APR-DRG 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 APR-DRG 603-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/APR-DRG 603-4?code_type=OTHER
“NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION (OTHER APR-DRG 603-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/APR-DRG 603-4?code_type=OTHER. Accessed .
“NEONATE BIRTH WEIGHT 1000-1249 GRAMS WITH OR WITHOUT SIGNIFICANT CONDITION (OTHER APR-DRG 603-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/APR-DRG 603-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $146,604–$235,618 (25th–75th percentile) across 11 hospitals · 22 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER APR-DRG 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 |
|---|---|---|---|---|---|---|---|
| PRISMA HEALTH TUOMEY HOSPITAL | Cigna Hmo Ppo | — | $2,646.00 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $14,952.51 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | United Healthcare | — | $14,952.51 | $693,353.30 | $450,680.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | United Healthcare | — | $14,952.51 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | United Healthcare | — | $14,952.51 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | United Healthcare | — | $14,952.51 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | United Healthcare Options Ppo | — | $29,888.81 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | United Healthcare Options Ppo | — | $29,888.81 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | United Healthcare Medicare | — | $70,418.70 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health First Choice Vip | — | $74,693.04 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $106,523.79 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Medicare | — | $113,013.96 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Medicare Advantage Non Contracted | — | $113,952.88 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Bcbs Medicare Advantage | — | $116,204.96 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $117,314.84 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare | — | $146,603.75 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $147,654.57 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $149,105.44 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $150,581.74 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare Medicare | — | $150,581.74 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $152,041.32 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $154,965.20 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Wellcare Medicare | — | $155,010.61 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare | — | $155,358.08 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | First Health-Wc | — | $156,343.35 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $156,849.01 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $158,126.86 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $158,417.50 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $159,970.42 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Dual Options | — | $163,018.97 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Wellcare Medicare | — | $164,675.43 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | First Health-Wc | — | $175,016.80 | $693,353.30 | $450,680.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Gold Plus Medicare Advantage Hmo | — | $176,818.24 | $693,353.30 | $450,680.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare | — | $176,818.24 | $693,353.30 | $450,680.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bcbs Medicare Advantage | — | $178,588.57 | $693,353.30 | $450,680.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare Prime Hmo | — | $178,588.57 | $693,353.30 | $450,680.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Wellcare Medicare | — | $178,588.57 | $693,353.30 | $450,680.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare | — | $186,264.40 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicare | — | $189,461.79 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $190,308.83 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health First Choice Vip | — | $197,437.23 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Wellcare Medicare | — | $197,533.35 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | First Health-Wc | — | $202,582.07 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare | — | $213,514.71 | $693,353.00 | $450,680.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | First Health-Wc | — | $215,196.85 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Molina Medicaid | — | $235,617.59 | $693,353.30 | $485,347.31 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Aetna Medicaid | — | $235,617.59 | $693,353.30 | $485,347.31 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Medicaid | — | $388,299.09 | $693,353.30 | $485,347.31 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Ambetter-Atc Exchange | — | $391,731.19 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Parkland Medicaid Star | — | $419,363.02 | $693,353.30 | $485,347.31 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Cigna Healthspring Medicaid | — | $427,129.00 | $693,353.30 | $485,347.31 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Ambetter-Atc Exchange | — | $436,713.53 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | United Healthcare | — | $437,505.93 | $693,353.00 | $450,680.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | First Health-Aetna Rental Network | — | $568,549.71 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna | — | $568,549.71 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Choicecare Ppo | — | $589,350.31 | $693,353.30 | $450,680.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $589,350.31 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Choicecare Ppo | — | $589,350.31 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $589,350.31 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Choicecare Ppo | — | $589,350.31 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $693,353.30 | $693,353.30 | $450,679.65 | 2026-05-28 | MRF ↗ |