609 SOI-4 — Neonate Birth Weight 1500-2499 Grams With Major Procedure
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE (OTHER 609 SOI-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/609 SOI-4?code_type=OTHER
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE (OTHER 609 SOI-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/609 SOI-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE (OTHER 609 SOI-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/609 SOI-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $332,160–$353,672 (25th–75th percentile) across 5 hospitals · 7 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER 609 SOI-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 |
|---|---|---|---|---|---|---|---|
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $316,891.03 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $316,891.03 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $316,891.03 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $316,891.03 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Humana | Medicaid Advantage | $321,464.24 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Anthem | Medicaid Advantage | $321,464.24 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $323,228.85 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $323,228.85 | — | — | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Anthem | Medicaid Advantage | $323,977.49 | — | — | 2026-05-09 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Anthem | Medicaid Advantage | $324,377.11 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Anthem | Medicaid Advantage | $324,377.11 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Humana | Medicaid Advantage | $324,377.11 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Humana | Medicaid Advantage | $324,377.11 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $325,646.69 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Anthem | Medicaid Advantage | $325,646.69 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $326,397.76 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $326,397.76 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | United | Medicaid Advantage | $327,893.52 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Anthem | Medicaid Advantage | $328,529.87 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Anthem | Medicaid Advantage | $328,529.87 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | United | Medicaid Advantage | $330,457.04 | — | — | 2026-05-09 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | United | Medicaid Advantage | $330,864.65 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | United | Medicaid Advantage | $330,864.65 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $331,108.16 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $332,159.63 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | United | Medicaid Advantage | $332,159.63 | — | — | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $333,696.81 | — | — | 2026-05-09 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $334,108.42 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $334,108.42 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $334,572.15 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $334,572.15 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $334,572.15 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $334,572.15 | — | — | 2026-05-13 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | United | Medicaid Advantage | $335,100.46 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | United | Medicaid Advantage | $335,100.46 | — | — | 2026-05-14 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Anthem | Medicaid Advantage | $335,206.69 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $335,416.10 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $335,416.10 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Humana | Medicaid Advantage | $336,936.59 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $338,385.76 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $338,385.76 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $338,672.56 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Humana | Medicaid Advantage | $338,672.56 | — | — | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Aetna | Medicaid Advantage | $340,176.36 | — | — | 2026-05-09 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $341,263.59 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $341,263.59 | — | — | 2026-05-13 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Humana | Medicaid Advantage | $341,671.06 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Humana | Medicaid Advantage | $341,671.06 | — | — | 2026-05-14 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | United | Medicaid Advantage | $341,910.82 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $341,929.03 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $341,929.03 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $343,370.62 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Anthem | Medicaid Advantage | $343,370.62 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $344,609.31 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $344,609.31 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Aetna | Medicaid Advantage | $344,956.36 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Aetna | Medicaid Advantage | $344,956.36 | — | — | 2026-05-22 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $345,262.89 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $348,580.14 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $348,580.14 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $348,580.14 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $348,580.14 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Aetna | Medicaid Advantage | $348,580.14 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $348,580.14 | — | — | 2026-05-14 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Humana | Medicaid Advantage | $348,614.95 | — | — | 2026-05-09 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $350,238.03 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | United | Medicaid Advantage | $350,238.03 | — | — | 2026-05-14 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Aetna | Medicaid Advantage | $351,967.02 | — | — | 2026-05-09 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $353,610.66 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Aetna | Medicaid Advantage | $353,610.66 | — | — | 2026-05-06 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $353,610.66 | — | — | 2026-05-06 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $353,671.73 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Sentara Health | Medicaid Advantage | $353,671.73 | — | — | 2026-05-14 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $356,375.24 | — | — | 2026-05-09 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Aetna | Medicaid Advantage | $356,814.82 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $356,814.82 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $356,814.82 | — | — | 2026-05-13 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Aetna | Medicaid Advantage | $356,814.82 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $356,814.82 | — | — | 2026-05-22 | MRF ↗ |
| INOVA ALEXANDRIA HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $356,814.82 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $357,105.44 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Humana | Medicaid Advantage | $357,105.44 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $358,211.36 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIR OAKS HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $358,211.36 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $360,539.15 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $360,539.15 | — | — | 2026-05-22 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $361,382.85 | — | — | 2026-05-14 | MRF ↗ |
| INOVA FAIRFAX HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $361,382.85 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $368,029.36 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $368,029.36 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Aetna | Medicaid Advantage | $368,029.36 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $368,029.36 | — | — | 2026-05-22 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $368,029.36 | — | — | 2026-05-13 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Magellan Healthcare | Medicaid Advantage | $368,029.36 | — | — | 2026-05-22 | MRF ↗ |
| INOVA MOUNT VERNON HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $368,727.35 | — | — | 2026-05-09 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $377,707.68 | — | — | 2026-05-14 | MRF ↗ |
| INOVA LOUDOUN HOSPITAL Inpatient | Kaiser | Medicaid Advantage | $377,707.68 | — | — | 2026-05-22 | MRF ↗ |