634-4 — Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition
Cite this view
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 634-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/634-4?code_type=OTHER
“NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 634-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/634-4?code_type=OTHER. Accessed .
“NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER 634-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/634-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $39,219–$67,729 (25th–75th percentile) across 160 hospitals · 333 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 634-4 — the consumer-grade median across the country. It covers the facility charge only; the surgeon’s and anesthesiologist’s fees are billed separately.
Per-month price trends are temporarily unavailable while we rebuild them on quality-filtered rates. The medians, percentiles, and per-hospital rates on this page are the quality-filtered figures.
Hospital rates (per row)
Showing consumer-grade rates only. Flagged / outlier filings (excluded from the medians above) are hidden — tick “Show flagged / outlier rates” to include them.
| Hospital | Payer | Plan | Negotiated rate | Gross | Cash | Observed | Source |
|---|---|---|---|---|---|---|---|
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,092.19 | — | — | 2026-05-06 | MRF ↗ |
| Florida Medical Center Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-24 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-07 | MRF ↗ |
| NORTH SHORE MEDICAL CENTER Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-08 | MRF ↗ |
| CORAL GABLES HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-08 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-08 | MRF ↗ |
| Florida Medical Center Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-13 | MRF ↗ |
| HIALEAH HOSPITAL Inpatient | Molina Managed Medicaid | Molina Managed Medicaid | $1,200.00 | — | — | 2026-05-24 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Medicaid | Medicaid Ma (N) | $1,421.14 | — | — | 2026-05-08 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | South Country Health Alliance | Scha Pmap (N) | $1,470.00 | — | — | 2026-05-08 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,572.82 | — | — | 2026-05-06 | MRF ↗ |
| MEMORIAL HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-22 | MRF ↗ |
| BAY PARK COMMUNITY HOSPITAL Inpatient | Meridian Health Plan Of Mi | Meridian | $1,600.00 | — | — | 2026-05-14 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Meridian | Meridian | $1,600.00 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,687.90 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $1,750.03 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,778.37 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Molina | Molina Medicaid | $1,778.37 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,795.64 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,812.91 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $1,860.98 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH HILLCREST HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $1,872.53 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $1,874.58 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,885.08 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Molina | Molina Medicaid | $1,885.08 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $1,903.38 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $1,921.68 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $1,930.81 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $1,968.31 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $1,968.31 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Bluechoice | Bluechoice Medicaid | $1,968.31 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,981.54 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $1,995.74 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,016.87 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $2,021.79 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Medicaid | Medicaid | $2,026.95 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,041.47 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $2,046.82 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,079.96 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,079.96 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,104.20 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,124.98 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $2,124.98 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,128.29 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,145.61 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,147.83 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,147.83 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $2,164.54 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,166.24 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,168.83 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $2,180.72 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $2,191.45 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,191.45 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,191.45 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $2,191.45 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,212.73 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,212.73 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $2,217.09 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $2,217.09 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,229.64 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,234.00 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,234.00 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid | $2,249.91 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $2,257.24 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $2,262.96 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,262.96 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Molina | Molina Medicaid | $2,262.96 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,262.96 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Other | Medicaid Other | $2,267.66 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Select Health | Select Health Medicaid | $2,280.56 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid | $2,280.56 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,284.93 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,284.93 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Medicaid Sc | Medicaid Sc | $2,287.63 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,299.04 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,299.60 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,299.60 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $2,302.70 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,306.90 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,306.90 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,316.16 | — | — | 2026-05-13 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,316.16 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $2,324.85 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | Molina | Molina Medicaid | $2,330.99 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,350.84 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,350.84 | — | — | 2026-05-14 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Medicaid Sc | Medicaid Sc | $2,379.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Medicaid Sc | Medicaid Sc | $2,379.36 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,381.76 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $2,402.15 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Absolute Total Care | Absolute Total Care Medicaid | $2,402.15 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,426.39 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,447.76 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,447.76 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Select Health | Select Health Medicaid | $2,516.53 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Select Health | Select Health Medicaid | $2,516.53 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,545.92 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,545.92 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $2,548.49 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $2,608.04 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Bluechoice Medicaid | Bluechoice Medicaid | $2,608.04 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $2,699.55 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | Molina Healthcare Of Sc | Molina Medicaid | $2,699.55 | — | — | 2026-05-06 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,808.01 | — | — | 2026-05-23 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL Inpatient | Medicaid Of South Carolina | Medicaid | $2,808.01 | — | — | 2026-05-14 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | South Country Health Alliance | Scha Pmap (R) | $3,319.06 | — | — | 2026-05-08 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Medicaid Other | Medicaid Other | $5,107.45 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Humana Insurance Company | Humana Healthy Horizons Medicaid | $5,464.97 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Blue Choice Healthplan Of Sc | Bluechoice Medicaid (Greenville County Only) | $5,792.79 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Medicaid Of South Carolina | Medicaid | $5,925.52 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Molina | Molina Medicaid | $6,103.29 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Select Health | Select Health Medicaid | $6,103.29 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Bluechoice Healthplan Of Sc | Bluechoice Medicaid | $6,162.54 | — | — | 2026-05-06 | MRF ↗ |
| Prisma Health North Greenville Ltach Inpatient | Absolute Total Care Medicaid | Absolute Total Care Medicaid | $6,221.80 | — | — | 2026-05-06 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $14,398.89 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $14,398.89 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $14,398.89 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $14,398.89 | — | — | 2026-05-23 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Aetna | Aetna Better Health Medicaid Managed Care (Ip) | $14,398.89 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Bcbs | Bcbs Medicaid Managed Care (Ip) | $14,398.89 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Molina | Molina Medicaid Managed Care (Ip) | $14,398.89 | — | — | 2026-05-08 | MRF ↗ |
| ABRAHAM LINCOLN MEMORIAL HOSPITAL Inpatient | Meridian | Meridian Medicaid Managed Care (Ip) | $14,398.89 | — | — | 2026-05-08 | MRF ↗ |
| GARFIELD MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $16,222.39 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $16,222.39 | — | — | 2026-05-09 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $16,222.39 | — | — | 2026-05-09 | MRF ↗ |
| GREATER EL MONTE COMMUNITY HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $16,630.15 | — | — | 2026-05-08 | MRF ↗ |
| MONTEREY PARK HOSPITAL Inpatient | Healthy Way La | Healthy Way La | $16,630.15 | — | — | 2026-05-08 | MRF ↗ |
| AHMC ANAHEIM REGIONAL MEDICAL CENTER Inpatient | Healthy Way La | Healthy Way La | $16,630.15 | — | — | 2026-05-06 | MRF ↗ |
| PROMEDICA MONROE REGIONAL HOSPITAL Inpatient | Molina Healthcare Of Michigan | Molina Of Mi | $18,741.51 | — | — | 2026-05-13 | MRF ↗ |
| PALMETTO GENERAL HOSPITAL Inpatient | Liga Contra El Cancer | Liga Contra El Cancer | $19,777.24 | — | — | 2026-05-08 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Inpatient | Molina Healthcare | Molina Medicaid | $22,520.04 | — | — | 2026-05-09 | MRF ↗ |
| WOMEN & INFANTS HOSPITAL OF RHODE ISLAND InpatientFacility | Neighborhood Health Plan of Rhode Island | Managed Medicaid | — | — | — | 2024-12-31 | MRF ↗ |
| RIVER FALLS AREA HOSPITAL Inpatient | Blue Cross Blue Shield Of Minnesota | Bc Pmap (R) | $23,440.30 | — | — | 2026-05-08 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Mvp | Medicaid | $23,444.48 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Cdphp | Essential Plan 3 & 4 | $23,444.48 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Cdphp | Essential Plan 1 & 2 | $23,444.48 | — | — | 2026-05-22 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Mvp | Medicaid | $23,444.48 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Cdphp | Essential Plan 1 & 2 | $23,444.48 | — | — | 2026-05-13 | MRF ↗ |
| SOUTHWESTERN VERMONT MEDICAL CENTER Inpatient | Cdphp | Essential Plan 3 & 4 | $23,444.48 | — | — | 2026-05-13 | MRF ↗ |
| NEW ULM MEDICAL CENTER Inpatient | Blue Cross Blue Shield Of Minnesota | Bc Pmap (N) | $23,862.22 | — | — | 2026-05-08 | MRF ↗ |
| FORREST GENERAL HOSPITAL Inpatient | Mscan Uhc | Mscan Uhc | $25,047.31 | — | — | 2026-05-13 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Caresource | Caresource Medicaid | $25,308.53 | — | — | 2026-05-18 | MRF ↗ |
| BUFFALO HOSPITAL Inpatient | Blue Cross Blue Shield | Bc Pmap (B D O S V) | $25,502.66 | — | — | 2026-05-24 | MRF ↗ |
| ALLINA HEALTH FARIBAULT MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Bc Pmap (B D O S V) | $25,502.66 | — | — | 2026-05-24 | MRF ↗ |
| OWATONNA HOSPITAL Inpatient | Blue Cross Blue Shield | Bc Pmap (B D O S V) | $25,502.66 | — | — | 2026-05-18 | MRF ↗ |
| CAMBRIDGE MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Bc Pmap (B D O S V) | $25,502.66 | — | — | 2026-05-09 | MRF ↗ |
| BUFFALO HOSPITAL Inpatient | Blue Cross Blue Shield | Bc Pmap (B D O S V) | $25,502.66 | — | — | 2026-05-14 | MRF ↗ |
| ST FRANCIS REGIONAL MEDICAL CENTER Inpatient | Blue Cross Blue Shield | Bc Pmap (B D O S V) | $25,502.66 | — | — | 2026-05-06 | MRF ↗ |
| FORREST GENERAL HOSPITAL Inpatient | Mscan Molina Healthcare | Mscan Molina Healthcare | $25,548.26 | — | — | 2026-05-13 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Molina | Node Molina Chip Medicaid Tx | $25,702.59 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $25,702.59 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Non-Par Medicaid | Node Tx Medicaid Non Par | $25,702.59 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Medicaid | Node Tx Medicaid | $25,702.59 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Tx Children'S Health Plan Medicaid Tx | Node Tx Childrens Health Plan Star Plus Medicaid Tx | $25,711.32 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Non-Par Medicaid Tx | Node Tx Medicaid Non Par | $25,711.32 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Tx Childrens Health Plan Star Medicaid Tx | Node Tx Childrens Health Plan Star Medicaid Tx | $25,711.32 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Uhc Star Medicaid Tx | Node Uhc Star Medicaid Tx | $25,711.32 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Uhc Chip/Star Kids Medicaid Tx | Node Uhc Chip Medicaid Tx | $25,711.32 | — | — | 2026-05-08 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Medicaid | Node Tx Medicaid | $25,711.32 | — | — | 2026-05-08 | MRF ↗ |
| FORREST GENERAL HOSPITAL Inpatient | Mscan Magnolia Health | Mscan Magnolia Health | $25,798.73 | — | — | 2026-05-13 | MRF ↗ |
| FORREST GENERAL HOSPITAL Inpatient | Molina Chips | Molina Chips | $25,798.73 | — | — | 2026-05-13 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Scott & White | Node Right Care-Scott White Star Medicaid Tx | $25,984.95 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $25,984.95 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $25,984.95 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | United Healthcare | Node Uhc Chip Medicaid Tx | $25,984.95 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Uhc Star Kids Medicaid Tx | Node Uhc Star Kids Medicaid Tx | $25,984.95 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Scott & White | Node Right Care-Scott White Star Medicaid Tx | $25,984.95 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Jackson County Indigent Program Medicaid Tx | Node Jackson County Indigent Program Medicaid Tx | $25,984.95 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Driscoll Health Plan Chip/Star Kids Medicaid Tx | Node Driscoll Health Plan Chip Medicaid Tx | $25,984.95 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Tx Medicaid Non Par | Node Tx Medicaid Non Par | $25,984.95 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Tx Medicaid Non Par | Node Tx Medicaid Non Par | $25,984.95 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Medicaid | Node Tx Medicaid | $25,984.95 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Jackson County Indigent Program Medicaid Tx | Node Jackson County Indigent Program Medicaid Tx | $25,984.95 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Driscoll Health Plan Chip/Star Kids Medicaid Tx | Node Driscoll Health Plan Chip Medicaid Tx | $25,984.95 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Medicaid | Node Tx Medicaid | $25,984.95 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | United Healthcare | Node Uhc Chip Medicaid Tx | $25,984.95 | — | — | 2026-05-09 | MRF ↗ |
| DeTar Hospital North Inpatient | United Healthcare | Node Uhc Star Plus Medicaid Tx | $25,984.95 | — | — | 2026-05-09 | MRF ↗ |
| ALLINA UNITED HOSPITAL Inpatient | Blue Cross Blue Shield Of Minnesota | Bc Pmap (Amu) | $26,067.86 | — | — | 2026-05-24 | MRF ↗ |
| MERCY HOSPITAL Inpatient | Blue Cross Blue Shield Of Minnesota | Bc Pmap (Amu) | $26,067.86 | — | — | 2026-05-24 | MRF ↗ |
| ABBOTT NORTHWESTERN HOSPITAL Inpatient | Blue Cross Blue Shield Of Minnesota | Bc Pmap (Amu) | $26,067.86 | — | — | 2026-05-17 | MRF ↗ |
| MERCY HOSPITAL Inpatient | Blue Cross Blue Shield Of Minnesota | Bc Pmap (Amu) | $26,067.86 | — | — | 2026-05-07 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Driscoll Health Plan Chip Medicaid Tx | Node Driscoll Health Plan Chip Medicaid Tx | $26,216.64 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Bcbs Star Kids Medicaid Tx | Node Bcbs Star Kids Medicaid Tx | $26,216.64 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Bcbs Tx | Node Bcbs Star Medicaid Tx | $26,504.65 | — | — | 2026-05-09 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Bcbs Star Kids Medicaid Tx | Node Bcbs Star Kids Medicaid Tx | $26,504.65 | — | — | 2026-05-08 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Bcbs Tx | Node Bcbs Star Medicaid Tx | $26,504.65 | — | — | 2026-05-08 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Bcbs Star Kids Medicaid Tx | Node Bcbs Star Kids Medicaid Tx | $26,504.65 | — | — | 2026-05-09 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | United Medicaid Community Plan For Ohio | United Medicaid Community Plan For Ohio | $26,573.96 | — | — | 2026-05-18 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Anthem Medicaid | Anthem Medicaid | $26,573.96 | — | — | 2026-05-18 | MRF ↗ |
| SHARON REGIONAL MEDICAL CENTER Inpatient | Buckeye Medicaid | Buckeye Medicaid | $26,573.96 | — | — | 2026-05-18 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $26,744.78 | — | — | 2026-05-27 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $26,965.48 | — | — | 2026-05-27 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $26,965.48 | — | — | 2026-05-06 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Health Choice Medicaid Az | Health Choice Medicaid Az | $26,965.48 | — | — | 2026-05-06 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Superior | Node Superior Chip/ Star Health Medicaid Tx | $26,987.72 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Wellpoint Chip/Star Kids Medicaid Tx | Node Wellpoint Chip Medicaid Tx | $26,987.72 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Wellpoint Star Medicaid Tx | Node Wellpoint Star Medicaid Tx | $26,987.72 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Wellpoint Star Kids Medicaid Tx | Node Wellpoint Star Kids Medicaid Tx | $26,987.72 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Cigna Healthspring | Node Cigna Healthspring Medicaid Tx | $26,987.72 | — | — | 2026-05-08 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Amerigroup | Node Wellpoint Star Plus Medicaid Tx | $26,987.72 | — | — | 2026-05-08 | 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.