646 — Neonate, Birth Weight 1500-1999 Grams, With Significant O.r. Procedures, Without Multiple Major Problems
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITH SIGNIFICANT O.R. PROCEDURES, WITHOUT MULTIPLE MAJOR PROBLEMS (OTHER 646) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/646?code_type=OTHER
MLA (9th ed.)
“NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITH SIGNIFICANT O.R. PROCEDURES, WITHOUT MULTIPLE MAJOR PROBLEMS (OTHER 646) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/646?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITH SIGNIFICANT O.R. PROCEDURES, WITHOUT MULTIPLE MAJOR PROBLEMS (OTHER 646) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/646?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,704–$35,279 (25th–75th percentile) across 137 hospitals · 42 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 646 — 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 |
|---|---|---|---|---|---|---|---|
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $0.04 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $0.04 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $0.04 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aenthem|All Products | — | $0.04 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $0.04 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $0.04 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $0.04 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $0.04 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $0.04 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $0.05 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $0.05 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $0.07 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $0.08 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $0.09 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $0.09 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $0.10 | $0.11 | $0.08 | 2026-07-30 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $5.21 | $253.05 | $126.53 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Humana Medicaid | Medicaid | $5.21 | $253.05 | $126.53 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Louisana Healthcare Connections | Medicaid | $5.21 | $253.05 | $126.53 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Amerihealth | Commercial | $5.21 | $253.05 | $126.53 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Care Improvement Plus | Medicare Advantage | — | $162.62 | $136.60 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Coventry | Commercial | — | $162.62 | $136.60 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Humana Healthnet | Tricare | — | $162.62 | $136.60 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Consumer Life | Commercial | — | $162.62 | $136.60 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Encore | Ppo | — | $162.62 | $136.60 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Aetna | Medicare Advantage | — | $162.62 | $136.60 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Anthem | Ppo Hmo Exchange | — | $162.62 | $136.60 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Cigna | Commercial | $113.87 | $253.05 | $126.53 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Mdwise | Excel And Hoosier Healthwise | $134.40 | $162.62 | $136.60 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | United Healthcare | Medicaid | $134.40 | $162.62 | $136.60 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Managed Health Services | Medicaid | $134.40 | $162.62 | $136.60 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Aetna Medicare | Medicare | $136.65 | $253.05 | $126.53 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Medicare | Medicare | $136.65 | $253.05 | $126.53 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Peoples Health | Commercial | $136.65 | $253.05 | $126.53 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Tricare Va | Commercial | $136.65 | $253.05 | $126.53 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Medicare | Medicare | $136.65 | $253.05 | $126.53 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Zelis Ppo | Commercial | $139.18 | $253.05 | $126.53 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Dignity Health | Commercial | $139.38 | $253.05 | $126.53 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $204.97 | $253.05 | $126.53 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Commercial | Commercial | $227.75 | $253.05 | $126.53 | 2026-05-09 | 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 | 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 ↗ |
| 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 ↗ |
| NEBRASKA SPINE HOSPITAL, LLC Inpatient | Healthnet Tricare Administrator | Healthnet Tricare Administrator | $1,215.21 | — | — | 2026-08-01 | MRF ↗ |
| CROSSGATES RIVER OAKS HOSPITAL Inpatient | Node Tricare | Node Tricare | $2,410.77 | — | — | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Tricare | Node Tricare | $2,546.56 | — | — | 2026-05-23 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Tricare | Node Tricare | $2,546.56 | — | — | 2026-05-14 | MRF ↗ |
| CRESTWOOD MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $2,561.65 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $2,584.86 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Node Tricare | Node Tricare | $2,589.32 | — | — | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Tricare | Node Tricare | $2,593.81 | — | — | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Tricare | Node Tricare | $2,593.81 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Tricare Usfhp | Node Tricare Usfhp | $2,655.71 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $2,655.71 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WOMEN'S HOSPITAL Inpatient | Node Tricare | Node Tricare | $2,672.55 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Node Tricare | Node Tricare | $2,693.66 | — | — | 2026-07-15 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $2,697.04 | — | — | 2026-07-15 | MRF ↗ |
| ABBEVILLE GENERAL HOSPITAL Inpatient | Triwest Healthcare Alliance | Tricare West Region | $2,701.71 | — | — | 2026-09-28 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $2,708.89 | — | — | 2026-07-15 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $2,708.89 | — | — | 2026-07-15 | 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 ↗ |
| MEMORIAL HOSPITAL MIRAMAR InpatientFacility | Humana Military (TRICARE) | Tricare | — | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | Humana Military (TRICARE) | Tricare | — | — | — | 2026-05-27 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Usfhp Tricare | Node Usfhp Tricare | $2,730.32 | — | — | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Usfhp Tricare | Node Usfhp Tricare | $2,730.32 | — | — | 2026-07-15 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $2,761.25 | — | — | 2026-07-15 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $2,766.14 | — | — | 2026-07-17 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Node Tricare | Node Tricare | $2,779.52 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $2,790.38 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $2,790.38 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $2,790.38 | — | — | 2026-05-09 | MRF ↗ |
| BALDWIN HEALTH Inpatient | Node Tricare | Node Tricare | $2,813.23 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Node Tricare | Node Tricare | $2,819.02 | — | — | 2026-05-09 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Inpatient | Tricare | Tricare | $2,821.73 | — | — | 2026-07-20 | MRF ↗ |
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $2,836.32 | — | — | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $2,840.69 | — | — | 2026-07-15 | MRF ↗ |
| CROSSGATES RIVER OAKS HOSPITAL Inpatient | Node Champva | Node Champva | $2,842.17 | — | — | 2026-07-15 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Node Tricare | Node Tricare | $2,858.42 | — | — | 2026-07-15 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Tricare - Humana Military | Tricare - Humana Military | $2,865.79 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Tricare - Humana Military | Tricare - Humana Military | $2,865.79 | — | — | 2026-05-24 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Node Tricare | Node Tricare | $2,908.20 | — | — | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $2,919.05 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Node Tricare | Node Tricare | $2,921.12 | — | — | 2026-07-17 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Node Tricare | Node Tricare | $2,925.81 | — | — | 2026-07-17 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Node Tricare | Node Tricare | $2,925.81 | — | — | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Node Tricare | Node Tricare | $2,945.68 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Node Tricare | Node Tricare | $2,945.68 | — | — | 2026-07-15 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $2,954.18 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Champva | Node Champva | $2,974.39 | — | — | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Node Tricare Usfhp | Node Tricare Usfhp | $2,990.20 | — | — | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Champva | Node Champva | $3,002.26 | — | — | 2026-05-14 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Champva | Node Champva | $3,002.26 | — | — | 2026-05-23 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $3,047.42 | — | — | 2026-07-15 | MRF ↗ |
| ALLIANCEHEALTH DURANT Inpatient | Node Tricare | Node Tricare | $3,087.39 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,135.66 | — | — | 2026-07-15 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Tricare West Region | $3,137.17 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Champva | $3,137.17 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Veterans Administration (Audie) | $3,137.17 | — | — | 2026-09-28 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Tricare | Tricare | $3,146.64 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WOMEN'S HOSPITAL Inpatient | Node Champva | Node Champva | $3,150.79 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,156.41 | — | — | 2026-07-17 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,167.94 | — | — | 2026-07-15 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Node Champva | Node Champva | $3,179.67 | — | — | 2026-07-15 | MRF ↗ |
| DOYLESTOWN HOSPITAL Inpatient | Tricare | Tricare | $3,210.75 | — | — | 2026-09-21 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Tricare | Node Tricare | $3,239.30 | — | — | 2026-07-15 | MRF ↗ |
| CRESTWOOD MEDICAL CENTER Inpatient | Node Champva | Node Champva | $3,253.13 | — | — | 2026-07-15 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Node Champva | Node Champva | $3,256.69 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Node Champva | Node Champva | $3,256.69 | — | — | 2026-07-17 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Department Of Veterans Affairs | Node Champva | $3,256.69 | — | — | 2026-07-15 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,257.96 | — | — | 2026-07-17 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Node Champva | Node Champva | $3,261.14 | — | — | 2026-07-17 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $3,289.71 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $3,289.71 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $3,289.71 | — | — | 2026-05-08 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Tricare | Tricare | $3,303.09 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Tricare | Tricare | $3,303.09 | — | — | 2026-05-14 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $3,308.68 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Node Champva | Node Champva | $3,323.48 | — | — | 2026-05-09 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $3,349.03 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Node Tricare | Node Tricare | $3,353.76 | — | — | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,353.76 | — | — | 2026-07-17 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,353.76 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,353.76 | — | — | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Node Champva | Node Champva | $3,357.48 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Node Tricare | Node Tricare | $3,362.15 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Node Tricare | Node Tricare | $3,365.70 | — | — | 2026-07-15 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $3,366.74 | — | — | 2026-07-15 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Node Champva | Node Champva | $3,369.93 | — | — | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-04-01 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Department Of Veterans Affairs | Node Champva | $3,428.61 | — | — | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Node Champva | Node Champva | $3,441.41 | — | — | 2026-07-15 | MRF ↗ |
| Adventhealth Port Charlotte InpatientFacility | — | — | — | — | — | 2024-12-18 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | Tricare | Tricare | $3,469.38 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $3,508.80 | — | — | 2026-07-17 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Node Tricare | Node Tricare | $3,508.99 | — | — | 2026-05-27 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,522.00 | — | — | 2026-07-15 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Inpatient | Node Champva | Node Champva | $3,550.27 | — | — | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Node Martins Point Health Care | Node Martins Point Health Care | $3,560.64 | — | — | 2026-07-15 | MRF ↗ |
| ALLIANCEHEALTH DURANT Inpatient | Department Of Veterans Affairs | Node Champva | $3,578.11 | — | — | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Inpatient | Tricare | Tricare | $3,613.37 | — | — | 2026-07-20 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Node Champva | Node Champva | $3,628.01 | — | — | 2026-07-15 | MRF ↗ |
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $3,653.76 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $3,696.77 | — | — | 2026-07-15 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,714.65 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $3,721.24 | — | — | 2026-07-17 | MRF ↗ |
| BALDWIN HEALTH Inpatient | Node Champva | Node Champva | $3,735.93 | — | — | 2026-07-15 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $3,756.22 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Node Champva | Node Champva | $3,765.61 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Department Of Veterans Affairs | Node Champva | $3,765.61 | — | — | 2026-07-15 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Node Champva | Node Champva | $3,840.96 | — | — | 2026-07-17 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Node Champva | Node Champva | $3,855.65 | — | — | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Champva | Node Champva | $3,874.20 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $3,964.31 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Department Of Veterans Affairs | Node Champva | $3,986.31 | — | — | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $4,058.59 | — | — | 2026-07-17 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | Tricare | Tricare | $4,107.98 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Node Champva | Node Champva | $4,136.92 | — | — | 2026-05-27 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Tricare | Tricare | $4,291.56 | — | — | 2026-07-20 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | Tricare | Tricare | $4,333.32 | — | — | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $4,379.37 | — | — | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Tricare | Tricare | $4,607.56 | — | — | 2026-10-16 | MRF ↗ |
| Seton Medical Center Inpatient | Tricare West | Tricare West | $4,656.44 | — | — | 2026-07-17 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Inpatient | Johns Hopkins Healthcare | All Products | $4,893.20 | — | — | 2026-07-18 | MRF ↗ |
| AHMC SETON MEDICAL CENTER Inpatient | Tricare West | Tricare West | $5,716.86 | — | — | 2026-07-15 | MRF ↗ |
| CHILDREN'S HOSP OF LOS ANGELES Inpatient | Champus | Champus Tricare | $7,016.93 | — | — | 2026-07-18 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $10,075.00 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $10,075.00 | — | — | 2026-05-06 | MRF ↗ |
| NORTHEAST REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $10,205.00 | — | — | 2026-07-15 | MRF ↗ |
| NORTHEAST REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $10,205.00 | — | — | 2026-07-15 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Node Champva | Node Champva | $11,310.00 | — | — | 2026-07-15 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $11,310.00 | — | — | 2026-07-15 | MRF ↗ |
| CARLSBAD MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $11,765.00 | — | — | 2026-07-15 | MRF ↗ |
| CARLSBAD MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $11,765.00 | — | — | 2026-07-15 | MRF ↗ |
| ALLIANCEHEALTH MADILL Inpatient | Node Tricare | Node Tricare | $17,609.35 | — | — | 2026-07-15 | MRF ↗ |
| ALLIANCEHEALTH MADILL Inpatient | Node Champva | Node Champva | $17,609.35 | — | — | 2026-07-15 | MRF ↗ |
| JACKSONVILLE MEMORIAL HOSPITAL Inpatient | Tricare | Tricare | $18,881.95 | — | — | 2026-07-15 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL InpatientFacility | Amerigroup GA | PeachCare for Kids | $22,285.94 | — | — | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL InpatientFacility | Amerigroup GA | Medicaid | $22,285.94 | — | — | 2026-01-25 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Tricare | Tricare | $35,035.00 | — | — | 2026-07-17 | MRF ↗ |
| PUNXSUTAWNEY AREA HOSPITAL Inpatient | Tricare | Tricare | $35,360.00 | — | — | 2026-07-15 | MRF ↗ |
| NORTH ADAMS REGIONAL HOSPITAL CORPORATION Inpatient | Tri Tricare | Tri Tricare | $39,531.40 | — | — | 2026-07-15 | MRF ↗ |
| FAIRVIEW HOSPITAL Inpatient | Other Government | Tri Tricare | $39,531.40 | — | — | 2026-10-16 | MRF ↗ |
| ST CHARLES PARISH HOSPITAL Inpatient | Triwest Military - Tricare | All Payor | $42,414.00 | — | — | 2026-07-15 | MRF ↗ |
| CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR InpatientFacility | Martins Point | TRICARE Prime/Department of Defense | $45,562.84 | — | — | 2026-10-12 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Inpatient | Highmark | Highmark Tricare | $46,307.80 | — | — | 2024-12-19 | MRF ↗ |
| SUBURBAN COMMUNITY HOSPITAL Inpatient | Humana | Humana Tricare | $46,307.80 | — | — | 2024-12-19 | 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.