631 — Neonate, Birth Weight 750-999 Grams, Discharged Alive
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE, BIRTH WEIGHT 750-999 GRAMS, DISCHARGED ALIVE (OTHER 631) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/631?code_type=OTHER
MLA (9th ed.)
“NEONATE, BIRTH WEIGHT 750-999 GRAMS, DISCHARGED ALIVE (OTHER 631) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/631?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE, BIRTH WEIGHT 750-999 GRAMS, DISCHARGED ALIVE (OTHER 631) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/631?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,726–$21,466 (25th–75th percentile) across 141 hospitals · 45 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 631 — 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 |
|---|---|---|---|---|---|---|---|
| Wayne Medical Center Outpatient | Unitedhealthcare | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| Wayne Medical Center Outpatient | Unitedhealthcare | Commercial | — | — | — | 2026-05-23 | MRF ↗ |
| MARSHALL MEDICAL CENTER Outpatient | Unitedhealthcare | Commercial | — | — | — | 2026-05-08 | MRF ↗ |
| ELKHART GENERAL HOSPITAL Outpatient | Uhc | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-13 | MRF ↗ |
| UNIVERSITY HEALTH SYSTEM, INC Outpatient | Coventry | Hmo/Pos/Ppo | — | — | — | 2026-05-24 | MRF ↗ |
| THREE RIVERS HEALTH Outpatient | Uhc | Commercial | — | — | — | 2026-05-13 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare | Medicaid | $96.86 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Magellan | Medicaid | $96.86 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Prestige Health Choice | Medicaid | $96.86 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Clear Alliance | Medicaid | $96.86 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Healthy Kids | Medicaid | $96.86 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicaid Advantage | Medicaid | $96.86 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Medicaid Advantage | Medicaid | $96.86 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Youth Services | Medicaid | $96.86 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Florida Kid Care | Medicaid | $96.86 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Lighthouse Medicaid Advantage | Medicaid | $96.86 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Traditional | Medicaid | $96.86 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Hmo | Medicaid | $96.86 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Medicaid Advantage | Medicaid | $96.86 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Simply Health Medicaid Advantage | Medicaid | $96.86 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Blue Focus Hmo - Hospital | $186.69 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Illinois | Molina Health - Medicaid Hmo | $186.69 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Meridian Health Plan Of Illinois | Meridian Health - Medicaid Hmo | $186.69 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Medicaid Of Illinois | Medicaid | $186.69 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Aetna Better Health Of Illinois | Aetna Better Health - Medicaid Hmo | $186.69 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Blue Focus Hmo - Hospital | $186.69 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Hmo - Hospital | $186.69 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Blue Choice - Hospital | $186.69 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Blue Cross Community Icp - Medicaid - Hmo | $186.69 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Broad Ppo - Hospital | $186.69 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | County Care | County Care - Medicaid Hmo | $186.69 | — | — | 2026-05-21 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | County Care | County Care - Medicaid Hmo | $186.69 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Broad Ppo - Hospital | $186.69 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Blue Cross Community Icp - Medicaid - Hmo | $186.69 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Blue Choice - Hospital | $186.69 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Blue Cross And Blue Shield Of Illinois | Bcbs Il Commercial - Hmo - Hospital | $186.69 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Aetna Better Health Of Illinois | Aetna Better Health - Medicaid Hmo | $186.69 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Medicaid Of Illinois | Medicaid | $186.69 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Meridian Health Plan Of Illinois | Meridian Health - Medicaid Hmo | $186.69 | — | — | 2026-05-08 | MRF ↗ |
| THOREK MEMORIAL HOSPITAL Outpatient | Molina Healthcare Of Illinois | Molina Health - Medicaid Hmo | $186.69 | — | — | 2026-05-08 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Peak Health | Commercial | $269.22 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Outpatient | Peak Health | Commercial | $305.12 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Aetna | Commercial | $323.06 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Cigna | Commercial | $326.65 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | United Healthcare | Commercial | $339.58 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Phcs Multiplan | Commercial | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Zelis Network | Commercial | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Healthsmart | Commercial | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Firsthealth | Commercial | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Caresource | Wv Marketplace | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Cigna | Commercial | $506.05 | $1,124.56 | $562.28 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Peoples Health | Commercial | $607.26 | $1,124.56 | $562.28 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Medicare | Medicare | $607.26 | $1,124.56 | $562.28 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Medicare | Medicare | $607.26 | $1,124.56 | $562.28 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Tricare Va | Commercial | $607.26 | $1,124.56 | $562.28 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Aetna Medicare | Medicare | $607.26 | $1,124.56 | $562.28 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Zelis Ppo | Commercial | $618.51 | $1,124.56 | $562.28 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Dignity Health | Commercial | $619.41 | $1,124.56 | $562.28 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $695.09 | $1,124.56 | $562.28 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Humana Medicaid | Medicaid | $695.09 | $1,124.56 | $562.28 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Amerihealth | Commercial | $695.09 | $1,124.56 | $562.28 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Louisana Healthcare Connections | Medicaid | $695.09 | $1,124.56 | $562.28 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $910.89 | $1,124.56 | $562.28 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Commercial | Commercial | $1,012.10 | $1,124.56 | $562.28 | 2026-05-09 | MRF ↗ |
| NEBRASKA SPINE HOSPITAL, LLC Inpatient | Healthnet Tricare Administrator | Healthnet Tricare Administrator | $2,041.36 | — | — | 2026-08-01 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Node Tricare | Node Tricare | $2,369.95 | — | — | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Node Tricare | Node Tricare | $2,369.95 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR InpatientFacility | Humana Military (TRICARE) | Tricare | — | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE InpatientFacility | Humana Military (TRICARE) | Tricare | — | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | Humana Military (TRICARE) | Tricare | — | — | — | 2026-05-27 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $2,738.21 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Tricare Usfhp | Node Tricare Usfhp | $2,738.21 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Node Tricare | Node Tricare | $2,885.68 | — | — | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Tricare | Node Tricare | $2,971.50 | — | — | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Tricare | Node Tricare | $2,971.50 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Champva | Node Champva | $3,066.80 | — | — | 2026-07-15 | MRF ↗ |
| CROSSGATES RIVER OAKS HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,122.38 | — | — | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Usfhp Tricare | Node Usfhp Tricare | $3,127.89 | — | — | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Usfhp Tricare | Node Usfhp Tricare | $3,127.89 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,200.18 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Node Tricare | Node Tricare | $3,540.35 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $3,549.86 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $3,549.86 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $3,549.86 | — | — | 2026-05-08 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Node Martins Point Health Care | Node Martins Point Health Care | $3,634.69 | — | — | 2026-07-15 | MRF ↗ |
| CROSSGATES RIVER OAKS HOSPITAL Inpatient | Node Champva | Node Champva | $3,681.12 | — | — | 2026-07-15 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,845.92 | — | — | 2026-07-15 | MRF ↗ |
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,848.57 | — | — | 2026-07-15 | MRF ↗ |
| CRESTWOOD MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,874.95 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,983.50 | — | — | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Node Tricare | Node Tricare | $4,006.04 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Node Tricare | Node Tricare | $4,054.83 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,073.53 | — | — | 2026-07-17 | MRF ↗ |
| Adventhealth Port Charlotte InpatientFacility | — | — | — | — | — | 2024-12-18 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Node Champva | Node Champva | $4,173.88 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $4,185.10 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $4,185.10 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $4,185.10 | — | — | 2026-05-08 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,221.83 | — | — | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,260.79 | — | — | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Tricare | Node Tricare | $4,277.80 | — | — | 2026-05-23 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Tricare | Node Tricare | $4,277.80 | — | — | 2026-05-14 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,296.92 | — | — | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Inpatient | Tricare | Tricare | $4,317.80 | — | — | 2026-07-20 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | Tricare | Tricare | $4,340.13 | — | — | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Node Tricare Usfhp | Node Tricare Usfhp | $4,485.04 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WOMEN'S HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,489.45 | — | — | 2026-07-15 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,550.50 | — | — | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,550.50 | — | — | 2026-07-15 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,569.35 | — | — | 2026-07-15 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,646.68 | — | — | 2026-07-17 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Node Tricare | Node Tricare | $4,669.14 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $4,696.34 | — | — | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Department Of Veterans Affairs | Node Champva | $4,722.91 | — | — | 2026-07-15 | MRF ↗ |
| BALDWIN HEALTH Inpatient | Node Tricare | Node Tricare | $4,725.77 | — | — | 2026-07-15 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Inpatient | Tricare | Tricare | $4,740.05 | — | — | 2026-07-20 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,801.69 | — | — | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,812.55 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Node Tricare | Node Tricare | $4,914.88 | — | — | 2026-07-17 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Node Tricare | Node Tricare | $4,914.88 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $4,929.15 | — | — | 2026-07-17 | MRF ↗ |
| CRESTWOOD MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,959.90 | — | — | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,977.31 | — | — | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $5,023.24 | — | — | 2026-07-15 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Inpatient | Node Champva | Node Champva | $5,029.52 | — | — | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Champva | Node Champva | $5,043.31 | — | — | 2026-05-23 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Champva | Node Champva | $5,043.31 | — | — | 2026-05-14 | MRF ↗ |
| ABBEVILLE GENERAL HOSPITAL Inpatient | Triwest Healthcare Alliance | Tricare West Region | $5,112.86 | — | — | 2026-09-28 | MRF ↗ |
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $5,130.14 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Node Tricare | Node Tricare | $5,193.90 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WOMEN'S HOSPITAL Inpatient | Node Champva | Node Champva | $5,292.82 | — | — | 2026-07-15 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | Tricare | Tricare | $5,302.01 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Node Tricare | Node Tricare | $5,302.25 | — | — | 2026-07-17 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Tricare - Humana Military | Tricare - Humana Military | $5,364.24 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Tricare - Humana Military | Tricare - Humana Military | $5,364.24 | — | — | 2026-05-14 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Node Champva | Node Champva | $5,387.02 | — | — | 2026-07-15 | MRF ↗ |
| DOYLESTOWN HOSPITAL Inpatient | Tricare | Tricare | $5,393.54 | — | — | 2026-09-21 | MRF ↗ |
| ALLIANCEHEALTH DURANT Inpatient | Node Tricare | Node Tricare | $5,448.33 | — | — | 2026-07-15 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Node Champva | Node Champva | $5,470.71 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Department Of Veterans Affairs | Node Champva | $5,470.71 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Node Champva | Node Champva | $5,470.71 | — | — | 2026-07-17 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Veterans Administration (Audie) | $5,475.14 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Champva | $5,475.14 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Tricare West Region | $5,475.14 | — | — | 2026-09-28 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Node Champva | Node Champva | $5,478.19 | — | — | 2026-07-17 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $5,633.78 | — | — | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Node Tricare | Node Tricare | $5,633.78 | — | — | 2026-07-17 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Node Tricare | Node Tricare | $5,633.78 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $5,633.78 | — | — | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Node Champva | Node Champva | $5,640.02 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Node Tricare | Node Tricare | $5,647.87 | — | — | 2026-07-15 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $5,655.58 | — | — | 2026-07-15 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Node Champva | Node Champva | $5,660.94 | — | — | 2026-07-15 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Tricare | Node Tricare | $5,952.99 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $6,123.33 | — | — | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $6,125.78 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Node Champva | Node Champva | $6,135.51 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $6,251.08 | — | — | 2026-07-17 | MRF ↗ |
| BALDWIN HEALTH Inpatient | Node Champva | Node Champva | $6,275.77 | — | — | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Tricare | Tricare | $6,298.10 | — | — | 2026-07-15 | MRF ↗ |
| ALLIANCEHEALTH DURANT Inpatient | Department Of Veterans Affairs | Node Champva | $6,298.86 | — | — | 2026-07-15 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $6,309.84 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Node Champva | Node Champva | $6,325.61 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Department Of Veterans Affairs | Node Champva | $6,325.61 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Node Tricare | Node Tricare | $6,395.25 | — | — | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $6,659.40 | — | — | 2026-07-15 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Node Champva | Node Champva | $6,667.35 | — | — | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Champva | Node Champva | $6,738.36 | — | — | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $6,817.78 | — | — | 2026-07-17 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | Tricare | Tricare | $6,900.74 | — | — | 2026-07-15 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Tricare | Tricare | $7,007.77 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Tricare | Tricare | $7,007.77 | — | — | 2026-05-23 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Node Tricare | Node Tricare | $7,143.54 | — | — | 2026-05-27 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Tricare | Tricare | $7,370.35 | — | — | 2026-07-20 | MRF ↗ |
| AHMC SETON MEDICAL CENTER Inpatient | Tricare West | Tricare West | $7,378.09 | — | — | 2026-07-15 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Node Tricare | Node Tricare | $7,498.56 | — | — | 2026-07-17 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Department Of Veterans Affairs | Node Champva | $7,554.83 | — | — | 2026-07-15 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-03-13 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Amerigroup | Amerigroup-Cmo | $7,786.31 | — | — | 2026-05-06 | MRF ↗ |
| Seton Medical Center Inpatient | Tricare West | Tricare West | $7,822.07 | — | — | 2026-07-17 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Peachstate | Peachstate | $8,019.90 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Amerigroup | Amerigroup-Cmo | $8,118.68 | — | — | 2026-05-06 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC InpatientFacility | — | — | — | — | — | 2024-12-23 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Wellcare | Wellcare Cmo | $8,118.68 | — | — | 2026-05-06 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $8,217.53 | — | — | 2026-07-15 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Inpatient | Johns Hopkins Healthcare | All Products | $8,219.79 | — | — | 2026-07-18 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Peachstate | Peachstate | $8,362.24 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Node Champva | Node Champva | $8,421.85 | — | — | 2026-05-27 | MRF ↗ |
| TIFT REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource | $8,564.94 | — | — | 2026-05-06 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Node Champva | Node Champva | $8,840.41 | — | — | 2026-07-17 | MRF ↗ |
| SOUTHWELL MEDICAL, A CAMPUS OF TRMC Inpatient | Caresource | Caresource | $8,930.54 | — | — | 2026-05-06 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $9,688.03 | — | — | 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.