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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APR-DRG 602-4 — Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly

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

Typical negotiated price $202,570

Usually $125,152–$282,409 (25th–75th percentile) across 12 hospitals · 35 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER APR-DRG 602-4 — 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
PRISMA HEALTH TUOMEY HOSPITAL Cigna Hmo Ppo $2,646.00 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL United Healthcare $25,399.65 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL United Healthcare $25,399.65 $861,472.00 $559,956.80 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach United Healthcare $25,399.65 $861,472.00 $559,957.00 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL United Healthcare $25,399.65 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL United Healthcare $25,399.65 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL United Healthcare Options Ppo $50,771.75 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE United Healthcare Options Ppo $50,771.75 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL United Healthcare Medicare $93,435.87 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Select Health First Choice Vip $99,387.45 $861,472.00 $559,956.80 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Affinity Medicaid $106,060.91 $574,999.77 $106,060.91 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Hip Medicaid $106,060.91 $574,999.77 $106,060.91 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER United Healthcare Medicaid $106,060.91 $574,999.77 $106,060.91 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Behavioral Health $106,060.91 $574,999.77 $106,060.91 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Healthfirst Medicaid $106,060.91 $574,999.77 $106,060.91 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Medicaid $106,060.91 $574,999.77 $106,060.91 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Amerigroup Medicaid $106,060.91 $574,999.77 $106,060.91 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Metroplus Medicaid $106,060.91 $574,999.77 $106,060.91 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER United Healthcare Community Plan $118,788.22 $574,999.77 $106,060.91 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Essential Plan $127,273.09 $574,999.77 $106,060.91 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Tricare Humana Military $145,113.76 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Medicare $146,382.60 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Medicare Advantage Non Contracted $147,527.97 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Bcbs Medicare Advantage $150,432.70 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Humana Gold Plus Medicare Advantage Hmo $151,864.72 $861,472.00 $559,956.80 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Health Benefit Exchange $185,606.59 $574,999.77 $106,060.91 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Medicare $188,016.95 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Medicare Advantage Non Contracted $189,196.61 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Aetna Medicare Prime Hmo $191,044.97 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL United Healthcare Medicare $192,936.50 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Bcbs Medicare Advantage $192,936.50 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Humana Gold Plus Medicare Advantage Hmo $194,813.00 $861,472.00 $559,956.80 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Pathways Exchange $195,202.77 $574,999.77 $106,060.91 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Select Health First Choice Vip $198,559.42 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Wellcare Medicare $198,611.09 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Medicare $198,838.71 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Medicare Advantage Non Contracted $200,725.07 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL First Health-Wc $202,408.37 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Aetna Medicare Prime Hmo $202,732.33 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Humana Gold Plus Medicare Advantage Hmo $203,186.69 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Bcbs Medicare Advantage $204,713.10 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Molina Dual Options $208,802.57 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Wellcare Medicare $210,734.09 $861,472.00 $559,956.80 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach First Health-Wc $223,710.69 $861,472.00 $559,957.00 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach Humana Gold Plus Medicare Advantage Hmo $226,009.01 $861,472.00 $559,957.00 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach Medicare $226,009.01 $861,472.00 $559,957.00 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach Wellcare Medicare $228,276.21 $861,472.00 $559,957.00 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach Aetna Medicare Prime Hmo $228,276.21 $861,472.00 $559,957.00 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach Bcbs Medicare Advantage $228,276.21 $861,472.00 $559,957.00 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Medicare $237,293.91 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Medicare $241,121.32 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Humana Choicecare Medicare Advantage Pffs $242,779.45 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Select Health First Choice Vip $251,526.40 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Wellcare Medicare $251,653.24 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL First Health-Wc $259,577.75 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL Medicare $271,904.78 $861,472.00 $559,957.00 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL First Health-Wc $275,394.80 $861,472.00 $559,956.80 2026-05-28 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Aetna Medicaid $303,451.85 $861,472.00 $603,030.40 2026-06-20 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Molina Medicaid $303,451.85 $861,472.00 $603,030.40 2026-06-20 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Hmo $303,551.00 $574,999.77 $106,060.91 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Ppo $311,762.03 $574,999.77 $106,060.91 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Ipn $382,878.91 $574,999.77 $106,060.91 2026-05-28 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Medicaid $477,547.08 $861,472.00 $603,030.40 2026-06-20 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Ambetter-Atc Exchange $501,637.88 $861,472.00 $559,956.80 2026-05-28 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Parkland Medicaid Star $515,750.85 $861,472.00 $603,030.40 2026-06-20 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Cigna Healthspring Medicaid $525,301.79 $861,472.00 $603,030.40 2026-06-20 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL United Healthcare $543,588.83 $861,472.00 $559,957.00 2026-05-28 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Ambetter-Atc Exchange $557,492.43 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL First Health-Aetna Rental Network $706,407.04 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Aetna $706,407.04 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Humana Choicecare Ppo $732,251.20 $861,472.00 $559,956.80 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach Humana Choicecare Ppo $732,251.20 $861,472.00 $559,957.00 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Humana Choicecare Ppo $732,251.20 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Humana Choicecare Ppo $732,251.20 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Humana Choicecare Ppo $732,251.20 $861,472.00 $559,956.80 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Medicaid Other $861,472.00 $861,472.00 $559,956.80 2026-05-28 MRF ↗