612 SOI 3 — Neonate Birth Weight 1500-1999 Grams With Respiratory Distress Syndrome Or Other Maj
Cite this view
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ (APR_DRG 612 SOI 3) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/612 SOI 3?code_type=APR_DRG
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ (APR_DRG 612 SOI 3) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/612 SOI 3?code_type=APR_DRG. Accessed .
“NEONATE BIRTH WEIGHT 1500-1999 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJ (APR_DRG 612 SOI 3) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/612 SOI 3?code_type=APR_DRG.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $39,414–$47,691 (25th–75th percentile) across 2 hospitals · 7 payers.
“Negotiated” is the hospital’s negotiated facility rate for this APR_DRG 612 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 | $39,413.90 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $39,413.90 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $39,413.90 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $39,413.90 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $39,413.90 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $39,413.90 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $39,413.90 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $39,413.90 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $42,285.48 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $42,285.48 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $43,542.97 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $43,542.97 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $47,690.80 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $47,690.80 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $47,690.80 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $47,690.80 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $51,165.41 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $52,686.98 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $90,088.91 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN EPHRATA COMMUNITY HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $90,088.91 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $109,007.54 | — | — | 2026-01-01 | MRF ↗ |