APR-DRG 609-4 — Neonate Birth Weight 1500-2499 Grams With Major Procedure
Cite this view
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE (OTHER APR-DRG 609-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/APR-DRG 609-4?code_type=OTHER
“NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE (OTHER APR-DRG 609-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/APR-DRG 609-4?code_type=OTHER. Accessed .
“NEONATE BIRTH WEIGHT 1500-2499 GRAMS WITH MAJOR PROCEDURE (OTHER APR-DRG 609-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/APR-DRG 609-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $111,879–$998,111 (25th–75th percentile) across 9 hospitals · 24 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER APR-DRG 609-4 — 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 | $1,232,236.05 | $800,953.43 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Amerigroup Medicaid | — | $111,879.27 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Healthfirst Medicaid | — | $111,879.27 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Medicaid | — | $111,879.27 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | United Healthcare Medicaid | — | $111,879.27 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Affinity Medicaid | — | $111,879.27 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Metroplus Medicaid | — | $111,879.27 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Hip Medicaid | — | $111,879.27 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Behavioral Health | — | $111,879.27 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | United Healthcare Community Plan | — | $125,304.78 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Essential Plan | — | $134,255.13 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Health Benefit Exchange | — | $195,788.73 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Empire Pathways Exchange | — | $206,079.78 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Empire Hmo | — | $320,465.35 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Empire Ppo | — | $329,133.91 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Empire Ipn | — | $404,213.54 | $675,274.03 | $111,879.27 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Molina Medicaid | — | $437,849.37 | $1,232,236.05 | $862,565.24 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Aetna Medicaid | — | $437,849.37 | $1,232,236.05 | $862,565.24 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Medicaid | — | $688,962.75 | $1,232,236.05 | $862,565.24 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Parkland Medicaid Star | — | $744,079.77 | $1,232,236.05 | $862,565.24 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Cigna Healthspring Medicaid | — | $757,859.03 | $1,232,236.05 | $862,565.24 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | United Healthcare | — | $777,540.95 | $1,232,236.00 | $800,953.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $985,788.84 | $1,232,236.05 | $800,953.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | First Health-Aetna Rental Network | — | $1,010,433.56 | $1,232,236.05 | $800,953.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna | — | $1,010,433.56 | $1,232,236.05 | $800,953.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $1,047,400.64 | $1,232,236.05 | $800,953.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Choicecare Ppo | — | $1,047,400.64 | $1,232,236.05 | $800,953.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Choicecare Ppo | — | $1,047,400.64 | $1,232,236.05 | $800,953.43 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $1,047,400.64 | $1,232,236.05 | $800,953.43 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Choicecare Ppo | — | $1,047,400.64 | $1,232,236.05 | $800,953.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $1,232,236.05 | $1,232,236.05 | $800,953.43 | 2026-05-28 | MRF ↗ |