622-4 — Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 622-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/622-4?code_type=OTHER
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 622-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/622-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 622-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/622-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $41,445–$72,176 (25th–75th percentile) across 160 hospitals · 334 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 622-4 — 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 | $1,073.45 | — | — | 2026-05-06 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-05-08 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | South Country Health Alliance | Scha Pmap (N) | $1,470.00 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,545.84 | — | — | 2026-05-06 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-05-13 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-14 | MRF ↗ |
| MEMORIAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-22 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,658.95 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,720.01 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,747.87 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $1,747.87 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,764.83 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,781.81 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,829.06 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,840.41 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $1,842.42 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,852.74 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Molina | Molina Medicaid | $1,852.74 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,870.72 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,888.71 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $1,897.68 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,934.54 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Bluechoice | Bluechoice Medicaid | $1,934.54 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,934.54 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,947.55 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,961.50 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,982.27 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,987.10 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Medicaid | Medicaid | $1,992.18 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,006.45 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $2,011.70 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,044.28 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,044.28 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,068.10 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $2,088.52 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,088.52 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,091.78 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,108.80 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,110.98 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,110.98 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,127.41 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,129.08 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,131.62 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $2,143.31 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $2,153.86 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $2,153.86 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,153.86 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,153.86 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,174.76 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,174.76 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $2,179.05 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $2,179.05 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,191.39 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,195.68 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,195.68 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid | $2,211.31 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $2,218.51 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $2,224.13 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,224.13 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $2,224.13 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,224.13 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $2,228.76 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,241.44 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $2,241.44 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,245.72 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,245.72 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $2,248.37 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,259.59 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,260.14 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,260.14 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,263.19 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,267.33 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,267.33 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,276.43 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,276.43 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,284.96 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Molina | Molina Medicaid | $2,291.00 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,310.51 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,310.51 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Medicaid Sc | Medicaid Sc | $2,338.54 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Medicaid Sc | Medicaid Sc | $2,338.54 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,340.90 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $2,360.93 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $2,360.93 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,384.77 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,405.77 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,405.77 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Select Health | Select Health Medicaid | $2,473.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Select Health | Select Health Medicaid | $2,473.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,502.24 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,502.24 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,504.77 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $2,563.30 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $2,563.30 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $2,653.24 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $2,653.24 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,759.84 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,759.84 | — | — | 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 | $5,019.82 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $5,371.21 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $5,693.41 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Medicaid Of South Carolina | Medicaid | $5,823.87 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Select Health | Select Health Medicaid | $5,998.58 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Molina | Molina Medicaid | $5,998.58 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $6,056.82 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $6,115.06 | — | — | 2026-05-06 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $16,314.91 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $16,314.91 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $16,314.91 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $16,314.91 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $16,314.91 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $16,314.91 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $16,314.91 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $16,314.91 | — | — | 2026-05-23 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Superior Healthplan | Superior Healthplan Medicaid | $16,609.37 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Medicaid Tx | Medicaid Tx | $16,609.37 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Texas Childrens Health Plan | Texas Childrens Health Plan Star Kids | $16,609.37 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Texas Childrens Health Plan | Texas Childrens Health Plan | $16,609.37 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Texas Childrens Health Plan | Texas Childrens Health Plan Star Uhrip | $16,609.37 | — | — | 2026-05-27 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Superior Health Plan Medicaid | Superior Health Plan Medicaid | $16,902.64 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Medicaid | Node Tx Medicaid | $17,047.80 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Non-Par Medicaid | Node Tx Medicaid Non Par | $17,047.80 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Molina | Node Molina Chip Medicaid Tx | $17,047.80 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $17,047.80 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Uhc Star Medicaid Tx | Node Uhc Star Medicaid Tx | $17,053.59 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Tx Childrens Health Plan Star Medicaid Tx | Node Tx Childrens Health Plan Star Medicaid Tx | $17,053.59 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Non-Par Medicaid Tx | Node Tx Medicaid Non Par | $17,053.59 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $17,053.59 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Tx Children'S Health Plan Medicaid Tx | Node Tx Childrens Health Plan Star Plus Medicaid Tx | $17,053.59 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Medicaid | Node Tx Medicaid | $17,053.59 | — | — | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $17,086.48 | — | — | 2026-05-09 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $17,086.48 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $17,086.48 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Jackson County Indigent Program Medicaid Tx | Node Jackson County Indigent Program Medicaid Tx | $17,235.08 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Tx Medicaid Non Par | Node Tx Medicaid Non Par | $17,235.08 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Driscoll Health Plan Chip/Star Kids Medicaid Tx | Node Driscoll Health Plan Chip Medicaid Tx | $17,235.08 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Jackson County Indigent Program Medicaid Tx | Node Jackson County Indigent Program Medicaid Tx | $17,235.08 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $17,235.08 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Medicaid | Node Tx Medicaid | $17,235.08 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Scott & White | Node Right Care-Scott White Star Medicaid Tx | $17,235.08 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Driscoll Health Plan Chip/Star Kids Medicaid Tx | Node Driscoll Health Plan Chip Medicaid Tx | $17,235.08 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Tx Medicaid Non Par | Node Tx Medicaid Non Par | $17,235.08 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | United Healthcare | Node Uhc Chip Medicaid Tx | $17,235.08 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Scott & White | Node Right Care-Scott White Star Medicaid Tx | $17,235.08 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | United Healthcare | Node Uhc Chip Medicaid Tx | $17,235.08 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $17,235.08 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Medicaid | Node Tx Medicaid | $17,235.08 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $17,235.08 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $17,235.08 | — | — | 2026-05-09 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Amerigroup | Wellpoint Amerigroup Star Uhrip | $17,273.74 | — | — | 2026-05-27 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Driscoll Health Plan Chip Medicaid Tx | Node Driscoll Health Plan Chip Medicaid Tx | $17,388.76 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Bcbs Star Kids Medicaid Tx | Node Bcbs Star Kids Medicaid Tx | $17,388.76 | — | — | 2026-05-08 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Community Health Choice Uhrip | Community Health Choice Star Uhrip | $17,439.84 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Molina Medicaid Uhrip | Molina Healthcare Star Uhrip | $17,439.84 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Molina Healthcare | Molina Medicaid | $17,439.84 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | United Healthcare | United Healthcare Star Uhrip | $17,439.84 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | United Healthcare | United Healthcare Medicaid Star/Chips | $17,439.84 | — | — | 2026-05-27 | MRF ↗ |
| THE MEDICAL CENTER OF SOUTHEAST TEXAS Inpatient | Community Health Choice | Community Health Choice Chip | $17,439.84 | — | — | 2026-05-27 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Ssi Members | Ssi Members | $17,479.08 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Bcbs Tx | Node Bcbs Star Medicaid Tx | $17,579.78 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Bcbs Tx | Node Bcbs Star Medicaid Tx | $17,579.78 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Bcbs Star Kids Medicaid Tx | Node Bcbs Star Kids Medicaid Tx | $17,579.78 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Bcbs Star Kids Medicaid Tx | Node Bcbs Star Kids Medicaid Tx | $17,579.78 | — | — | 2026-05-09 | MRF ↗ |
| ODESSA REGIONAL MEDICAL CENTER Inpatient | Star Medicaid | Star Medicaid | $17,655.61 | — | — | 2026-05-07 | MRF ↗ |
| ODESSA REGIONAL MEDICAL CENTER Inpatient | Wellpoint Amerigroup Star Kids/Chips | Wellpoint Amerigroup Star Kids/Chips | $17,833.95 | — | — | 2026-05-07 | MRF ↗ |
| ODESSA REGIONAL MEDICAL CENTER Inpatient | Superior Health Plan Medicaid | Superior Health Plan Medicaid | $17,833.95 | — | — | 2026-05-07 | MRF ↗ |
| ODESSA REGIONAL MEDICAL CENTER Inpatient | Medicaid Tx | Medicaid Tx | $17,833.95 | — | — | 2026-05-07 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $17,900.19 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Cigna Healthspring | Node Cigna Healthspring Medicaid Tx | $17,900.19 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Amerigroup | Node Wellpoint Star Plus Medicaid Tx | $17,900.19 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $17,900.19 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $17,900.19 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Wellpoint Star Medicaid Tx | Node Wellpoint Star Medicaid Tx | $17,900.19 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Superior Star Kids Medicaid Tx | Node Superior Star Kids Medicaid Tx | $17,906.27 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $17,906.27 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Wellpoint Star Plus Medicaid Tx | Node Wellpoint Star Plus Medicaid Tx | $17,906.27 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Superior | Node Superior Star Plus Medicaid Tx | $17,906.27 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $17,906.27 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Molina Chip Medicaid Tx | Node Molina Chip Medicaid Tx | $17,906.27 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Molina Chip/Star Kids Medicaid Tx | Node Molina Chip Medicaid Tx | $18,096.83 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $18,096.83 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Molina Chip/Star Kids Medicaid Tx | Node Molina Chip Medicaid Tx | $18,096.83 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $18,096.83 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $18,096.83 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Molina Star Medicaid Tx | Node Molina Star Medicaid Tx | $18,096.83 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $18,096.83 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Amerigroup Medicaid | Node Wellpoint Star Medicaid Tx | $18,096.83 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Molina Star Plus Medicaid Tx | Node Molina Star Plus Medicaid Tx | $18,096.83 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Molina Star Medicaid Tx | Node Molina Star Medicaid Tx | $18,096.83 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Molina Star Plus Medicaid Tx | Node Molina Star Plus Medicaid Tx | $18,096.83 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $18,096.83 | — | — | 2026-05-09 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Medicaid Oon | Medicaid Oon | $18,233.23 | — | — | 2026-05-08 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Texas Childrens Health Plan | Texas Childrens Health Plan | $18,516.83 | — | — | 2026-05-08 | MRF ↗ |
| ST JOSEPH MEDICAL CENTER Inpatient | Medicaid | Star Medicaid | $18,620.92 | — | — | 2026-05-08 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Ga Non Par Medicaid | Non Par Medicaid Ga | $18,621.31 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Peach State Hlth Plan Mcaid Ga | Peach State Hlth Plan Mcaid Ga | $18,621.31 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Amerigroup Medicaid | Amerigroup Medicaid | $18,621.31 | — | — | 2026-05-06 | MRF ↗ |
| ODESSA REGIONAL MEDICAL CENTER Inpatient | Finthrive | Molina Medicaid | $18,725.65 | — | — | 2026-05-07 | MRF ↗ |
| ODESSA REGIONAL MEDICAL CENTER Inpatient | Firstcare Health Plans Medicaid | Firstcare Health Plans Medicaid | $18,725.65 | — | — | 2026-05-07 | 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.