634 — Neonate Birth Weight > 2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition,minor
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR (MS_DRG 634) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/634?code_type=MS_DRG
MLA (9th ed.)
“NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR (MS_DRG 634) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/634?code_type=MS_DRG. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT > 2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION,MINOR (MS_DRG 634) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/634?code_type=MS_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $8,166–$22,953 (25th–75th percentile) across 68 hospitals · 95 payers.
“Negotiated” is the hospital’s negotiated facility rate for this MS_DRG 634 — 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 |
|---|---|---|---|---|---|---|---|
| Uh Geauga Medical Center InpatientFacility | Primetime Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Anthem | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Cigna | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Molina | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | SummaCare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | WellCare by AllWell | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Devoted Health | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Medical Mutual of Ohio | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | The Health Plan | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | United Healthcare | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Humana | Medicare Advantage | $50.67 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Paramount | Medicare Advantage | $52.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Valor Health Plans | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Perennial Advantage of Ohio | Medicare Advantage | $53.20 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Aetna CVSHealth QHP | Commercial | $90.19 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | Ambetter | Commercial | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| Uh Geauga Medical Center InpatientFacility | CareSource | Marketplace | $91.21 | — | — | 2025-05-16 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $536.43 | $1,689.00 | $844.50 | 2025-12-15 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | WELLCARE | WELLCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | WELLCARE | WELLCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| WELLMONT BRISTOL REGIONAL MEDICAL CENTER Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| FROEDTERT SOUTH INC. Inpatient | None | — | — | $29,310.12 | — | 2026-02-27 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - TUOMEY | $1,192.88 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - TUOMEY | $1,216.05 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - TUOMEY | $1,216.05 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - TUOMEY | $1,239.21 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - TUOMEY | $1,241.54 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - TUOMEY | $1,241.54 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - TUOMEY | $1,303.62 | — | — | 2026-03-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | — | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ALLSTATE [5047] | HMC HORIZON CASUALTY PIP | — | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ALLSTATE [5047] | HMC HORIZON CASUALTY PIP | — | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | — | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | ALLSTATE [5047] | CSMC HORIZON CASUALTY PIP | — | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | ALLSTATE [5047] | CMC HORIZON CASUALTY PIP | — | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | ALLSTATE [5047] | MMC HORIZON CASUALTY PIP | — | $45,835.45 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA OAP | $2,101.00 | $45,835.45 | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | SEAFARERS HEALTH AND BENEFITS PLAN [5343] | MMC CIGNA | $2,101.00 | $71,680.34 | — | 2026-01-01 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Inpatient | MOLINA HEALTHCARE | MOLINA HEALTHCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Inpatient | OPTIMA HEALTH | OPTIMA HEALTH MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Inpatient | UNITED HEALTHCARE | UNITED HEALTHCARE MEDICAID VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Inpatient | WELLCARE | WELLCARE MEDICAID | — | — | — | 2026-03-23 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Inpatient | BLUE CROSS | ANTHEM HLTHKEEP MEDICIAD | — | — | — | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $2,864.08 | $50,852.25 | $25,426.13 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $2,864.08 | $50,852.25 | $25,426.13 | 2026-03-23 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $3,267.31 | $50,852.25 | $25,426.13 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $3,297.69 | $69,987.50 | $34,993.75 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $3,297.69 | $69,987.50 | $34,993.75 | 2026-03-21 | MRF ↗ |
| METHODIST CHARLTON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MCMC | $3,372.66 | $46,519.50 | $23,259.75 | 2026-03-21 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $3,719.85 | $50,852.25 | $25,426.13 | 2026-03-23 | MRF ↗ |
| ST LUKE'S HOSPITAL Inpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $4,385.09 | $13,806.96 | $6,903.48 | 2025-12-15 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UCARE MEDICAID [16041] | UCARE CONNECT [1604101] | $4,476.95 | $78,454.50 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UCARE MEDICAID [16041] | UCARE MA [1604102] | $4,476.95 | $78,454.50 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | UCARE MEDICAID [16041] | UCARE MN CARE [1604103] | $4,476.95 | $78,454.50 | — | 2026-01-01 | MRF ↗ |
| METHODIST DALLAS MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MDMC | $4,480.04 | $37,527.25 | $18,763.63 | 2026-03-20 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $4,532.83 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHM HB HUMANA MEDICAID - RICHLAND | $4,532.83 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $4,659.92 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHM HB SELECT HEALTH MEDICAID - RICHLAND | $4,659.92 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $4,829.37 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHM HB BLUECHOICE MEDICAID - RICHLAND | $4,829.37 | — | — | 2026-03-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | SCHA [16032] | SCHA MN CARE [1603202] | $4,894.88 | $78,454.50 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | SCHA [16032] | SCHA [1603201] | $4,894.88 | $78,454.50 | — | 2026-01-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Inpatient | ABSOLUTE TOTAL CARE [20109] | Absolute Total Care | $4,993.27 | $45,296.42 | $13,588.93 | 2026-04-01 | MRF ↗ |
| PIEDMONT AUGUSTA HOSPITAL Inpatient | ABSOLUTE TOTAL CARE [20109] | Absolute Total Care | $4,993.27 | $45,296.42 | $13,588.93 | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $4,998.82 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHM HB MOLINA MEDICAID - RICHLAND | $4,998.82 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $5,040.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $5,040.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID TENNESSEE [325] | PHU HB 100% OF MEDICAID - GMH | $5,040.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $5,040.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $5,040.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID FLORIDA [315] | PHU HB 100% OF MEDICAID - GMH | $5,040.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID NEW YORK [320] | PHU HB 100% OF MEDICAID - GMH | $5,040.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $5,040.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID GEORGIA-AMERIGROUP [3009] | PHU HB 100% OF MEDICAID - GMH | $5,040.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID GEORGIA-CARESOURCE [3228] | PHU HB 100% OF MEDICAID - GMH | $5,040.69 | — | — | 2026-03-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | PRIME WEST MEDICAID [16029] | PRIME WEST HEALTH [1602901] | $5,134.82 | $78,454.50 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | PRIME WEST MEDICAID [16029] | PRIME WEST MN CARE [1602902] | $5,134.82 | $78,454.50 | — | 2026-01-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $5,142.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $5,142.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID SC [300] | PHM HB SC MEDICAID - RICHLAND | $5,142.69 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHM HB SC MEDICAID - RICHLAND | $5,142.69 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $5,175.48 | $74,639.25 | $37,319.63 | 2026-03-23 | MRF ↗ |
| METHODIST SOUTHLAKE MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MSMC | $5,175.48 | $74,639.25 | $37,319.63 | 2026-03-23 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $5,191.91 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GMH | $5,191.91 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID MOLINA HEALTHCARE SC [440] | PHU HB 103% OF MEDICAID - GMH | $5,191.91 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID SELECT HEALTH OF SC [400] | PHU HB 103% OF MEDICAID - GMH | $5,191.91 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GMH | $5,242.32 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID BLUECHOICE [420] | PHU HB BLUECHOICE MEDICAID 104% - GMH | $5,242.32 | — | — | 2026-03-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICARE [16019] | HEALTHPARTNERS MSHO [1601903] | $5,278.79 | $17,982.50 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICAID [16020] | HEALTHPARTNERS CARE [1602002] | $5,278.79 | $17,982.50 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICAID [16020] | HEALTHPARTNERS MN CARE [1602001] | $5,278.79 | $78,454.50 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | HEALTHPARTNERS MEDICAID [16020] | HEALTHPARTNERS CARE SNBC [1602003] | $5,278.79 | $78,454.50 | — | 2026-01-01 | MRF ↗ |
| Charlton Memorial Hospital Inpatient | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | WELLSENSE HEALTH PLAN CLARITY CONNECTORCARE & META | $5,408.27 | $17,028.56 | $8,514.28 | 2025-12-15 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MA [1600701] | $5,421.35 | $17,982.50 | — | 2026-01-01 | MRF ↗ |
| RIDGEVIEW MEDICAL CENTER Inpatient | BLUE CROSS BLUE SHIELD MEDICAID [16007] | BCBS BLUE PLUS MN CARE [1600702] | $5,421.35 | $78,454.50 | — | 2026-01-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $5,502.68 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHM HB ABSOLUTE TOTAL CARE MEDICAID - RICHLAND | $5,502.68 | — | — | 2026-03-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $5,527.17 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $5,562.91 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $5,607.27 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $5,607.27 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $5,607.27 | — | — | 2026-04-01 | MRF ↗ |
| SPRINGFIELD HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $5,607.27 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST MIDLOTHIAN MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MLMC | $5,608.92 | $74,639.25 | $37,319.63 | 2026-03-21 | MRF ↗ |
| METHODIST MANSFIELD MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MMMC | $5,609.07 | $74,473.50 | $37,236.75 | 2026-03-21 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $5,618.54 | — | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | — | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | — | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ALLSTATE [5047] | HMC HORIZON CASUALTY PIP | — | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | OMC AETNA AHS EMPLOYEE | $5,623.76 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | ALLSTATE [5047] | CMC HORIZON CASUALTY PIP | — | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | CMC AETNA AHS EMPLOYEE | $5,623.76 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ALLSTATE [5047] | OMC HORIZON CASUALTY PIP | — | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ALLSTATE [5047] | OMC HORIZON CASUALTY PIP | — | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | ALLSTATE [5047] | NMC HORIZON CASUALTY PIP | — | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | HMC AETNA AHS EMPLOYEE | $5,623.76 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| NEWTON MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | NMC AETNA AHS EMPLOYEE | $5,623.76 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ALLSTATE [5047] | OMC HORIZON CASUALTY PIP | — | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | BLUE CHOICE MEDICAID SC [4807] | BLUE CHOICE HEALTHPLAN MEDICAID SC [4807001] | $5,637.62 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | MOLINA HEALTHCARE SC MEDICAID [4847] | MOLINA HEALTHCARE SC MEDICAID [4847001] | $5,637.62 | — | — | 2026-04-01 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $5,661.07 | $80,111.75 | $40,055.88 | 2026-03-21 | MRF ↗ |
| METHODIST RICHARDSON MEDICAL CENTER Inpatient | UNITED HEALTHCARE MEDICAID MANAGED CARE [5015] | MHS HB UNITED MEDICAID STAR PLUS MRMC | $5,661.07 | $80,111.75 | $40,055.88 | 2026-03-21 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $5,729.80 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | CARESOURCE [2002] | CARESOURCE OH MEDICAID [2002001] | $5,784.97 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $5,841.06 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $5,841.06 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $5,841.06 | — | — | 2026-04-01 | MRF ↗ |
| MERCY HEALTH-ST RITA'S MEDICAL CENTER Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $5,841.06 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | AMERIHEALTH CARITAS OH [4813] | AMERIHEALTH CARITAS OH [4813001] | $5,868.81 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | ANTHEM OH MEDICAID [6565] | ANTHEM OH MEDICAID [656501] | $5,868.81 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | UNITED HEALTHCARE COMMUNITY PL [3519] | UNITED HEALTHCARE COMMUNITY PLAN OH [3519001] | $5,868.81 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | HUMANA MEDICAID OH [4455] | HUMANA MEDICAID OH [4455001] | $5,868.81 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | HUMANA MEDICAID SC [4884] | HUMANA MEDICAID SC [4884001] | $5,919.50 | — | — | 2026-04-01 | MRF ↗ |
| BON SECOURS-ST FRANCIS XAVIER HOSPITAL Inpatient | SELECT HEALTH OF SC [4890] | SELECT HEALTH OF SC [4890001] | $5,919.50 | — | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID SC [300] | PHU HB SC MEDICAID - GREENVILLE | $5,976.53 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - GREENVILLE | $5,976.53 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | PENDING MEDICAID DET [333] | PHU HB SC MEDICAID - GREENVILLE | $5,976.53 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID SC [300] | PHU HB SC MEDICAID - GREENVILLE | $5,976.53 | — | — | 2026-03-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | MOLINA HEALTHCARE OH MEDICAID [3070] | MOLINA HEALTHCARE OHIO MEDICA [3070001] | $6,092.38 | — | — | 2026-04-01 | MRF ↗ |
| ANDERSON HOSPITAL Inpatient | BUCKEYE COMMUNITY HEALTH PLAN [2001] | BUCKEYE COMMUNITY HEALTH PLAN [2001001] | $6,148.27 | — | — | 2026-04-01 | MRF ↗ |
| MORRISTOWN MEDICAL CENTER Inpatient | LUMINARE HEALTH AHS RETIREE [5013] | MMC AETNA AHS EMPLOYEE | $6,186.14 | $45,835.45 | — | 2026-04-01 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - GMH | $6,275.36 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID ABSOLUTE TOTAL CARE [410] | PHU HB ABSOLUTE TOTAL CARE MEDICAID - GMH | $6,275.36 | — | — | 2026-03-01 | MRF ↗ |
| METHODIST CELINA MEDICAL CENTER Inpatient | SUPERIOR MEDICAID MANAGED CARE [5007] | MHS HB MEDICAID 110% STAR PLUS MCEL | $6,385.79 | $74,639.25 | $37,319.63 | 2026-03-23 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - GMH | $6,394.89 | — | — | 2026-03-01 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Inpatient | MEDICAID HUMANA HEALTHY HORIZONS [6110] | PHU HB 107% OF MEDICAID - GMH | $6,394.89 | — | — | 2026-03-01 | MRF ↗ |
| INDIAN PATH COMMUNITY HOSPITAL Inpatient | AETNA | AETNA BETTER HEALTH OF VIRGINIA | — | — | — | 2026-03-23 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | OMC UNITED HEALTH COMMUNITY | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | OMC AETNA BETTER HEALTH | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | OMC UNITED HEALTH COMMUNITY | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | OMC WELLPOINT MANAGED MEDICAID | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | OMC UNITED HEALTH COMMUNITY | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | OMC FEDELIS CARE MANAGED MEDICAID | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | WELLPOINT MANAGED MEDICAID [5006] | HMC WELLPOINT MANAGED MEDICAID | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | OMC MEDICAID | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | HMC UNITED HEALTH COMMUNITY | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | OMC FEDELIS CARE MANAGED MEDICAID | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | AETNA BETTER HEALTH [5005] | HMC AETNA BETTER HEALTH | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | CMC FEDELIS CARE MANAGED MEDICAID | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | CMC UNITED HEALTH COMMUNITY | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | CMC MEDICAID | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | CMC WELLPOINT MANAGED MEDICAID | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | MEDICAID [5022] | OMC MEDICAID | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | HMC UNITED HEALTH COMMUNITY | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | AETNA BETTER HEALTH [5005] | HMC AETNA BETTER HEALTH | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | MEDICAID [5022] | CSMC MEDICAID | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | MEDICAID [5022] | CMC MEDICAID | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | HMC UNITED HEALTH COMMUNITY | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPATH CORRECTIONAL [5485] | CSMC WELLPATH/ MONNOUTH CORRECTIONAL | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | OMC FEDELIS CARE MANAGED MEDICAID | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | CSMC FEDELIS CARE MANAGED MEDICAID | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | CSMC AETNA BETTER HEALTH | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | CSMC WELLPOINT MANAGED MEDICAID | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | ANTHEM BCBSNY MEDICAID [5511] | HMC MEDICAID | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | OMC WELLPOINT MANAGED MEDICAID | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | ANTHEM BCBSNY MEDICAID [5511] | CSMC MEDICAID | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | OMC UNITED HEALTH COMMUNITY | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN [5034] | CSMC UNITED HEALTH COMMUNITY | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | CSMC UNITED HEALTH COMMUNITY | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| OVERLOOK MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | OMC UNITED HEALTH COMMUNITY | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | AETNA BETTER HEALTH [5005] | CMC AETNA BETTER HEALTH | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | UNTD HLTH COMMUNITY PLAN BEHAVIORAL HEALTH [5293] | CMC UNITED HEALTH COMMUNITY | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| CHILTON MEDICAL CENTER Inpatient | FIDELIS CARE MEDICAID [5509] | CMC FEDELIS CARE MANAGED MEDICAID | $6,421.98 | $20,469.03 | — | 2026-01-01 | MRF ↗ |
| AHS HOSPITAL CORP Inpatient | MEDICAID [5022] | HMC MEDICAID | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPATH CORRECTIONAL [5485] | CSMC WELLPATH/ MONNOUTH CORRECTIONAL | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | WELLPOINT MANAGED MEDICAID [5006] | CSMC WELLPOINT MANAGED MEDICAID | $6,421.98 | $39,752.61 | — | 2026-04-01 | MRF ↗ |
| CENTRASTATE MEDICAL CENTER Inpatient | ALLSTATE [5047] | CSMC HORIZON CASUALTY PIP | — | $39,752.61 | — | 2026-04-01 | 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.