6304 — Neonate Birth Weight > 2499 Grams With Major Cardiovascular Procedure
Cite this view
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE (OTHER 6304) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6304?code_type=OTHER
“NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE (OTHER 6304) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6304?code_type=OTHER. Accessed .
“NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR CARDIOVASCULAR PROCEDURE (OTHER 6304) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6304?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $81,328–$195,127 (25th–75th percentile) across 84 hospitals · 152 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 6304 — 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 |
|---|---|---|---|---|---|---|---|
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Medicaid | Medicaid | $339.10 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Healthcare Connections Contract Medicaid | Louisiana Healthcare Connections Contract Medicaid | $339.10 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Community Health/Medicaid | Uhc Community Health/Medicaid | $339.10 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Amerihealth | Amerihealth/Medicaid | $345.88 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna | Aetna/Medicaid | $349.27 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Louisiana Managed Medicaid-Humana | Louisiana Managed Medicaid-Humana | $356.11 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Uhc Select | Uhc Select | $608.42 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Navigate | United Healthcare Navigate | $608.42 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare Heritage | United Healthcare Heritage | $608.42 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | United Healthcare | United Healthcare | $676.80 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Verity Health | Verity | $999.42 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Ppoplus | Ppoplus | $1,052.02 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Multiplan Inc | Multiplan | $1,139.69 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Cigna Healthcare Of Louisiana Inc | Cigna Ppo | $1,176.51 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Coventry Health Of Louisiana | First Health | $1,402.70 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Aetna Health Managment | Aetna | $1,472.83 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Inpatient | Workers Comp | Workers Comp | $1,753.37 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champ Va | Champ Va | $1,753.37 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| TERREBONNE GENERAL MEDICAL CENTER - PARISH Outpatient | Champus/Tricare | Champus/Tricare | $1,753.37 | $1,753.37 | $1,245.24 | 2026-05-08 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $1,806.40 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $1,806.40 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $1,806.40 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Medicare Adv | $1,806.40 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $1,806.40 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Medicare Adv | $1,806.40 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Blue Shield | Medicare Adv | $2,619.28 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | United Healthcare | Medicare Adv | $2,619.28 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Health Net | Medicare Adv | $2,619.28 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $2,713.76 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $2,745.62 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Humana Medicare Facility | Humana Medicare Facility | $2,832.00 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $3,228.48 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $3,341.76 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| AVITA ONTARIO Inpatient | Traditional Medicare | Inpatient | $3,518.05 | $200,144.31 | $170,122.66 | 2026-05-14 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Mdwise Medicare Facility | Mdwise Medicare Facility | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Eskenazi Health | Anthem Facility Exchange | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Caresource Exchange Facility | Caresource Exchange Facility | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Sagamore Commercial Facility | Sagamore Commercial Facility | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Siho Commercial Facility | Siho Commercial Facility | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Anthem | Anthem Medicare Advantage | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Medicare Facility | United Medicare Facility | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Communicare Ma Facility | Communicare Ma Facility | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Aetna Medicare Advantage Facility | Aetna Medicare Advantage Facility | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Charter (Sg Commercial) Facility | United Charter (Sg Commercial) Facility | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Workers Comp | Workers Comp - Generic | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Zing Medicare Facility | Zing Medicare Facility | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Umr H&H Employees Facility | Umr Hh Employees Facility | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $3,525.84 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| AVITA ONTARIO Inpatient | Medical Mutual | Medicare Inpatient | $3,588.41 | $200,144.31 | $170,122.66 | 2026-05-14 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | United Commercial Facility | United Commercial Facility | $3,794.88 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Medical Mutual | Medicare Outpatient | $4,224.38 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $4,516.00 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $4,516.00 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Cross | Dignity Health | $4,516.00 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $4,967.60 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $4,967.60 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $4,967.60 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Santa Barbara Select | Commercial | $4,967.60 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $4,967.60 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Outpatient | Sansum | Clinic | $4,967.60 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Siho Commercial Facility | Siho Commercial Facility | $5,310.00 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Outpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $6,018.00 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Hmo/Oap Commercial Facility | Cigna Hmo/Oap Commercial Facility | $6,018.00 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Encore Main Commercial Facility | Encore Main Commercial Facility | $6,018.00 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Better Health Ma | — | $6,240.99 | $24,284.00 | $7,117.64 | 2026-05-31 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna Ppo Commercial Facility | Cigna Ppo Commercial Facility | $6,372.00 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $6,828.19 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $6,828.19 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Trio Hmo | $6,828.19 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $6,999.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $6,999.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Anthem Blue Cross | Commercial | $6,999.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Aetna Commercial Facility | Aetna Commercial Facility | $7,080.00 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Eskenazi Health | Anthem Facility Exchange | $7,080.00 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| ESKENAZI HEALTH Inpatient | Cigna | Cigna Exchange Facility | $7,080.00 | $7,080.00 | $7,080.00 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $7,415.27 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $7,415.27 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Health Net | Hmo/Pos/Ppo/Epo | $7,415.27 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $7,478.50 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $7,478.50 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Epn | $7,478.50 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Cigna | Hmo/Ppo | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Multiplan Eff | Commercial | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | United Healthcare | Commercial | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA BARBARA COTTAGE HOSPITAL Inpatient | Blue Shield | Hmo | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Ppo | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| SANTA YNEZ VALLEY COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Aetna | Commercial | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| GOLETA VALLEY COTTAGE HOSPITAL Inpatient | Blue Shield | Commercial | $8,128.80 | $9,032.00 | $6,322.40 | 2026-05-27 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma | — | $9,230.35 | $24,284.00 | $7,117.64 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Ma Chip | — | $9,932.16 | $24,284.00 | $7,117.64 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Ma Chip | — | $10,862.23 | $24,284.00 | $7,117.64 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Comm | — | $12,603.40 | $24,284.00 | $7,117.64 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Aetna Signature Administrators | — | $12,603.40 | $24,284.00 | $7,117.64 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Cigna | — | $14,570.40 | $24,284.00 | $7,117.64 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Geisinger Comm | — | $16,073.58 | $24,284.00 | $7,117.64 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Uhc Comm | — | $16,270.28 | $24,284.00 | $7,117.64 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Upmc Comm | — | $18,213.00 | $24,284.00 | $7,117.64 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Wellspan | — | $19,184.36 | $24,284.00 | $7,117.64 | 2026-05-31 | MRF ↗ |
| PENN STATE HEALTH HAMPDEN MEDICAL CENTER | Multiplan | — | $19,427.20 | $24,284.00 | $7,117.64 | 2026-05-31 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL Inpatient | Wellmark Ppo | Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| SPENCER MUNICIPAL HOSPITAL Inpatient | Wellmark Hmo | Ppo | — | — | — | 2026-05-08 | MRF ↗ |
| AVITA ONTARIO Inpatient | Anthem | Blue Access I-Ii Enhanced Choice Pathway X | $49,911.02 | $200,144.31 | $170,122.66 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Molina | Medicare Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Traditional Medicare | Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Humana | Medicare Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Buckeye | Medicare Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Humana | Medicare Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Anthem | Medicare Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Mount Carmel | Medicare Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Anthem | Medicare Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | United Healthcare | Medicare Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Traditional Medicare | Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | United Healthcare | Medicare Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Buckeye | Medicare Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Aetna | Medicare Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-14 | MRF ↗ |
| AVITA ONTARIO Inpatient | Mount Carmel | Medicare Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Molina | Medicare Outpatient | $64,046.18 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $64,803.32 | — | — | 2026-05-14 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $64,803.32 | — | — | 2026-05-14 | MRF ↗ |
| UofL Health - Medical Center East Inpatient | Anthem | In Medicaid | $64,803.32 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $64,803.32 | — | — | 2026-05-22 | MRF ↗ |
| UNIVERSITY OF LOUISVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $64,803.32 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $64,803.32 | — | — | 2026-05-14 | MRF ↗ |
| UOFL HEALTH - SHELBYVILLE HOSPITAL Inpatient | Anthem | In Medicaid | $64,803.32 | — | — | 2026-05-22 | MRF ↗ |
| UOFL HEALTH - JEWISH HOSPITAL and Mary & Elizabeth Hospital Inpatient | Anthem | In Medicaid | $64,803.32 | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Peace Hospital Inpatient | Anthem | In Medicaid | $64,803.32 | — | — | 2026-05-23 | MRF ↗ |
| UofL Health - Medical Center Southwest Inpatient | Anthem | In Medicaid | $64,803.32 | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Frazier Rehabilitation Hospital - Brownsboro Inpatient | Anthem | In Medicaid | $64,803.32 | — | — | 2026-05-23 | MRF ↗ |
| UofL Health - South Hospital Inpatient | Anthem | In Medicaid | $64,803.32 | — | — | 2026-05-22 | MRF ↗ |
| UofL Health - Medical Center Northeast Inpatient | Anthem | In Medicaid | $64,803.32 | — | — | 2026-05-23 | MRF ↗ |
| AVITA ONTARIO Inpatient | Medical Mutual | Medicare Outpatient | $65,327.10 | $200,144.31 | $170,122.66 | 2026-05-14 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Aetna | Medicare Outpatient | $65,327.10 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| BUCYRUS COMMUNITY HOSPITAL Both | Medical Mutual | Medicare Outpatient | $65,327.10 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Molina | Medicare Outpatient | $68,049.07 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Traditional Medicare | Outpatient | $68,049.07 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Buckeye | Medicare Outpatient | $68,049.07 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | United Healthcare | Medicare Outpatient | $68,049.07 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Mount Carmel | Medicare Outpatient | $68,049.07 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Anthem | Medicare Outpatient | $68,049.07 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Humana | Medicare Outpatient | $68,049.07 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Fidelis Medicaid | Medicaid | $68,451.94 | — | — | 2026-05-18 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Medicaid | Medicaid | $68,451.94 | — | — | 2026-05-18 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Uhc Medicaid | Medicaid | $68,451.94 | — | — | 2026-05-18 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Excellus Medicaid | Medicaid | $68,451.94 | — | — | 2026-05-18 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Uhc Optum Medicaid | Medicaid | $68,451.94 | — | — | 2026-05-18 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Cdphp Medicaid | Medicaid | $69,136.46 | — | — | 2026-05-18 | MRF ↗ |
| GALION COMMUNITY HOSPITAL Both | Aetna | Medicare Outpatient | $69,410.05 | $200,144.31 | $170,122.66 | 2026-05-23 | MRF ↗ |
| SARATOGA HOSPITAL Inpatient | Fidelis | Ny Exchange Medicaid | $69,631.87 | — | — | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Inpatient | Blue Cross | Individual Exchange | $69,683.69 | — | — | 2026-05-09 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $70,085.59 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $70,085.59 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $70,085.59 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $70,085.59 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $70,085.59 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $70,085.59 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $70,085.59 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $70,085.59 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $70,085.59 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $70,085.59 | — | — | 2026-05-14 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Molina | Medicaid Molina | $70,085.59 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Illinois | Medicaid Illinois | $70,085.59 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Humana Health Plan | Medicaid Humana Health Plan | $70,085.59 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Health Alliance | Medicaid Health Alliance | $70,085.59 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Meridian | Medicaid Meridian | $70,085.59 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Youth Care | Medicaid Youth Care | $70,085.59 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Wellcare | Medicaid Wellcare | $70,085.59 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Countycare Claims | Medicaid Countycare Claims | $70,085.59 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Aetna Better Health | Medicaid Aetna Better Health | $70,085.59 | — | — | 2026-05-24 | MRF ↗ |
| MC DONOUGH DISTRICT HOSPITAL Inpatient | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | Medicaid Blue Cross Community Family Health Plan Xxl / Xog | $70,085.59 | — | — | 2026-05-24 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Mvp Behavorial Medicaid | Medicaid | $70,505.49 | — | — | 2026-05-18 | MRF ↗ |
| GLENS FALLS HOSPITAL Inpatient | Fidelis | Medicaid | $72,433.89 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Inpatient | Fidelis | Essential | $72,433.89 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Inpatient | United Healthcare | Medicaid | $72,433.89 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Inpatient | Mvp | Medicaid | $72,433.89 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Inpatient | Mvp | Essential | $72,433.89 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Inpatient | Cdphp | Essential Plan | $72,433.89 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Inpatient | Cdphp | Medicaid | $72,433.89 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Inpatient | Blue Cross | Essential Plan | $72,433.89 | — | — | 2026-05-08 | MRF ↗ |
| GLENS FALLS HOSPITAL Inpatient | Blue Cross | Medicaid | $72,433.89 | — | — | 2026-05-08 | MRF ↗ |
| SARATOGA HOSPITAL Inpatient | United Healthcare | Medicaid | $74,889.86 | — | — | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Inpatient | Fidelis | Medicaid | $74,889.86 | — | — | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Inpatient | Blue Cross | Medicaid | $74,889.86 | — | — | 2026-05-09 | MRF ↗ |
| SARATOGA HOSPITAL Inpatient | Cdphp | Medicaid Essential Plans 1 & 2 | $74,889.86 | — | — | 2026-05-09 | 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.