APR-DRG 602-4 — Neonate Birth Weight 1000-1249 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition Or Major Anomaly
Cite this view
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY (OTHER APR-DRG 602-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/APR-DRG 602-4?code_type=OTHER
“NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY (OTHER APR-DRG 602-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/APR-DRG 602-4?code_type=OTHER. Accessed .
“NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION OR MAJOR ANOMALY (OTHER APR-DRG 602-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/APR-DRG 602-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
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 ↗ |