6314 — Neonate Birth Weight > 2499 Grams With Other Major Procedure
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE (APR_DRG 6314) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/6314?code_type=APR_DRG
MLA (9th ed.)
“NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE (APR_DRG 6314) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/6314?code_type=APR_DRG. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT > 2499 GRAMS WITH OTHER MAJOR PROCEDURE (APR_DRG 6314) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/6314?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $97,130–$219,522 (25th–75th percentile) across 1,118 hospitals · 601 payers.
“Negotiated” is the hospital’s negotiated rate for the entire inpatient stay under APR_DRG 6314 — the consumer-grade median across the country. An inpatient (DRG) price bundles the whole admission: operating room, room & board, recovery, imaging, anesthesia (facility), implants and supplies. It does not include the surgeon’s or anesthesiologist’s professional fees, which 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 |
|---|---|---|---|---|---|---|---|
| LOMA LINDA UNIVERSITY MEDICAL CENTER-MURRIETA InpatientFacility | Inland Empire Health Plan (IEHP) | Medi-Cal | $16.52 | — | — | 2026-02-19 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Amerigroup | CHIP/Medicaid | $25.25 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Parkland | Medicaid | $25.25 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Cigna | Medicaid | $25.25 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Molina | CHIP/Medicaid | $25.25 | — | — | 2026-04-15 | MRF ↗ |
| WHITE ROCK MEDICAL CENTER InpatientFacility | Superior Health Plan | CHIP/Medicaid | $25.25 | — | — | 2026-04-15 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | OptumHealth Care Solutions | Transplants - Medicaid | $28.54 | — | — | 2026-05-27 | MRF ↗ |
| ELIZABETHTOWN COMMUNITY HOSPITAL InpatientFacility | — | — | — | — | — | 2025-01-01 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-16 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | CHPFC | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STARKids | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | CHIP | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STARPLUS | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| CORPUS CHRISTI MEDICAL CENTER,THE Inpatient | Superior Health Plan | STAR | $1,139.00 | — | — | 2024-10-01 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,410.05 | — | — | 2026-09-21 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-07-18 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | South Country Health Alliance | Scha Pmap (N) | $1,470.00 | — | — | 2026-07-18 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,513.21 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,568.91 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,594.33 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $1,594.33 | — | — | 2026-09-21 | MRF ↗ |
| PROMEDICA DEFIANCE REGIONAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| PROMEDICA TOLEDO HOSPITAL Inpatient | Health Plan Of Michigan Dba Meridian Health Plan Of Michigan | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-15 | MRF ↗ |
| FOSTORIA COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-07-17 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,609.81 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,625.29 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,678.73 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-07 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $404,587.75 | $262,982.04 | 2026-07-05 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | South Country Health Alliance | Scha Pmap (R) | $3,319.06 | — | — | 2026-07-15 | MRF ↗ |
| ATLANTICARE REGIONAL MEDICAL CENTER - CITY CAMPUS InpatientFacility | UHC COMMUNITY | ALL PRODUCTS | $4,389.82 | — | — | 2026-03-18 | MRF ↗ |
| Prisma Health North Greenville Ltach InpatientFacility | — | — | — | — | — | 2024-12-11 | MRF ↗ |
| MONTEFIORE ST LUKE'S CORNWALL Inpatient | Anthem | Exchange | $13,204.83 | — | — | 2026-04-01 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | Molina | Medicaid | $27,492.26 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | United Healthcare | Medicaid | $27,492.26 | — | — | 2025-07-23 | MRF ↗ |
| UNIVERSITY HOSPITAL S U N Y HEALTH SCIENCE CENTER InpatientFacility | MyCompass | Medicaid | $29,691.64 | — | — | 2025-07-23 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Humana | Medicaid | $30,557.34 | — | — | 2026-03-12 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Select Health | Medicaid | $30,557.34 | — | — | 2026-03-12 | MRF ↗ |
| ELMHURST HOSPITAL CENTER InpatientFacility | Healthfirst | Small Group | $31,248.10 | — | — | 2025-09-05 | MRF ↗ |
| EAST COOPER MEDICAL CENTER InpatientFacility | Absolute Total Care | Medicaid | $32,085.27 | — | — | 2026-03-12 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $38,718.10 | — | $77,436.19 | 2025-06-27 | MRF ↗ |
| NYACK HOSPITAL Inpatient | HealthFirst | Exchange Product - Enrollees | $38,718.10 | — | $77,436.19 | 2025-06-27 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $40,240.55 | $404,587.75 | $262,982.04 | 2026-07-05 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Excellus | Managed Medicaid | $45,023.43 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | Fidelis | Medicaid Managed Care/Child Health Plus and Family Health Plus | $45,023.43 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 3-4 | $45,023.43 | — | — | 2026-02-02 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | United Healthcare | Managed Medicaid | $46,374.13 | — | — | 2026-02-02 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $48,380.18 | — | — | 2026-01-01 | MRF ↗ |
| GOOD SAMARITAN HOSPITAL Inpatient | Mdwise | Hip | $50,914.91 | — | — | 2026-07-17 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Primewest | Medicaid Managed Care | $51,507.77 | — | — | 2026-03-04 | MRF ↗ |
| SANFORD LUVERNE MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $51,507.77 | — | — | 2026-03-04 | MRF ↗ |
| REID HEALTH InpatientFacility | MDWise | Managed Medicaid | $51,684.96 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $51,684.96 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $51,684.96 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Healthy Indiana Plan (HIP) | Managed Medicaid | $51,684.96 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | Humana of Indiana | Pathways for Aging/Managed Medicaid | $51,684.96 | — | — | 2025-07-21 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Healthwise (HHW) | Managed Medicaid | $51,684.96 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $51,684.96 | — | — | 2026-06-03 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Managed Medicaid | $51,684.96 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | Anthem Blue Cross Blue Shield | Pathways for Aging/Managed Medicaid | $51,684.96 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) | Managed Medicaid | $51,684.96 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Humana | Managed Medicaid | $51,684.96 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | Caresource of Indiana | Managed Medicaid | $51,684.96 | — | — | 2025-07-21 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $51,684.96 | — | — | 2026-06-03 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Managed Health Services (MHS) Hoosier Care Connect | Managed Medicaid | $51,684.96 | — | — | 2025-04-24 | MRF ↗ |
| REID HEALTH InpatientFacility | MHS | Managed Medicaid | $51,684.96 | — | — | 2025-07-21 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | CareSource Indiana of IN | Hoosier Healthwise/HIP | $51,693.41 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | MDWise | Medicaid | $51,693.41 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Anthem Blue Cross of IN | Medicaid | $51,693.41 | — | — | 2026-02-18 | MRF ↗ |
| CAMERON MEMORIAL COMMUNITY HOSPITAL INC InpatientFacility | Managed Health Services | Medicaid | $51,693.41 | — | — | 2026-02-18 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $52,201.81 | — | — | 2026-06-03 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $52,390.82 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $52,390.82 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $52,390.82 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $52,390.82 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $52,390.82 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $52,390.82 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $52,390.82 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $52,390.82 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $52,390.82 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $52,390.82 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS METAL TIERS 515501 | $52,390.82 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $52,390.82 | — | — | 2026-01-01 | MRF ↗ |
| NICHOLAS H NOYES MEMORIAL HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $52,414.30 | — | — | 2026-01-01 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Pathways for Aging/Managed Medicaid | $52,718.73 | — | — | 2025-07-21 | MRF ↗ |
| REID HEALTH InpatientFacility | United Healthcare | Managed Medicaid | $52,718.73 | — | — | 2025-07-21 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $53,160.50 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $53,160.50 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $53,160.50 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Non-Contracted Medicaid | Non-Contracted Medicaid | $53,160.50 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $53,160.50 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $53,160.50 | — | — | 2024-12-19 | MRF ↗ |
| MONROE HOSPITAL Inpatient | BCBS | BCBS Medicaid - Hoosier Healthwise | $53,160.52 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | United Healthcare | UHC Medicaid CHIP - Hoosier Care | $53,160.52 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Traditional Medicaid | Traditional Medicaid | $53,160.52 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Healthy Indiana Plan - HIP | $53,160.52 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Care Source | Care Source Medicaid - Hoosier Healthwise | $53,160.52 | — | — | 2026-03-17 | MRF ↗ |
| MONROE HOSPITAL Inpatient | Monroe Medical Group and Managed Health Services | Monroe Medical Group Medicaid | $53,160.52 | — | — | 2026-03-17 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $53,235.51 | — | — | 2025-04-24 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | CareSource Indiana Hoosier Healthwise (HHW) | Managed Medicaid | $53,235.51 | — | — | 2025-04-24 | MRF ↗ |
| MEMORIAL HEALTH MEADOWS HOSPITAL Inpatient | Peach State Ambetter | MCD | $53,293.60 | — | — | 2024-10-01 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Child Health Plus | $53,387.68 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | Essential Plan | $53,387.68 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Molina Healthcare of NY | CHIP (For Kids)/Medicaid | $53,387.68 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Medicaid | $53,387.68 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | CORVEL | WC | $53,387.68 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | UHC Medicaid NY | Medicaid | $53,387.68 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | BCBS of Western NY | Essential Plans 3&4 | $53,387.68 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Fidelis | Family Health Plus/Medicaid | $53,387.68 | — | — | 2026-03-06 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Beacon | Managed Medicaid | $53,387.68 | — | — | 2026-03-06 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | MHS IN Medicaid Product (IN) | Managed Medicaid | $53,626.41 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | United Healthcare IN | Managed Medicaid | $53,626.41 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Anthem IN | Managed Medicaid | $53,626.41 | — | — | 2026-02-09 | MRF ↗ |
| DEACONESS HENDERSON HOSPITAL InpatientFacility | Caresource IN | Managed Medicaid | $53,626.41 | — | — | 2026-02-09 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | MHS IN MCO | Managed Medicaid | $53,626.41 | — | — | 2026-02-13 | MRF ↗ |
| METHODIST HOSPITAL UNION COUNTY InpatientFacility | CareSource IN | Managed Medicaid | $53,626.41 | — | — | 2026-02-13 | MRF ↗ |
| SAMARITAN MEDICAL CENTER InpatientFacility | MVP | Essential Plan 1-2 and 5-6 | $54,028.12 | — | — | 2026-02-02 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Mdwise Hoosier Healthwise (HHW) | Managed Medicaid | $54,269.21 | — | — | 2025-04-24 | MRF ↗ |
| NORTON SCOTT HOSPITAL InpatientFacility | MDwise Hoosier Healthwise (HHW) | Managed Medicaid | $54,269.21 | — | — | 2026-06-03 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $54,669.68 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UPMC HEALTH PLAN 5138 | UPMC HEALTH PLAN 513801 | $54,669.68 | — | — | 2026-01-01 | MRF ↗ |
| NORTON CLARK HOSPITAL InpatientFacility | Molina Healthcare of Indiana | Managed Medicaid | $54,786.06 | — | — | 2025-04-24 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Managed Health Services of Indiana | Managed Medicaid | $55,222.91 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | United Healthcare of Indiana | Managed Medicaid | $55,222.91 | — | — | 2026-05-05 | MRF ↗ |
| NORTON-KING'S DAUGHTERS' HEALTH InpatientFacility | Anthem of Indiana | Managed Medicaid | $55,222.91 | — | — | 2026-05-05 | MRF ↗ |
| SANFORD CANBY MEDICAL CENTER InpatientFacility | Ucare | Medicaid Managed Care | $55,236.46 | — | — | 2026-03-04 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708 | FIDELIS ESSENTIAL 3-4 170804 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708 | FIDELIS ESSENTIAL 3-4 170804 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $55,384.72 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $55,434.00 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $55,434.00 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204 | $55,864.29 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $55,864.29 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $55,864.29 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $55,864.29 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $55,864.29 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $55,864.29 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $55,864.29 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $55,864.29 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $55,864.29 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601 | $55,864.29 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $55,864.29 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $55,890.43 | — | — | 2026-01-01 | MRF ↗ |
| F F THOMPSON HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $55,894.42 | — | — | 2026-01-01 | MRF ↗ |
| UPMC CHAUTAUQUA AT WCA InpatientFacility | Univera | CHIP (For Kids)/HARP/NY Medicaid | $56,057.03 | — | — | 2026-03-06 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | HIGHMARK BLUE CROSS BLUE SHIELD MEDICAID 1702 | HIGHMARK BCBS MEDICAID 170201, CHILD HEALTH PLUS 170204, HIGHMARK BCBS ESSENTIAL PLANS 170203 | $56,917.86 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | EXCELLUS BLUE CROSS BLUE SHIELD MEDICAID 1706, EXCELLUS BLUE CROSS BLUE SHIELD 2201 | BLUE CHOICE OPTION MEDICAID 170601, EXCELLUS ESSENTIAL 1-2 200-250 2201, EXCELLUS ESSENTIAL 3-4 170604, EXCELLUS CHILD HEALTH PLUS 220108, EXCELLUS HLTHY NY 220110 | $56,917.86 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA ESSENTIAL 1-2 200-250 5189 | $56,917.86 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MOLINA HEALTHCARE 5189 | MOLINA CHILD HEALTH PLUS 518901 | $56,917.86 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA MEDICAID 172301 | $56,917.86 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MOLINA HEALTHCARE 1723 | MOLINA ESSENTIAL 3-4 172302 | $56,917.86 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | INDEPENDENT HEALTH ASSOC MEDICAID 1710 | INDEPENDENT HEALTH ASSOC MEDICAID 171001 | $56,917.86 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | AMERIGROUP (BLUE CROSS BLUE SHIELD WNY ALTERNATE) 1720 | AMERIGROUP (BSWNY ALTERNATE) 172001 | $56,917.86 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | UNITED HEALTHCARE MEDICAID 1716, UNITED HEALTHCARE 5158 | UNITED HEALTHCARE MEDICAID 171601, UNITED HEALTHCARE ESSENTIAL 1-2 200-250 5158, UNITED HEALTHCARE ESSENTIAL 3-4 171602 | $56,917.86 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MVP MEDICAID 1712 | MVP OPTION MEDICAID 171201 | $56,917.86 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | FIDELIS MEDICAID 1708, FIDELIS 5155 | FIDELIS MEDICAID 170801, FIDELIS CHILD HEALTH PLUS 515502 | $56,917.86 | — | — | 2026-01-01 | MRF ↗ |
| ST JAMES HOSPITAL Inpatient | MVP 2900 | MVP CHILD HEALTH PLUS 290004 | $56,982.02 | — | — | 2026-01-01 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | MVP Health Care | Managed Medicaid | $57,337.37 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Excellus Blue Choice Options | Managed Medicaid | $57,337.37 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Fidelis | Commercial | $57,337.37 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Fidelis | Managed Medicaid | $57,337.37 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | United Healthcare | Managed Medicaid | $57,337.37 | — | — | 2025-08-07 | MRF ↗ |
| GENEVA GENERAL HOSPITAL InpatientFacility | Aetna | Managed Medicaid | $57,337.37 | — | — | 2025-08-07 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $58,009.80 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $58,009.80 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $58,009.80 | — | — | 2026-07-15 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $58,009.80 | — | — | 2026-07-15 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS ESSENTIAL 1-2 200-250 5155 | $58,153.96 | — | — | 2026-01-01 | MRF ↗ |
| JONES MEMORIAL HOSPITAL Inpatient | FIDELIS 5155 | FIDELIS ESSENTIAL 1-2 200-250 5155 | $58,153.96 | — | — | 2026-01-01 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Uhc Optum Medicaid | Medicaid | $58,846.44 | — | — | 2026-07-15 | MRF ↗ |
| ST MARY'S HEALTHCARE Inpatient | Fidelis Medicaid | Medicaid | $58,846.44 | — | — | 2026-07-15 | 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.