603 - 4 — Neonate Birth Weight 1000-1249 Grams With Or Without Significant Condition
Cite this view
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION (OTHER 603 - 4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/603 - 4?code_type=OTHER
“NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION (OTHER 603 - 4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/603 - 4?code_type=OTHER. Accessed .
“NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION (OTHER 603 - 4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/603 - 4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $20,704–$91,993 (25th–75th percentile) across 7 hospitals · 18 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 603 - 4 — 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 |
|---|---|---|---|---|---|---|---|
| SHARP MEMORIAL HOSPITAL Inpatient | Kaiser | Kaiser - Rehab | $725.00 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Prison Health Services | Prison Health Services | $8,363.16 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Medicaid | Medicaid | $8,363.16 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $8,400.00 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $8,614.05 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | Health Partners | Health Partners - Managed Medicaid | $9,199.48 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $9,826.71 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER MEDICAL CENTER Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $10,035.79 | — | — | 2025-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | UPMC Health Plan | UPMC Health Plan - Commercial | $12,413.27 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Cigna | Cigna | $16,340.00 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Blue Cross Blue Shield | Highmark BC/BS - Special Care | $17,050.42 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Blue Cross Blue Shield | Highmark BC/BS | $24,357.74 | — | — | 2026-07-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | ODRC | ODRC | $46,685.88 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Medicaid | Medicaid | $56,974.08 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Molina | Molina - Medicaid | $59,820.29 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health | $59,820.29 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Aetna | Aetna Better Health - OhioRISE | $59,822.81 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | United | United Healthcare - Medicaid | $62,668.88 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Humana | Humana Medicaid | $62,671.53 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Amerihealth | Amerihealth | $64,380.75 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | CareSource | CareSource - Medicaid | $65,517.46 | — | — | 2026-04-01 | MRF ↗ |
| Ohio State University Hospitals Inpatient | Buckeye Community | Buckeyes Community - Medicaid | $65,517.46 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Medicaid | Medicaid | $78,283.96 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $82,198.11 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $82,198.11 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | Jefferson Health Plan | Jefferson Health Plan - Managed Medicaid | $86,112.37 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $91,983.65 | — | — | 2026-07-01 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Molina Healthcare Medicaid | All Plans | $91,993.26 | — | — | 2026-07-15 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Medicaid | All Plans | $91,993.26 | — | — | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Uhc Medicaid | All Plans | $91,993.26 | — | — | 2026-07-18 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Molina Healthcare Medicaid | All Plans | $91,993.26 | — | — | 2026-07-18 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Uhc Medicaid | All Plans | $91,993.26 | — | — | 2026-07-15 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Medicaid | All Plans | $91,993.26 | — | — | 2026-07-15 | MRF ↗ |
| GEISINGER-LEWISTOWN HOSPITAL Inpatient | United Healthcare | United Healthcare - Managed Medicaid | $93,940.76 | — | — | 2026-07-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Medicaid | Medicaid | $153,032.09 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Prison Health Services | Prison Health Services | $153,032.09 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Geisinger Family Plan | Geisinger Family Plan - Managed Medicaid | $157,623.05 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | Health Partners | Health Partners - Managed Medicaid | $168,335.24 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | AmeriHealth | AmeriHealth Cartias - Managed Medicaid | $170,660.28 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC For You | UPMC For You - Managed Medicaid | $179,812.75 | — | — | 2026-04-01 | MRF ↗ |
| GEISINGER SOUTH WILKES-BARRE Inpatient | UPMC CHIP | UPMC CHIP - Managed Medicaid | $183,638.59 | — | — | 2026-04-01 | MRF ↗ |
| BRYAN MEDICAL CENTER Inpatient | Bcbs Managed Care | All Plans | $324,016.41 | — | — | 2026-07-18 | MRF ↗ |
| GRAND ISLAND REGIONAL MEDICAL CENTER Inpatient | Bcbs Managed Care | All Plans | $324,016.41 | — | — | 2026-07-15 | MRF ↗ |