630-4 — Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE (OTHER 630-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/630-4?code_type=OTHER
MLA (9th ed.)
“NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE (OTHER 630-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/630-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE (OTHER 630-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/630-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $179,072–$224,920 (25th–75th percentile) across 34 hospitals · 125 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 630-4 — 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 |
|---|---|---|---|---|---|---|---|
| MEMORIAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-22 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,835.05 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,835.05 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $2,987.01 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,987.01 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $2,987.01 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,987.01 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $3,016.01 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $3,016.01 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $3,021.95 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $3,021.95 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $3,045.01 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $3,045.01 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $3,134.42 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $3,134.42 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,156.99 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $3,156.99 | — | — | 2026-05-13 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | — | — | 2024-12-31 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $58,933.59 | — | — | 2026-05-09 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $64,117.55 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $69,752.21 | — | — | 2026-05-08 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $73,168.53 | — | — | 2026-05-09 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Excellus | Govt Programs/ Special Products | $85,091.82 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Excellus | Govt Programs/ Special Products | $85,091.82 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mycompass | Medicaid | $85,091.82 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $85,091.82 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mycompass | Medicaid | $85,091.82 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Medicaid | $85,091.82 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Brighton Healthplan | Medicaid | $85,091.82 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 3 And 4 | $85,091.82 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Brighton Healthplan | Medicaid | $85,091.82 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 3 And 4 | $85,091.82 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Medicaid | $85,091.82 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Medicaid, Essential Plan 3&4, Medicaid Harp, And Child Health Plus | $85,091.82 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $85,091.82 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 3 And 4 | $85,091.82 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Fidelis | Medicaid Hmo | $90,374.80 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Fidelis | Medicaid Hmo | $90,374.80 | — | — | 2026-05-13 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Peach State Hlth Plan Mcaid Ga | Peach State Hlth Plan Mcaid Ga | $90,925.21 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Amerigroup Medicaid | Amerigroup Medicaid | $90,925.21 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Ga Non Par Medicaid | Non Par Medicaid Ga | $90,925.21 | — | — | 2026-05-06 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $93,601.00 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Healthfirst Health Plan | Essential Plan 1 & 2 And Qualified Health Plans | $93,601.00 | — | — | 2026-05-13 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Caresource Medicaid | Caresource Medicaid | $95,471.47 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Uhc Medicaid | Uhc Medicaid | $96,727.67 | — | — | 2026-05-06 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $102,110.18 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 5 And 6 | $102,110.18 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Wellcare | Medicaid Essential Plan 1 And 2 | $102,110.18 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 5 And 6 | $102,110.18 | — | — | 2026-05-13 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Tufts Health Public Plans | MA Medicaid | $132,941.35 | — | — | 2024-12-31 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Ga Medicaid | Ga Medicaid | $137,185.40 | — | — | 2026-05-06 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Medicaid | United Medicaid | $149,766.67 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Chip | United Chip | $149,766.67 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Chip | Upmc Chip | $149,766.67 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Medicaid | United Medicaid | $149,766.67 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Chip | Upmc Chip | $149,766.67 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | United Chip | United Chip | $149,766.67 | — | — | 2026-05-23 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Ohio Medicaid | Traditional Medicaid | $153,909.26 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Molina | Molina Managed Medicaid | $153,909.26 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | United Healthcare | United Healthcare Medicaid | $153,909.26 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Ohio Medicaid | Traditional Medicaid | $153,909.26 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Molina | Molina Managed Medicaid | $153,909.26 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | United Healthcare | United Healthcare Medicaid | $153,909.26 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Caresource | Caresource Medicaid | $156,987.45 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Caresource | Caresource Medicaid | $156,987.45 | — | — | 2026-05-24 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Molina | Medicaid | $156,990.16 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | United Healthcare | Medicaid | $156,990.16 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Anthem Blue Cross Blue Shield | Medicaid | $156,990.16 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Anthem Blue Cross Blue Shield | Medicaid | $156,990.16 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $157,255.00 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $157,255.00 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Amerihealth Caritas | Amerihealth Caritas Medicaid | $157,255.00 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Centene Corporation | Pa H And W Medicaid | $157,255.00 | — | — | 2026-05-23 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Caresource | Caresource Medicaid | $158,132.69 | — | — | 2026-05-09 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Caresource | Caresource Medicaid | $158,132.69 | — | — | 2026-05-27 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Anthem | Anthem Community Plan | $158,526.54 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Anthem | Anthem Community Plan | $158,526.54 | — | — | 2026-05-24 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | United Healthcare | Medicaid | $158,712.80 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Driscoll | Medicaid | $158,712.80 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Driscoll | Medicaid | $158,712.80 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Cigna | Medicaid | $158,712.80 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Unitedhealthcare | Medicaid | $158,712.80 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Cigna | Medicaid | $158,712.80 | — | — | 2026-05-08 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Ga Medicaid | Ga Medicaid | $159,916.70 | — | — | 2026-05-06 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Humana | Humana Medicaid Managed Care Plan | $160,065.63 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Humana | Humana Medicaid Managed Care Plan | $160,065.63 | — | — | 2026-05-14 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Kaiser | Medicaid | $160,129.97 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Kaiser | Medicaid | $160,129.97 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Kaiser | Medicaid | $160,129.97 | — | — | 2026-05-23 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Blue Shield | Medicaid | $160,914.92 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Blue Shield | Medicaid | $160,914.92 | — | — | 2026-05-23 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Amerihealth Caritas Ohio | Amerihealth Caritas Ohio | $161,604.72 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Buckeye Community Health | Buckeye Community Health Medicaid | $161,604.72 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Amerihealth Caritas Ohio | Amerihealth Caritas Ohio | $161,604.72 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Buckeye Community Health | Buckeye Community Health Medicaid | $161,604.72 | — | — | 2026-05-14 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Molina | Medicaid | $161,794.61 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Inpatient | Molina | Medicaid | $161,794.61 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Inpatient | Amerigroup | Medicaid | $161,794.61 | — | — | 2026-05-08 | MRF ↗ |
| SOUTH TEXAS HEALTH SYSTEM Inpatient | Molina | Medicaid | $161,794.61 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | Amerigroup | Medicaid | $161,794.61 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | Molina | Medicaid | $161,794.61 | — | — | 2026-05-06 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Health Plan | Upmc Medicaid | $162,856.28 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Upmc Health Plan | Upmc Medicaid | $162,856.28 | — | — | 2026-05-23 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Health Net | Medicaid | $164,211.71 | — | — | 2026-05-08 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Geisinger Medicaid | Geisinger Medicaid | $164,743.34 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Geisinger Medicaid | Geisinger Medicaid | $164,743.34 | — | — | 2026-05-23 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Heritage | Medicaid | $166,409.57 | — | — | 2026-05-08 | MRF ↗ |
| TEMECULA VALLEY HOSPITAL Inpatient | Iehp | Medicaid | $167,979.48 | — | — | 2026-05-08 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Iehp | Medicaid | $167,979.48 | — | — | 2026-05-14 | MRF ↗ |
| PALMDALE REGIONAL MEDICAL CENTER Inpatient | Iehp | Medicaid | $167,979.48 | — | — | 2026-05-23 | MRF ↗ |
| NORTHWEST TEXAS HOSPITAL Inpatient | First Care Star | Medicaid | $169,499.11 | — | — | 2026-05-08 | MRF ↗ |
| NORTHWEST HILLS SURGICAL HOSPITAL Inpatient | First Care Star | Medicaid | $169,499.11 | — | — | 2026-05-06 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 1 And 2 | $170,183.64 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Mvp | Essential Plans 1 And 2 | $170,183.64 | — | — | 2026-05-22 | MRF ↗ |
| FAMILY HEALTH WEST HOSPITAL Inpatient | Rocky Mountain | Medicaid | $171,460.35 | — | — | 2026-05-18 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Florida Medicaid | Fl Medicaid | $177,423.74 | — | — | 2026-05-14 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Florida Medicaid | Fl Medicaid | $177,423.74 | — | — | 2026-05-23 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Freedom Health | Freedom Health | $179,071.67 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Simply Healthcare Plans | Simply Healthcare Plans | $179,071.67 | — | — | 2026-05-23 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Molina Healthcare | Molina Healthcare Fl Kidcare | $179,071.67 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | United Healthcare | Uhc Medicaid Fl | $179,071.67 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Sunshine State Health Plan | Sunshine State Health Plan | $179,071.67 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Aetna Better Health | Aetna Better Health | $179,071.67 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Florida Mhs Inc | Florida Mhs Inc | $179,071.67 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Medicaid Hmo | Medicaid Hmo | $179,071.67 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Humana Medicaid | Humana Medicaid | $179,071.67 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Simply Healthcare Plans | Simply Healthcare Plans | $179,071.67 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Florida Medicaid | Medicaid | $179,071.67 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Healthease/Staywell Of Florida Inc | Staywell | $179,071.67 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Medicaid Hmo | Medicaid Hmo | $179,071.67 | — | — | 2026-05-23 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | United Healthcare | Uhc Medicaid Fl | $179,071.67 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | United Healthcare | Uhc Medicaid Fl | $179,071.67 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid | Fl Medicaid | $179,071.67 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid | Fl Medicaid | $179,071.67 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid | Fl Medicaid | $179,071.67 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services Medicaid Fl | Childrens Medical Services Medicaid Fl | $179,071.67 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Florida Mhs Inc | Florida Mhs Inc | $179,071.67 | — | — | 2026-05-23 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services Medicaid Fl | Childrens Medical Services Medicaid Fl | $179,071.67 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid Non Par | Fl Medicaid Non-Par | $179,071.67 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid Non Par | Fl Medicaid Non-Par | $179,071.67 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Florida Medicaid Non Par | Fl Medicaid Non-Par | $179,071.67 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Ped-I-Care Medicaid Fl | Ped-I-Care Medicaid Fl | $179,071.67 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Ped-I-Care Medicaid Fl | Ped-I-Care Medicaid Fl | $179,071.67 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Ped-I-Care Medicaid Fl | Ped-I-Care Medicaid Fl | $179,071.67 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services | S Fl Community Care Network Medicaid Fl | $179,071.67 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Freedom Health | Freedom Health | $179,071.67 | — | — | 2026-05-23 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services | S Fl Community Care Network Medicaid Fl | $179,071.67 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Humana Medicaid | Humana Medicaid | $179,071.67 | — | — | 2026-05-23 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services | S Fl Community Care Network Medicaid Fl | $179,071.67 | — | — | 2026-05-08 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Aetna Better Health | Aetna Better Health | $179,071.67 | — | — | 2026-05-23 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Clear Health Alliance | Clear Health Alliance | $179,071.67 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Childrens Medical Services Medicaid | Childrens Medical Services Medicaid | $179,071.67 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Florida Medicaid | Medicaid | $179,071.67 | — | — | 2026-05-23 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Sunshine State Health Plan | Sunshine State Health Plan | $179,071.67 | — | — | 2026-05-23 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Healthease/Staywell Of Florida Inc | Staywell | $179,071.67 | — | — | 2026-05-23 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Humana | Humana Medicaid Fl | $184,443.82 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Humana | Humana Medicaid Fl | $184,443.82 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Humana | Humana Medicaid Fl | $184,443.82 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Molina Healthcare Of Florida | Molina Healthcare Of Florida | $186,234.54 | — | — | 2026-05-23 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | Molina Healthcare Of Florida | Molina Healthcare Of Florida | $186,234.54 | — | — | 2026-05-14 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | United Healthcare | Uhc Medicaid | $188,025.25 | — | — | 2026-05-23 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Wellcare | Wellcare Medicaid Fl | $188,025.25 | — | — | 2026-05-09 | MRF ↗ |
| PARRISH MEDICAL CENTER Inpatient | United Healthcare | Uhc Medicaid | $188,025.25 | — | — | 2026-05-14 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Amerigroup | Simply Healthcare Plans | $188,025.25 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Amerigroup | Simply Healthcare Fl Healthy Kids | $188,025.25 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Aetna Better Health Of Florida | Aetna Better Health Of Florida | $188,025.25 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | Sunshine Health Plan | Sunshine Health Plan Medicaid | $188,025.25 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Integral Health | Integral Health Medicaid Fl | $188,025.25 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Integral Health | Integral Health Medicaid Fl | $188,025.25 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Wellcare | Wellcare Medicaid Fl | $188,025.25 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Integral Health | Integral Health Medicaid Fl | $188,025.25 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Wellcare | Wellcare Medicaid Fl | $188,025.25 | — | — | 2026-05-09 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | United Healthcare | United Healthcare Medicaid | $188,025.25 | — | — | 2026-05-08 | MRF ↗ |
| CAPE CANAVERAL HOSPITAL Inpatient | United Healthcare | United Healthcare Florida Healthy Kids | $188,025.25 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Simply Healthcare Plan | Simply Medicaid Fl | $189,815.97 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Simply Healthcare Plan | Simply Medicaid Fl | $189,815.97 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Simply Healthcare Plan | Simply Healthcare Plan | $189,815.97 | — | — | 2026-05-09 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Fidelis | Essential Plans 1 -4 | $191,456.59 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Essential Plans 1 -4 | $191,456.59 | — | — | 2026-05-13 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | Fidelis | Essential Plans 1 -4 | $191,456.59 | — | — | 2026-05-22 | MRF ↗ |
| CROUSE HOSPITAL Inpatient | United Health | Essential Plans 1 -4 | $191,456.59 | — | — | 2026-05-22 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Magellan | Magellan Medicaid Fl | $192,502.05 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Magellan | Magellan Medicaid Fl | $192,502.05 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Magellan | Magellan Medicaid Fl | $192,502.05 | — | — | 2026-05-09 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Louisiana Healthcare Connections (Healthy Louisiana) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | United Healthcare Community Plan (Healthy Louisiana) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Zelis | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Cigna Healthcare | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 1 | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Healthy Blue (Healthy Louisiana) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Aetna Better Health (Healthy Louisiana) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 2 | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | United Healthcare Community Plan Of Mississippi | All Plans | $195,063.44 | — | — | 2026-05-06 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Amerihealth Caritas Louisiana (Healthy Louisiana) | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Blue Cross Blue Shield Of Louisiana Blue Connect 3 | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Blue Cross Blue Shield Of Louisiana Community Blue 1 | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Blue Cross Blue Shield Of Louisiana Community Blue 2 | All Plans | — | — | — | 2026-05-27 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Molina Healthcare Of Mississippi Managed Medicaid | All Plans | $195,063.44 | — | — | 2026-05-06 | MRF ↗ |
| OCHSNER WATKINS HOSPITAL Inpatient | Magnolia Health Plan Mississippi Managed Medicaid | All Plans | $195,063.44 | — | — | 2026-05-06 | MRF ↗ |
| OCHSNER ST ANNE GENERAL HOSPITAL Inpatient | Blue Cross Blue Shield Of Louisiana Hmo | All Plans | — | — | — | 2026-05-27 | 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.