648 — Neonate, Birth Weight 1500-1999 Grams, Without Significant O.r. Procedures, With Major Problem
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MAJOR PROBLEM (OTHER 648) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/648?code_type=OTHER
MLA (9th ed.)
“NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MAJOR PROBLEM (OTHER 648) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/648?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE, BIRTH WEIGHT 1500-1999 GRAMS, WITHOUT SIGNIFICANT O.R. PROCEDURES, WITH MAJOR PROBLEM (OTHER 648) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/648?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $2,709–$35,502 (25th–75th percentile) across 139 hospitals · 51 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 648 — 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 | — | $1.26 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Summacare|All Products | — | $1.26 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Humana|All Products | — | $1.26 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Molina|All Products | — | $1.26 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Medical Mutual|All Products | — | $1.29 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Buckeye|All Products | — | $1.29 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|The Health Plan|All Products | — | $1.29 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|United|Mmp | — | $1.29 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aetna|All Products | — | $1.29 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Humana|All Products | — | $1.35 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Medicare|Aultcare|All Products | — | $1.38 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Exchange | — | $2.06 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Blue Access | — | $2.44 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Anthem|Trad | — | $2.53 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Aetna|All Products | — | $2.72 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| TWIN CITY MEDICAL CENTER | Commercial|Cigna|All Products | — | $2.80 | $3.22 | $2.25 | 2026-07-30 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Amerihealth | Commercial | $19.56 | $146.20 | $73.10 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Uhc Medicaid | Medicaid | $19.56 | $146.20 | $73.10 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Louisana Healthcare Connections | Medicaid | $19.56 | $146.20 | $73.10 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Humana Medicaid | Medicaid | $19.56 | $146.20 | $73.10 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Aetna | Medicare Advantage | — | $148.79 | $124.98 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Consumer Life | Commercial | — | $148.79 | $124.98 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Care Improvement Plus | Medicare Advantage | — | $148.79 | $124.98 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Humana Healthnet | Tricare | — | $148.79 | $124.98 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Encore | Ppo | — | $148.79 | $124.98 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Coventry | Commercial | — | $148.79 | $124.98 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Anthem | Ppo Hmo Exchange | — | $148.79 | $124.98 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Cigna | Commercial | $65.79 | $146.20 | $73.10 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Tricare Va | Commercial | $78.95 | $146.20 | $73.10 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Peoples Health | Commercial | $78.95 | $146.20 | $73.10 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Medicare | Medicare | $78.95 | $146.20 | $73.10 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Aetna Medicare | Medicare | $78.95 | $146.20 | $73.10 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Medicare | Medicare | $78.95 | $146.20 | $73.10 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Zelis Ppo | Commercial | $80.41 | $146.20 | $73.10 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Dignity Health | Commercial | $80.53 | $146.20 | $73.10 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Three Rivers Provider Network | Commercial | $118.42 | $146.20 | $73.10 | 2026-05-09 | MRF ↗ |
| MADISON PARISH HOSPITAL Outpatient | Vantage Commercial | Commercial | $131.58 | $146.20 | $73.10 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | United Healthcare | Medicaid | $134.40 | $148.79 | $124.98 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Managed Health Services | Medicaid | $134.40 | $148.79 | $124.98 | 2026-05-09 | MRF ↗ |
| MARGARET MARY COMMUNITY HOSPITAL INC Outpatient | Mdwise | Excel And Hoosier Healthwise | $134.40 | $148.79 | $124.98 | 2026-05-09 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Wellcare | Medicaid | $210.92 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Prestige Health Choice | Medicaid | $210.92 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Magellan | Medicaid | $210.92 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Youth Services | Medicaid | $210.92 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Simply Health Medicaid Advantage | Medicaid | $210.92 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Medicaid Advantage | Medicaid | $210.92 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Molina Florida Kid Care | Medicaid | $210.92 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Lighthouse Medicaid Advantage | Medicaid | $210.92 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Traditional | Medicaid | $210.92 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Humana Medicaid Advantage Hmo | Medicaid | $210.92 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Medicaid Advantage | Medicaid | $210.92 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Uhc Medicaid Advantage | Medicaid | $210.92 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Sunshine Healthy Kids | Medicaid | $210.92 | — | — | 2026-05-08 | MRF ↗ |
| MADISON COUNTY MEMORIAL HOSPITAL Outpatient | Clear Alliance | Medicaid | $210.92 | — | — | 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 | Zelis Network | Commercial | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Healthsmart | Commercial | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Caresource | Wv Marketplace | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Firsthealth | Commercial | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| ST MARYS MEDICAL CENTER Inpatient | Phcs Multiplan | Commercial | $341.01 | $358.96 | $358.96 | 2026-05-06 | MRF ↗ |
| NEBRASKA SPINE HOSPITAL, LLC Inpatient | Healthnet Tricare Administrator | Healthnet Tricare Administrator | $1,419.99 | — | — | 2026-08-01 | MRF ↗ |
| REGIONAL HOSPITAL OF SCRANTON Inpatient | Node Tricare | Node Tricare | $2,496.36 | — | — | 2026-07-15 | MRF ↗ |
| Moses Taylor Hospital Inpatient | Node Tricare | Node Tricare | $2,496.36 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-10 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $2,666.76 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL InpatientFacility | — | — | — | — | — | 2024-12-12 | MRF ↗ |
| MEMORIAL HOSPITAL WEST InpatientFacility | Humana Military (TRICARE) | Tricare | — | — | — | 2026-05-27 | 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 ↗ |
| CROSSGATES RIVER OAKS HOSPITAL Inpatient | Node Tricare | Node Tricare | $2,850.29 | — | — | 2026-07-15 | MRF ↗ |
| Adventhealth Port Charlotte InpatientFacility | — | — | — | — | — | 2024-12-18 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Tricare | Node Tricare | $2,975.68 | — | — | 2026-05-23 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Tricare | Node Tricare | $2,975.68 | — | — | 2026-05-14 | MRF ↗ |
| WILKES-BARRE GENERAL HOSPITAL Inpatient | Node Martins Point Health Care | Node Martins Point Health Care | $2,996.29 | — | — | 2026-07-15 | MRF ↗ |
| CRESTWOOD MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,008.68 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,033.31 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Node Tricare | Node Tricare | $3,036.23 | — | — | 2026-07-15 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Tricare | Node Tricare | $3,080.62 | — | — | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Tricare | Node Tricare | $3,080.62 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WOMEN'S HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,122.91 | — | — | 2026-07-15 | MRF ↗ |
| ABBEVILLE GENERAL HOSPITAL Inpatient | Triwest Healthcare Alliance | Tricare West Region | $3,136.38 | — | — | 2026-09-28 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,150.14 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,165.05 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Tricare Usfhp | Node Tricare Usfhp | $3,165.05 | — | — | 2026-07-15 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,165.38 | — | — | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,165.38 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH - PORTER Inpatient | Node Tricare | Node Tricare | $3,206.39 | — | — | 2026-07-15 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,232.28 | — | — | 2026-07-17 | MRF ↗ |
| DE TAR HOSPITAL NAVARRO Inpatient | Node Usfhp Tricare | Node Usfhp Tricare | $3,242.76 | — | — | 2026-07-15 | MRF ↗ |
| DeTar Hospital North Inpatient | Node Usfhp Tricare | Node Usfhp Tricare | $3,242.76 | — | — | 2026-07-15 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Node Tricare | Node Tricare | $3,247.90 | — | — | 2026-07-15 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,254.99 | — | — | 2026-07-15 | MRF ↗ |
| BALDWIN HEALTH Inpatient | Node Tricare | Node Tricare | $3,287.29 | — | — | 2026-07-15 | MRF ↗ |
| THE SPINE HOSPITAL OF LOUISIANA Inpatient | Tricare | Tricare | $3,297.23 | — | — | 2026-07-20 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $3,301.41 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $3,301.41 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Tricare | Node Tricare | $3,301.41 | — | — | 2026-05-08 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Tricare - Humana Military | Tricare - Humana Military | $3,328.97 | — | — | 2026-05-14 | MRF ↗ |
| FAIRFIELD MEDICAL CENTER Inpatient | Tricare - Humana Military | Tricare - Humana Military | $3,328.97 | — | — | 2026-05-24 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Node Tricare | Node Tricare | $3,336.95 | — | — | 2026-05-09 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,337.73 | — | — | 2026-07-15 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,340.11 | — | — | 2026-07-15 | MRF ↗ |
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,347.15 | — | — | 2026-07-15 | MRF ↗ |
| CROSSGATES RIVER OAKS HOSPITAL Inpatient | Node Champva | Node Champva | $3,360.34 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Node Tricare | Node Tricare | $3,418.84 | — | — | 2026-07-17 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Node Tricare | Node Tricare | $3,418.84 | — | — | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Node Tricare | Node Tricare | $3,429.81 | — | — | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,435.41 | — | — | 2026-07-15 | MRF ↗ |
| PRISMA HEALTH BAPTIST InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE InpatientFacility | — | — | — | — | — | 2025-03-06 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,443.27 | — | — | 2026-07-17 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,475.88 | — | — | 2026-07-15 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Champva | Node Champva | $3,508.18 | — | — | 2026-05-23 | MRF ↗ |
| MEDICAL CENTER ENTERPRISE Inpatient | Node Champva | Node Champva | $3,508.18 | — | — | 2026-05-14 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Node Tricare Usfhp | Node Tricare Usfhp | $3,513.40 | — | — | 2026-07-15 | MRF ↗ |
| NAVARRO REGIONAL HOSPITAL Inpatient | Node Champva | Node Champva | $3,544.85 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $3,576.12 | — | — | 2026-07-15 | MRF ↗ |
| ALLIANCEHEALTH DURANT Inpatient | Node Tricare | Node Tricare | $3,598.26 | — | — | 2026-07-15 | MRF ↗ |
| Penn Medicine Lancaster General Health Inpatient | Tricare | Tricare | $3,640.57 | — | — | 2026-07-15 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Veterans Administration (Audie) | $3,658.46 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Tricare West Region | $3,658.46 | — | — | 2026-09-28 | MRF ↗ |
| CITIZENS MEDICAL CENTER Inpatient | Tricare | Champva | $3,658.46 | — | — | 2026-09-28 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,666.69 | — | — | 2026-07-15 | MRF ↗ |
| MERIT HEALTH WOMEN'S HOSPITAL Inpatient | Node Champva | Node Champva | $3,681.74 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,688.30 | — | — | 2026-07-17 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | Tricare | East Region | — | — | — | 2026-03-06 | MRF ↗ |
| UPMC NORTHWEST InpatientFacility | US Family Health Plan | Tricare Prime | — | — | — | 2026-03-06 | MRF ↗ |
| TENNOVA HEALTHCARE-JEFFERSON MEMORIAL HOSPITAL Inpatient | Node Champva | Node Champva | $3,713.85 | — | — | 2026-07-15 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,734.28 | — | — | 2026-07-17 | MRF ↗ |
| DOYLESTOWN HOSPITAL Inpatient | Tricare | Tricare | $3,751.80 | — | — | 2026-09-21 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Tricare | Node Tricare | $3,766.81 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center - Bentonville Inpatient | Node Champva | Node Champva | $3,805.48 | — | — | 2026-07-17 | MRF ↗ |
| Willow Creek Women's Hospital Inpatient | Node Champva | Node Champva | $3,805.48 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER-SPRINGDALE Inpatient | Department Of Veterans Affairs | Node Champva | $3,805.48 | — | — | 2026-07-15 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Tricare | Tricare | $3,807.35 | — | — | 2026-05-14 | MRF ↗ |
| ACMH HOSPITAL Inpatient | Tricare | Tricare | $3,807.35 | — | — | 2026-05-23 | MRF ↗ |
| SILOAM SPRINGS REGIONAL HOSPITAL Inpatient | Node Champva | Node Champva | $3,810.68 | — | — | 2026-07-17 | MRF ↗ |
| CRESTWOOD MEDICAL CENTER Inpatient | Node Champva | Node Champva | $3,819.44 | — | — | 2026-07-15 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $3,892.19 | — | — | 2026-05-08 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $3,892.19 | — | — | 2026-05-09 | MRF ↗ |
| PHYSICIANS REGIONAL MEDICAL CENTER - PINE RIDGE Inpatient | Node Champva | Node Champva | $3,892.19 | — | — | 2026-05-09 | MRF ↗ |
| LONGVIEW REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $3,892.99 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Node Tricare | Node Tricare | $3,906.27 | — | — | 2026-07-15 | MRF ↗ |
| SANTA ROSA MEDICAL CENTER InpatientFacility | — | — | — | — | — | 2026-04-01 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,918.92 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Node Tricare | Node Tricare | $3,918.92 | — | — | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Node Tricare | Node Tricare | $3,918.92 | — | — | 2026-07-17 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $3,918.92 | — | — | 2026-07-15 | MRF ↗ |
| GRANDVIEW MEDICAL CENTER Inpatient | Node Champva | Node Champva | $3,923.26 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Node Tricare | Node Tricare | $3,928.72 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH-LA PORTE Inpatient | Node Champva | Node Champva | $3,934.08 | — | — | 2026-05-09 | MRF ↗ |
| GADSDEN REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $3,934.08 | — | — | 2026-07-15 | MRF ↗ |
| WOODLAND HEIGHTS MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $3,935.00 | — | — | 2026-07-15 | MRF ↗ |
| FLOWERS HOSPITAL Inpatient | Node Champva | Node Champva | $3,937.81 | — | — | 2026-07-15 | MRF ↗ |
| DUPONT HOSPITAL LLC Inpatient | Department Of Veterans Affairs | Node Champva | $4,043.57 | — | — | 2026-07-15 | MRF ↗ |
| NORTH OKALOOSA MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,050.17 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Node Tricare | Node Tricare | $4,055.49 | — | — | 2026-05-27 | MRF ↗ |
| CONCORD HOSPITAL Inpatient | Tricare | Tricare | $4,072.89 | — | — | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,107.99 | — | — | 2026-07-15 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | Tricare | Tricare | $4,120.89 | — | — | 2026-07-15 | MRF ↗ |
| LUTHERAN HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $4,134.71 | — | — | 2026-07-17 | MRF ↗ |
| ALLIANCEHEALTH DURANT Inpatient | Department Of Veterans Affairs | Node Champva | $4,170.73 | — | — | 2026-07-15 | MRF ↗ |
| LAKE GRANBURY MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,182.07 | — | — | 2026-07-15 | MRF ↗ |
| EASTERN NEW MEXICO MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,218.83 | — | — | 2026-07-15 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $4,269.66 | — | — | 2026-07-15 | MRF ↗ |
| KAWEAH HEALTH MEDICAL CENTER Inpatient | Tricare | Tricare | $4,285.14 | — | — | 2026-07-20 | MRF ↗ |
| MOUNTAIN VIEW REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $4,305.63 | — | — | 2026-07-15 | MRF ↗ |
| KOSCIUSKO COMMUNITY HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $4,322.84 | — | — | 2026-07-15 | MRF ↗ |
| TEXAS ORTHOPEDIC HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $4,348.31 | — | — | 2026-07-17 | MRF ↗ |
| BALDWIN HEALTH Inpatient | Node Champva | Node Champva | $4,365.49 | — | — | 2026-07-15 | MRF ↗ |
| WESTERN ARIZONA REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,389.19 | — | — | 2026-07-15 | MRF ↗ |
| Northwest Medical Center Houghton Inpatient | Node Champva | Node Champva | $4,400.16 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER SAHUARITA Inpatient | Department Of Veterans Affairs | Node Champva | $4,400.16 | — | — | 2026-07-15 | MRF ↗ |
| NEWPORT HOSPITAL Inpatient | Node Champva | Node Champva | $4,402.52 | — | — | 2026-07-17 | MRF ↗ |
| MERIT HEALTH WESLEY Inpatient | Node Champva | Node Champva | $4,517.63 | — | — | 2026-07-15 | MRF ↗ |
| LAREDO MEDICAL CENTER Inpatient | Node Champva | Node Champva | $4,518.79 | — | — | 2026-07-15 | MRF ↗ |
| ST JOSEPH HEALTH SYSTEM, LLC Inpatient | Department Of Veterans Affairs | Node Champva | $4,627.25 | — | — | 2026-07-15 | MRF ↗ |
| NORTHWEST MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $4,632.35 | — | — | 2026-07-15 | MRF ↗ |
| ORO VALLEY HOSPITAL Inpatient | Department Of Veterans Affairs | Node Champva | $4,742.52 | — | — | 2026-07-17 | MRF ↗ |
| NORTHWEST HEALTH - STARKE Inpatient | Node Champva | Node Champva | $4,781.21 | — | — | 2026-05-27 | MRF ↗ |
| ALHAMBRA HOSPITAL MEDICAL CENTER Inpatient | Tricare | Tricare | $4,800.23 | — | — | 2026-07-15 | MRF ↗ |
| ELLIS HOSPITAL Inpatient | Tricare | Tricare | $5,008.96 | — | — | 2026-07-20 | MRF ↗ |
| BLUFFTON REGIONAL MEDICAL CENTER Inpatient | Department Of Veterans Affairs | Node Champva | $5,033.71 | — | — | 2026-07-15 | MRF ↗ |
| AHMC SETON MEDICAL CENTER Inpatient | Tricare West | Tricare West | $5,306.42 | — | — | 2026-07-15 | MRF ↗ |
| Westchester Medical Center T C Inpatient | Tricare | Tricare | $5,440.73 | — | — | 2026-10-16 | MRF ↗ |
| Seton Medical Center Inpatient | Tricare West | Tricare West | $5,441.11 | — | — | 2026-07-17 | MRF ↗ |
| CHILDRENS HOSPITAL OF THE KINGS DAUGHTERS INC Inpatient | Johns Hopkins Healthcare | All Products | $5,717.77 | — | — | 2026-07-18 | MRF ↗ |
| CHILDREN'S HOSP OF LOS ANGELES Inpatient | Champus | Champus Tricare | $8,199.38 | — | — | 2026-07-18 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL InpatientFacility | Amerigroup GA | PeachCare for Kids | $17,085.53 | — | — | 2026-01-25 | MRF ↗ |
| ERLANGER BLEDSOE HOSPITAL InpatientFacility | Amerigroup GA | Medicaid | $17,085.53 | — | — | 2026-01-25 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $24,913.60 | — | — | 2026-05-06 | MRF ↗ |
| EAST GEORGIA REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $24,913.60 | — | — | 2026-05-06 | MRF ↗ |
| NORTHEAST REGIONAL MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $25,235.07 | — | — | 2026-07-15 | MRF ↗ |
| NORTHEAST REGIONAL MEDICAL CENTER Inpatient | Node Champva | Node Champva | $25,235.07 | — | — | 2026-07-15 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Node Champva | Node Champva | $27,967.53 | — | — | 2026-07-15 | MRF ↗ |
| LAFOLLETTE MEDICAL CENTER Inpatient | Node Tricare | Node Tricare | $27,967.53 | — | — | 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.