,441.26 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $1,448.10 | — | — | 2026-05-06 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | South Country Health Alliance | Scha Pmap (N) | $1,470.00 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Bluechoice | Bluechoice Medicaid | $1,476.22 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,476.22 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,476.22 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,486.14 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,496.79 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,512.64 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,516.34 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Medicaid | Medicaid | $1,520.20 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,531.09 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,535.10 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,559.96 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,559.96 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,578.14 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,593.72 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,593.72 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,596.21 | — | — | 2026-05-06 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-14 | 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 ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,609.20 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,610.86 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,610.86 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,623.40 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,624.67 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,626.61 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,635.53 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,643.58 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,643.58 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,643.58 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,643.58 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,659.54 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,659.54 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,662.81 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,662.81 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,672.23 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,675.49 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,675.49 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid | $1,687.42 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $1,692.92 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,697.20 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,697.20 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,697.20 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,697.20 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,700.73 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $1,710.41 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,710.41 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,713.69 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,713.69 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $1,715.71 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,724.27 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,724.69 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,724.69 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,727.02 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,730.17 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,730.17 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,737.11 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,737.11 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,743.62 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Molina | Molina Medicaid | $1,748.23 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,763.12 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,763.12 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Medicaid Sc | Medicaid Sc | $1,784.51 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Medicaid Sc | Medicaid Sc | $1,784.51 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,786.31 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,801.60 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,801.60 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,819.78 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,835.81 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,835.81 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Select Health | Select Health Medicaid | $1,887.39 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Select Health | Select Health Medicaid | $1,887.39 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,909.43 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,909.43 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,911.35 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,956.02 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $1,956.02 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $2,024.65 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $2,024.65 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,105.99 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,105.99 | — | — | 2026-05-23 | 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 | $3,830.56 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $4,098.70 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $4,344.57 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Medicaid Of South Carolina | Medicaid | $4,444.11 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Molina | Molina Medicaid | $4,577.44 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Select Health | Select Health Medicaid | $4,577.44 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $4,621.88 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $4,666.32 | — | — | 2026-05-06 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Molina Healthcare Of Michigan | Molina Of Mi | $20,268.77 | — | — | 2026-05-13 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $20,670.29 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $20,670.29 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $20,670.29 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $20,670.29 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $20,670.29 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $20,670.29 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $20,670.29 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $20,670.29 | — | — | 2026-05-23 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Peach State Hlth Plan Mcaid Ga | Peach State Hlth Plan Mcaid Ga | $22,957.78 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Amerigroup Medicaid | Amerigroup Medicaid | $22,957.78 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Ga Non Par Medicaid | Non Par Medicaid Ga | $22,957.78 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Caresource Medicaid | Caresource Medicaid | $24,105.66 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Uhc Medicaid | Uhc Medicaid | $24,422.84 | — | — | 2026-05-06 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $27,000.00 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $27,000.00 | — | — | 2026-05-08 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $27,000.00 | — | — | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $27,000.00 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $27,000.00 | — | — | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $27,000.00 | — | — | 2026-05-06 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | — | — | 2024-12-31 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Liga Contra El Cancer | Liga Contra El Cancer | $29,842.43 | — | — | 2026-05-08 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $32,328.23 | — | — | 2026-05-09 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Ga Medicaid | Ga Medicaid | $33,678.89 | — | — | 2026-05-06 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Ga Medicaid | Ga Medicaid | $34,537.36 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Ga Medicaid | Ga Medicaid | $35,116.98 | — | — | 2026-05-06 | MRF ↗ |
| FORREST GENERAL HOSPITAL Inpatient | Mscan Uhc | Mscan Uhc | $35,956.12 | — | — | 2026-05-13 | MRF ↗ |
| FORREST GENERAL HOSPITAL Inpatient | Mscan Molina Healthcare | Mscan Molina Healthcare | $36,675.24 | — | — | 2026-05-13 | MRF ↗ |
| FORREST GENERAL HOSPITAL Inpatient | Molina Chips | Molina Chips | $37,034.80 | — | — | 2026-05-13 | MRF ↗ |
| FORREST GENERAL HOSPITAL Inpatient | Mscan Magnolia Health | Mscan Magnolia Health | $37,034.80 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Cdphp | Essential Plan 3 & 4 | $39,478.67 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Cdphp | Essential Plan 1 & 2 | $39,478.67 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Mvp | Medicaid | $39,478.67 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Mvp | Medicaid | $39,478.67 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Cdphp | Essential Plan 3 & 4 | $39,478.67 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Cdphp | Essential Plan 1 & 2 | $39,478.67 | — | — | 2026-05-13 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $40,355.10 | — | — | 2026-05-27 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Ga Medicaid | Ga Medicaid | $40,377.49 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $40,688.12 | — | — | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $40,688.12 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $40,688.12 | — | — | 2026-05-06 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Inpatient | Molina | Medicaid | $41,718.49 | — | — | 2026-05-06 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Inpatient | Select Health Of Sc | Medicaid | $41,718.49 | — | — | 2026-05-06 | MRF ↗ |
| AIKEN REGIONAL MEDICAL CENTER Inpatient | Wellcare | Medicaid | $42,513.13 | — | — | 2026-05-06 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Non Par Medicaid Az | Non Par Medicaid Az | $43,864.24 | — | — | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Medicaid | Az Medicaid | $43,864.24 | — | — | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Apipa Medicaid Az | Apipa Medicaid Az | $43,864.24 | — | — | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $43,864.24 | — | — | 2026-05-27 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $43,864.24 | — | — | 2026-05-27 | MRF ↗ |
| FLAGSTAFF MEDICAL CENTER Inpatient | Health Choice Integrated Care | Health Choice Integrated Care | — | — | — | 2026-05-08 | MRF ↗ |
| FLAGSTAFF MEDICAL CENTER Inpatient | Health Choice | Health Choice Ahcccs | $44,028.41 | — | — | 2026-05-08 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $44,226.22 | — | — | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Apipa Medicaid Az | Apipa Medicaid Az | $44,226.22 | — | — | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Az Medicaid Non Par | Az Medicaid Non Par | $44,226.22 | — | — | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Az Medicaid | Az Medicaid | $44,226.22 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Apipa Medicaid Az | Apipa Medicaid Az | $44,226.22 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Mercy Care | Mercy Care Medicaid Az | $44,226.22 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $44,226.22 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Non Par Medicaid Az | Non Par Medicaid Az | $44,226.22 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $44,226.22 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $44,226.22 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Apipa Medicaid Az | Apipa Medicaid Az | $44,226.22 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Medicaid | Az Medicaid | $44,226.22 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Az Medicaid Non Par | Az Medicaid Non Par | $44,226.22 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Az Medicaid | Az Medicaid | $44,226.22 | — | — | 2026-05-06 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Mercy Care Medicaid Az | Mercy Care Medicaid Az | $44,226.22 | — | — | 2026-05-27 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Uhccp Medicaid Az | Uhccp Medicaid Az | $44,363.72 | — | — | 2026-05-24 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Non Par Medicaid Az | Non Par Medicaid Az | $44,363.72 | — | — | 2026-05-24 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Medicaid | Az Medicaid | $44,363.72 | — | — | 2026-05-07 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Uhccp Medicaid Az | Uhccp Medicaid Az | $44,363.72 | — | — | 2026-05-07 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Non Par Medicaid Az | Non Par Medicaid Az | $44,363.72 | — | — | 2026-05-07 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $44,363.72 | — | — | 2026-05-07 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Complete Health Medicaid Az | Complete Health Medicaid Az | $44,363.72 | — | — | 2026-05-24 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Medicaid | Az Medicaid | $44,363.72 | — | — | 2026-05-24 | MRF ↗ |
| FLAGSTAFF MEDICAL CENTER Inpatient | Health Choice | Health Choice Ahcccs | $45,895.74 | — | — | 2026-05-23 | MRF ↗ |
| FLAGSTAFF MEDICAL CENTER Inpatient | Ahcccs | Ahcccs | $45,895.74 | — | — | 2026-05-23 | MRF ↗ |
| FLAGSTAFF MEDICAL CENTER Inpatient | Nhi Out Of State Ahcccs | Nhi Out Of State Ahcccs | $45,895.74 | — | — | 2026-05-23 | MRF ↗ |
| FLAGSTAFF MEDICAL CENTER Inpatient | Fmc Jail | Fmc Jail | $45,895.74 | — | — | 2026-05-23 | MRF ↗ |
| FLAGSTAFF MEDICAL CENTER Inpatient | Health Net Of Arizona | Ahcccs Azch Complete Healthcare | $45,895.74 | — | — | 2026-05-23 | MRF ↗ |
| FLAGSTAFF MEDICAL CENTER Inpatient | Ahcccs Other | Ahcccs Other | $45,895.74 | — | — | 2026-05-23 | MRF ↗ |
| FLAGSTAFF MEDICAL CENTER Inpatient | Health Choice Integrated Care | Health Choice Integrated Care | $45,895.74 | — | — | 2026-05-23 | MRF ↗ |
| FLAGSTAFF MEDICAL CENTER Inpatient | Mercy Care | Mercy Care | $45,895.74 | — | — | 2026-05-23 | MRF ↗ |
| FLAGSTAFF MEDICAL CENTER Inpatient | Health Choice Arizona | Bcbs Health Choice Standard Health Aca | $45,895.74 | — | — | 2026-05-23 | MRF ↗ |
| FLAGSTAFF MEDICAL CENTER Inpatient | United Healthcare | United Healthcare Apipa Ahcccs | $45,895.74 | — | — | 2026-05-23 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Magellan | Magellan Medicaid Az | $46,057.45 | — | — | 2026-05-27 | MRF ↗ |
| FLAGSTAFF MEDICAL CENTER Inpatient | Fmc Jail | Fmc Jail | $46,120.72 | — | — | 2026-05-08 | 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.