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 612-1 — Neonate Bwt 1500-1999g W Resp Dist Synd/oth Maj Resp Cond

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 $58,020

Usually $25,937–$205,224 (25th–75th percentile) across 10 hospitals · 24 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER APR-DRG 612-1 — 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 $335,158.00 $217,852.70 2026-05-28 MRF ↗
MCLAREN MACOMB Medicaid - Hmo $5,191.91 $64,225.91 $32,112.96 2026-05-06 MRF ↗
MCLAREN MACOMB Medicaid - Molina $5,295.75 $64,225.91 $32,112.96 2026-05-06 MRF ↗
MCLAREN MACOMB Medicaid United Healthcare Community $5,413.75 $64,225.91 $32,112.96 2026-05-06 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Tricare Humana Military $24,303.64 $335,158.00 $217,852.70 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Medicaid $25,936.53 $51,104.62 $25,936.53 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER United Healthcare Medicaid $25,936.53 $51,104.62 $25,936.53 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Amerigroup Medicaid $25,936.53 $51,104.62 $25,936.53 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Affinity Medicaid $25,936.53 $51,104.62 $25,936.53 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Healthfirst Medicaid $25,936.53 $51,104.62 $25,936.53 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Metroplus Medicaid $25,936.53 $51,104.62 $25,936.53 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Behavioral Health $25,936.53 $51,104.62 $25,936.53 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Hip Medicaid $25,936.53 $51,104.62 $25,936.53 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER United Healthcare Community Plan $29,048.91 $51,104.62 $25,936.53 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Essential Plan $31,123.84 $51,104.62 $25,936.53 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Health Benefit Exchange $45,388.93 $51,104.62 $25,936.53 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Pathways Exchange $45,415.99 $51,104.62 $25,936.53 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Hmo $70,624.35 $51,104.62 $25,936.53 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Ppo $72,534.73 $51,104.62 $25,936.53 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Ipn $89,080.82 $51,104.62 $25,936.53 2026-05-28 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Aetna Medicaid $95,928.07 $335,158.00 $234,610.60 2026-06-20 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Molina Medicaid $95,928.07 $335,158.00 $234,610.60 2026-06-20 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Medicaid $169,492.97 $335,158.00 $234,610.60 2026-06-20 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Parkland Medicaid Star $183,052.41 $335,158.00 $234,610.60 2026-06-20 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Cigna Healthspring Medicaid $186,442.27 $335,158.00 $234,610.60 2026-06-20 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL United Healthcare $211,484.70 $335,158.00 $217,853.00 2026-05-28 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL First Health-Aetna Rental Network $274,829.56 $335,158.00 $217,852.70 2026-05-28 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Aetna $274,829.56 $335,158.00 $217,852.70 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach Humana Choicecare Ppo $284,884.30 $335,158.00 $217,853.00 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Humana Choicecare Ppo $284,884.30 $335,158.00 $217,852.70 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Humana Choicecare Ppo $284,884.30 $335,158.00 $217,852.70 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Humana Choicecare Ppo $284,884.30 $335,158.00 $217,852.70 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Humana Choicecare Ppo $284,884.30 $335,158.00 $217,852.70 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Medicaid Other $335,158.00 $335,158.00 $217,852.70 2026-05-28 MRF ↗