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 609-3 — Neonate Birth Weight 1500-2499 Grams With Major Procedure

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 $94,017

Usually $51,934–$202,728 (25th–75th percentile) across 9 hospitals · 24 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER APR-DRG 609-3 — 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
PRISMA HEALTH TUOMEY HOSPITAL Cigna Hmo Ppo $2,646.00 $269,569.61 $175,220.25 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Tricare Humana Military $9,248.48 $269,569.61 $175,220.25 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Medicaid $51,934.11 $161,539.05 $51,934.11 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Metroplus Medicaid $51,934.11 $161,539.05 $51,934.11 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER United Healthcare Medicaid $51,934.11 $161,539.05 $51,934.11 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Amerigroup Medicaid $51,934.11 $161,539.05 $51,934.11 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Affinity Medicaid $51,934.11 $161,539.05 $51,934.11 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Healthfirst Medicaid $51,934.11 $161,539.05 $51,934.11 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Hip Medicaid $51,934.11 $161,539.05 $51,934.11 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Behavioral Health $51,934.11 $161,539.05 $51,934.11 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER United Healthcare Community Plan $58,166.20 $161,539.05 $51,934.11 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Essential Plan $62,320.93 $161,539.05 $51,934.11 2026-05-28 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Molina Medicaid $70,929.06 $269,569.61 $188,698.73 2026-06-20 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Aetna Medicaid $70,929.06 $269,569.61 $188,698.73 2026-06-20 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Health Benefit Exchange $90,884.69 $161,539.05 $51,934.11 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Pathways Exchange $94,016.59 $161,539.05 $51,934.11 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Hmo $146,200.95 $161,539.05 $51,934.11 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Ppo $150,155.67 $161,539.05 $51,934.11 2026-05-28 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Medicaid $153,144.70 $269,569.61 $188,698.73 2026-06-20 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Parkland Medicaid Star $165,396.28 $269,569.61 $188,698.73 2026-06-20 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Cigna Healthspring Medicaid $168,459.17 $269,569.61 $188,698.73 2026-06-20 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL United Healthcare $170,098.42 $269,570.00 $175,220.00 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Ipn $184,408.09 $161,539.05 $51,934.11 2026-05-28 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL First Health-Aetna Rental Network $221,047.08 $269,569.61 $175,220.25 2026-05-28 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Aetna $221,047.08 $269,569.61 $175,220.25 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Humana Choicecare Ppo $229,134.17 $269,569.61 $175,220.25 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach Humana Choicecare Ppo $229,134.17 $269,569.61 $175,220.00 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Humana Choicecare Ppo $229,134.17 $269,569.61 $175,220.25 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Humana Choicecare Ppo $229,134.17 $269,569.61 $175,220.25 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Humana Choicecare Ppo $229,134.17 $269,569.61 $175,220.25 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Medicaid Other $269,569.61 $269,569.61 $175,220.25 2026-05-28 MRF ↗