647 — Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With Multiple Major Problems
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MULTIPLE MAJOR PROBLEMS (OTHER 647) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/647?code_type=OTHER
MLA (9th ed.)
“NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MULTIPLE MAJOR PROBLEMS (OTHER 647) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/647?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MULTIPLE MAJOR PROBLEMS (OTHER 647) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/647?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,892–$50,260 (25th–75th percentile) across 140 hospitals · 52 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 647 — 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|Aenthem|All Products | — | $0.12 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $0.12 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $0.12 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $0.12 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $0.12 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $0.12 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $0.12 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $0.12 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $0.12 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $0.13 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $0.13 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $0.19 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $0.23 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $0.24 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $0.25 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $0.26 | $0.30 | $0.21 | 2026-07-30 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Humana Healthnet | Tricare | — | $162.62 | $136.60 | 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 | Aetna | Medicare Advantage | — | $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 | Coventry | Commercial | — | $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 ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Consumer Life | Commercial | — | $162.62 | $136.60 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Cigna | Commercial | $50.61 | $112.46 | $56.23 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Aetna Medicare | Medicare | $60.73 | $112.46 | $56.23 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Tricare Va | Commercial | $60.73 | $112.46 | $56.23 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Peoples Health | Commercial | $60.73 | $112.46 | $56.23 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Medicare | Medicare | $60.73 | $112.46 | $56.23 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Medicare | Medicare | $60.73 | $112.46 | $56.23 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Zelis Ppo | Commercial | $61.85 | $112.46 | $56.23 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Dignity Health | Commercial | $61.94 | $112.46 | $56.23 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $69.51 | $112.46 | $56.23 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Humana Medicaid | Medicaid | $69.51 | $112.46 | $56.23 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Louisana Healthcare Connections | Medicaid | $69.51 | $112.46 | $56.23 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Amerihealth | Commercial | $69.51 | $112.46 | $56.23 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $91.09 | $112.46 | $56.23 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Commercial | Commercial | $101.21 | $112.46 | $56.23 | 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 | Mdwise | Excel And Hoosier Healthwise | $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 COUNTY MEMORIAL HOSPITAL Outpatient | Molina Florida Kid Care | Medicaid | $180.68 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Lighthouse Medicaid Advantage | Medicaid | $180.68 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Traditional | Medicaid | $180.68 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Hmo | Medicaid | $180.68 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Medicaid Advantage | Medicaid | $180.68 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicaid Advantage | Medicaid | $180.68 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Healthy Kids | Medicaid | $180.68 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Clear Alliance | Medicaid | $180.68 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare | Medicaid | $180.68 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Prestige Health Choice | Medicaid | $180.68 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Magellan | Medicaid | $180.68 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Youth Services | Medicaid | $180.68 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Simply Health Medicaid Advantage | Medicaid | $180.68 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Medicaid Advantage | Medicaid | $180.68 | — | — | 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 | Firsthealth | Commercial | $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 | Caresource | Wv Marketplace | $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 | $1,570.91 | — | — | 2026-08-01 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Node Tricare | Node Tricare | $2,711.92 | — | — | 2026-07-15 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Node Tricare | Node Tricare | $2,711.92 | — | — | 2026-07-15 | MRF ↗ |
| MEMORIAL HOSPITAL PEMBROKE InpatientFacility | Humana Military (TRICARE) | Tricare | — | — | — | 2026-05-27 | MRF ↗ |
| MEMORIAL HOSPITAL MIRAMAR InpatientFacility | Humana Military (TRICARE) | Tricare | — | — | — | 2026-05-27 | MRF ↗ |
| Memorial Regional Hospital South InpatientFacility | Humana Military (TRICARE) | Tricare | — | — | — | 2026-05-27 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $2,959.76 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| CROSSGATES RIVER OAKS HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,042.80 | — | — | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Tricare | Node Tricare | $3,243.03 | — | — | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Tricare | Node Tricare | $3,243.03 | — | — | 2026-07-15 | MRF ↗ |
| Adventhealth Port Charlotte InpatientFacility | — | — | — | — | — | 2024-12-18 | MRF ↗ |
| CRESTWOOD MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,277.46 | — | — | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Tricare | Node Tricare | $3,291.95 | — | — | 2026-05-23 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Tricare | Node Tricare | $3,291.95 | — | — | 2026-05-14 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Tricare Usfhp | Node Tricare Usfhp | $3,296.27 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,296.27 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,312.99 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Node Tricare | Node Tricare | $3,323.83 | — | — | 2026-07-15 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Node Martins Point Health Care | Node Martins Point Health Care | $3,329.16 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Node Tricare | Node Tricare | $3,351.97 | — | — | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Usfhp Tricare | Node Usfhp Tricare | $3,413.71 | — | — | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Usfhp Tricare | Node Usfhp Tricare | $3,413.71 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WOMEN'S HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,454.82 | — | — | 2026-07-15 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,489.56 | — | — | 2026-07-15 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,501.80 | — | — | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,501.80 | — | — | 2026-07-15 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,506.57 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $3,516.84 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $3,516.84 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $3,516.84 | — | — | 2026-05-09 | MRF ↗ |
| ABBEVILLE GENERAL HOSPITAL Inpatient | Triwest Healthcare Alliance | Tricare West Region | $3,538.12 | — | — | 2026-09-28 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Node Tricare | Node Tricare | $3,549.28 | — | — | 2026-05-09 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,575.81 | — | — | 2026-07-17 | MRF ↗ |
| CROSSGATES RIVER OAKS HOSPITAL Inpatient | Node Champva | Node Champva | $3,587.30 | — | — | 2026-07-15 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Node Tricare | Node Tricare | $3,593.10 | — | — | 2026-07-15 | MRF ↗ |
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,593.81 | — | — | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,631.60 | — | — | 2026-07-15 | MRF ↗ |
| BALDWIN HEALTH Inpatient | Node Tricare | Node Tricare | $3,636.67 | — | — | 2026-07-15 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Inpatient | Tricare | Tricare | $3,647.67 | — | — | 2026-07-20 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Node Tricare | Node Tricare | $3,689.64 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Champva | Node Champva | $3,691.82 | — | — | 2026-07-15 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,695.10 | — | — | 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 ↗ |
| LUTHERAN HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,709.98 | — | — | 2026-07-17 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,719.36 | — | — | 2026-07-15 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Tricare - Humana Military | Tricare - Humana Military | $3,748.30 | — | — | 2026-05-24 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Tricare - Humana Military | Tricare - Humana Military | $3,748.30 | — | — | 2026-05-14 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,766.04 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Node Tricare | Node Tricare | $3,782.21 | — | — | 2026-07-17 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Node Tricare | Node Tricare | $3,782.21 | — | — | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Node Tricare Usfhp | Node Tricare Usfhp | $3,822.74 | — | — | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Champva | Node Champva | $3,881.03 | — | — | 2026-05-14 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Champva | Node Champva | $3,881.03 | — | — | 2026-05-23 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $3,905.85 | — | — | 2026-07-15 | MRF ↗ |
| ALLIANCEHEALTH DURANT Inpatient | Node Tricare | Node Tricare | $4,011.89 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,047.65 | — | — | 2026-07-15 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Tricare West Region | $4,071.73 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Veterans Administration (Audie) | $4,071.73 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Champva | $4,071.73 | — | — | 2026-09-28 | MRF ↗ |
| MERIT HEALTH WOMEN'S HOSPITAL Inpatient | Node Champva | Node Champva | $4,073.05 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,080.30 | — | — | 2026-07-17 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Node Champva | Node Champva | $4,114.01 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $4,146.16 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $4,146.16 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $4,146.16 | — | — | 2026-05-09 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Tricare | Tricare | $4,148.04 | — | — | 2026-07-15 | MRF ↗ |
| DOYLESTOWN HOSPITAL Inpatient | Tricare | Tricare | $4,150.55 | — | — | 2026-09-21 | MRF ↗ |
| CRESTWOOD MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,165.26 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Node Champva | Node Champva | $4,184.42 | — | — | 2026-05-09 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Node Champva | Node Champva | $4,209.94 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Department Of Veterans Affairs | Node Champva | $4,209.94 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Node Champva | Node Champva | $4,209.94 | — | — | 2026-07-17 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Node Champva | Node Champva | $4,215.69 | — | — | 2026-07-17 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,217.97 | — | — | 2026-07-15 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Tricare | Node Tricare | $4,228.06 | — | — | 2026-07-15 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | Tricare | Tricare | $4,270.38 | — | — | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $4,281.47 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Node Tricare | Node Tricare | $4,335.43 | — | — | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,335.43 | — | — | 2026-07-17 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,335.43 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,335.43 | — | — | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,340.23 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Node Tricare | Node Tricare | $4,346.27 | — | — | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Department Of Veterans Affairs | Node Champva | $4,349.89 | — | — | 2026-07-15 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,352.20 | — | — | 2026-07-15 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Node Champva | Node Champva | $4,356.33 | — | — | 2026-07-15 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Node Tricare | Node Tricare | $4,372.39 | — | — | 2026-07-17 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,384.93 | — | — | 2026-07-15 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Tricare | Tricare | $4,385.76 | — | — | 2026-05-23 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Tricare | Tricare | $4,385.76 | — | — | 2026-05-14 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Node Tricare | Node Tricare | $4,409.72 | — | — | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-04-01 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | Tricare | Tricare | $4,443.13 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $4,459.24 | — | — | 2026-07-17 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,515.28 | — | — | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Inpatient | Tricare | Tricare | $4,531.94 | — | — | 2026-07-20 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,569.53 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Node Tricare | Node Tricare | $4,635.25 | — | — | 2026-05-27 | MRF ↗ |
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $4,643.25 | — | — | 2026-07-15 | MRF ↗ |
| ALLIANCEHEALTH DURANT Inpatient | Department Of Veterans Affairs | Node Champva | $4,648.32 | — | — | 2026-07-15 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,735.43 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $4,771.96 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $4,810.46 | — | — | 2026-07-17 | MRF ↗ |
| BALDWIN HEALTH Inpatient | Node Champva | Node Champva | $4,829.46 | — | — | 2026-07-15 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,855.68 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Department Of Veterans Affairs | Node Champva | $4,867.82 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Node Champva | Node Champva | $4,867.82 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Node Champva | Node Champva | $4,957.13 | — | — | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,958.94 | — | — | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Champva | Node Champva | $5,026.49 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $5,124.69 | — | — | 2026-07-15 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Node Champva | Node Champva | $5,154.82 | — | — | 2026-07-17 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Department Of Veterans Affairs | Node Champva | $5,221.27 | — | — | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $5,246.56 | — | — | 2026-07-17 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | Tricare | Tricare | $5,310.41 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Node Champva | Node Champva | $5,464.71 | — | — | 2026-05-27 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Tricare | Tricare | $5,560.52 | — | — | 2026-07-20 | MRF ↗ |
| AHMC SETON MEDICAL CENTER Inpatient | Tricare West | Tricare West | $5,690.74 | — | — | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $5,846.33 | — | — | 2026-07-15 | MRF ↗ |
| Seton Medical Center Inpatient | Tricare West | Tricare West | $6,019.41 | — | — | 2026-07-17 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Inpatient | Johns Hopkins Healthcare | All Products | $6,325.47 | — | — | 2026-07-18 | MRF ↗ |
| CHILDREN'S HOSP OF LOS ANGELES Inpatient | Champus | Champus Tricare | $9,070.83 | — | — | 2026-07-18 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL InpatientFacility | Amerigroup GA | PeachCare for Kids | $24,850.46 | — | — | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL InpatientFacility | Amerigroup GA | Medicaid | $24,850.46 | — | — | 2026-01-25 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $32,622.23 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $32,622.23 | — | — | 2026-05-06 | MRF ↗ |
| NORTHEAST REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $33,043.16 | — | — | 2026-07-15 | MRF ↗ |
| NORTHEAST REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $33,043.16 | — | — | 2026-07-15 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $36,621.08 | — | — | 2026-07-15 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Node Champva | Node Champva | $36,621.08 | — | — | 2026-07-15 | MRF ↗ |
| CARLSBAD MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $38,094.35 | — | — | 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.