602 SOI-3 — Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major An
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APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR AN (OTHER 602 SOI-3) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/602 SOI-3?code_type=OTHER
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR AN (OTHER 602 SOI-3) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/602 SOI-3?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR AN (OTHER 602 SOI-3) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/602 SOI-3?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $156,372–$166,500 (25th–75th percentile) across 5 hospitals · 7 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 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 |
|---|---|---|---|---|---|---|---|
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $149,184.12 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $149,184.12 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $149,184.12 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $149,184.12 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Humana | Medicaid Advantage | $151,337.07 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Anthem | Medicaid Advantage | $151,337.07 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $152,167.80 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $152,167.80 | — | — | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Anthem | Medicaid Advantage | $152,520.24 | — | — | 2026-05-09 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Anthem | Medicaid Advantage | $152,708.37 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Anthem | Medicaid Advantage | $152,708.37 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Humana | Medicaid Advantage | $152,708.37 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Humana | Medicaid Advantage | $152,708.37 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $153,306.06 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $153,306.06 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $153,659.64 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $153,659.64 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | United | Medicaid Advantage | $154,363.81 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Anthem | Medicaid Advantage | $154,663.38 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Anthem | Medicaid Advantage | $154,663.38 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | United | Medicaid Advantage | $155,570.65 | — | — | 2026-05-09 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | United | Medicaid Advantage | $155,762.54 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | United | Medicaid Advantage | $155,762.54 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $155,877.18 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $156,372.18 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $156,372.18 | — | — | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $157,095.85 | — | — | 2026-05-09 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $157,289.62 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $157,289.62 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $157,507.93 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $157,507.93 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $157,507.93 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $157,507.93 | — | — | 2026-05-13 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | United | Medicaid Advantage | $157,756.65 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | United | Medicaid Advantage | $157,756.65 | — | — | 2026-05-14 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Anthem | Medicaid Advantage | $157,806.66 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $157,905.24 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $157,905.24 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Humana | Medicaid Advantage | $158,621.05 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $159,303.28 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $159,303.28 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $159,438.30 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $159,438.30 | — | — | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Aetna | Medicaid Advantage | $160,146.25 | — | — | 2026-05-09 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $160,658.09 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $160,658.09 | — | — | 2026-05-13 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Humana | Medicaid Advantage | $160,849.92 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Humana | Medicaid Advantage | $160,849.92 | — | — | 2026-05-14 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | United | Medicaid Advantage | $160,962.79 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $160,971.36 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $160,971.36 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $161,650.02 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $161,650.02 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $162,233.17 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $162,233.17 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Aetna | Medicaid Advantage | $162,396.55 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Aetna | Medicaid Advantage | $162,396.55 | — | — | 2026-05-22 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $162,540.86 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $164,102.53 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $164,102.53 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $164,102.53 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $164,102.53 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $164,102.53 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $164,102.53 | — | — | 2026-05-14 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Humana | Medicaid Advantage | $164,118.92 | — | — | 2026-05-09 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $164,883.02 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $164,883.02 | — | — | 2026-05-14 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Aetna | Medicaid Advantage | $165,696.99 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $166,470.77 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Aetna | Medicaid Advantage | $166,470.77 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $166,470.77 | — | — | 2026-05-06 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $166,499.52 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $166,499.52 | — | — | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $167,772.27 | — | — | 2026-05-09 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Aetna | Medicaid Advantage | $167,979.21 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $167,979.21 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $167,979.21 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Aetna | Medicaid Advantage | $167,979.21 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $167,979.21 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $167,979.21 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $168,116.03 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $168,116.03 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $168,636.67 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $168,636.67 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $169,732.53 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $169,732.53 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $170,129.72 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $170,129.72 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $173,258.73 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $173,258.73 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $173,258.73 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $173,258.73 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $173,258.73 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $173,258.73 | — | — | 2026-05-22 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $173,587.32 | — | — | 2026-05-09 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $177,815.03 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $177,815.03 | — | — | 2026-05-22 | MRF ↗ |