Price Transparency Hospital negotiated rates

Hospital facility prices. What the hospital charges for the facility side of care — the surgeon’s and anesthesiologist’s fees are billed separately and are not included. How we scope prices →

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602 SOI 3 — Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Maj

Per-row negotiated rates, exactly as filed by each hospital. Aggregated views below summarize across hospitals; the bottom table shows the underlying rows.

Typical negotiated price $86,204

Usually $78,029–$94,416 (25th–75th percentile) across 2 hospitals · 7 payers.

“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 602 SOI 3 — 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
WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient Health_Partners_Medicaid All_Other_Plans $78,029.37 2026-01-01 MRF ↗
WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient Highmark_Wholecare_Gateway_Medicaid All_Plans $78,029.37 2026-01-01 MRF ↗
WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient Geisinger_Medicaid All_Plans $78,029.37 2026-01-01 MRF ↗
WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient Health_Partners_Medicaid All_Other_Plans $78,029.37 2026-01-01 MRF ↗
WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient PA_Health_&_Wellness_Medicaid All_Plans $78,029.37 2026-01-01 MRF ↗
WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient PA_Health_&_Wellness_Medicaid All_Plans $78,029.37 2026-01-01 MRF ↗
WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient Geisinger_Medicaid All_Plans $78,029.37 2026-01-01 MRF ↗
WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient Highmark_Wholecare_Gateway_Medicaid All_Plans $78,029.37 2026-01-01 MRF ↗
WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient UPMC_Medicaid All_Plans $83,714.36 2026-01-01 MRF ↗
WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient UPMC_Medicaid All_Plans $83,714.36 2026-01-01 MRF ↗
WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient Amerihealth_Caritas_Medicaid All_Plans $86,203.87 2026-01-01 MRF ↗
WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient Amerihealth_Caritas_Medicaid All_Plans $86,203.87 2026-01-01 MRF ↗
WELLSPAN YORK HOSPITAL Inpatient PA_Health_&_Wellness_Medicaid All_Plans $94,415.50 2026-01-01 MRF ↗
WELLSPAN YORK HOSPITAL Inpatient Health_Partners_Medicaid All_Other_Plans $94,415.50 2026-01-01 MRF ↗
WELLSPAN YORK HOSPITAL Inpatient Geisinger_Medicaid All_Plans $94,415.50 2026-01-01 MRF ↗
WELLSPAN YORK HOSPITAL Inpatient Highmark_Wholecare_Gateway_Medicaid All_Plans $94,415.50 2026-01-01 MRF ↗
WELLSPAN YORK HOSPITAL Inpatient UPMC_Medicaid All_Plans $101,294.34 2026-01-01 MRF ↗
WELLSPAN YORK HOSPITAL Inpatient Amerihealth_Caritas_Medicaid All_Plans $104,306.65 2026-01-01 MRF ↗
WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient Aetna_Better_Health_Kids All_Plans $178,352.84 2026-01-01 MRF ↗
WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient Aetna_Better_Health_Kids All_Plans $178,352.84 2026-01-01 MRF ↗
WELLSPAN YORK HOSPITAL Inpatient Aetna_Better_Health_Kids All_Plans $215,806.86 2026-01-01 MRF ↗