APR-DRG 621-4 — Neonate Birth Weight 2000-2499 Grams With Major Anomaly
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY (OTHER APR-DRG 621-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/APR-DRG 621-4?code_type=OTHER
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY (OTHER APR-DRG 621-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/APR-DRG 621-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH MAJOR ANOMALY (OTHER APR-DRG 621-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/APR-DRG 621-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $86,997–$405,152 (25th–75th percentile) across 12 hospitals · 35 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER APR-DRG 621-4 — 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 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $27,976.40 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | United Healthcare | — | $27,976.40 | $1,331,706.75 | $865,609.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | United Healthcare | — | $27,976.40 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | United Healthcare | — | $27,976.40 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | United Healthcare | — | $27,976.40 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Healthfirst Medicaid | — | $48,543.63 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Metroplus Medicaid | — | $48,543.63 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Hip Medicaid | — | $48,543.63 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Behavioral Health | — | $48,543.63 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Medicaid | — | $48,543.63 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Amerigroup Medicaid | — | $48,543.63 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | United Healthcare Medicaid | — | $48,543.63 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Affinity Medicaid | — | $48,543.63 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | United Healthcare Community Plan | — | $54,368.86 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | United Healthcare Options Ppo | — | $55,922.46 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | United Healthcare Options Ppo | — | $55,922.46 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Essential Plan | — | $58,252.35 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Health Benefit Exchange | — | $84,951.35 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Empire Pathways Exchange | — | $87,678.34 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Empire Hmo | — | $136,344.62 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Empire Ppo | — | $140,032.73 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | United Healthcare Medicare | — | $156,842.43 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health First Choice Vip | — | $166,094.18 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Empire Ipn | — | $171,975.97 | $191,552.20 | $48,543.63 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Medicare | — | $237,811.15 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Medicare Advantage Non Contracted | — | $239,847.84 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Bcbs Medicare Advantage | — | $244,594.32 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $246,912.57 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $253,051.44 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare | — | $301,804.78 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $304,062.42 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $307,054.99 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $310,095.15 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare Medicare | — | $310,095.15 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $313,078.85 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare | — | $318,569.80 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $319,099.59 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Wellcare Medicare | — | $319,215.60 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $321,654.78 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $324,871.32 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $327,667.58 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $328,058.74 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | First Health-Wc | — | $329,071.24 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Dual Options | — | $334,908.64 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Wellcare Medicare | — | $337,707.52 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | First Health-Wc | — | $360,680.79 | $1,331,706.75 | $865,609.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Gold Plus Medicare Advantage Hmo | — | $364,376.76 | $1,331,706.75 | $865,609.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare | — | $364,376.76 | $1,331,706.75 | $865,609.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Wellcare Medicare | — | $368,041.62 | $1,331,706.75 | $865,609.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bcbs Medicare Advantage | — | $368,041.62 | $1,331,706.75 | $865,609.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare Prime Hmo | — | $368,041.62 | $1,331,706.75 | $865,609.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare | — | $378,243.26 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicare | — | $383,923.96 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $387,974.05 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health First Choice Vip | — | $400,932.17 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Wellcare Medicare | — | $401,144.40 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | First Health-Wc | — | $417,173.63 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare | — | $433,098.12 | $1,331,707.00 | $865,609.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | First Health-Wc | — | $441,310.37 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Molina Medicaid | — | $481,678.92 | $1,331,706.75 | $932,194.73 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Aetna Medicaid | — | $481,678.92 | $1,331,706.75 | $932,194.73 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Medicaid | — | $730,851.45 | $1,331,706.75 | $932,194.73 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Parkland Medicaid Star | — | $789,319.57 | $1,331,706.75 | $932,194.73 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Cigna Healthspring Medicaid | — | $803,936.59 | $1,331,706.75 | $932,194.73 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Ambetter-Atc Exchange | — | $804,873.21 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | United Healthcare | — | $840,306.96 | $1,331,707.00 | $865,609.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Ambetter-Atc Exchange | — | $892,059.57 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | First Health-Aetna Rental Network | — | $1,091,999.53 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna | — | $1,091,999.53 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $1,131,950.74 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $1,131,950.74 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Choicecare Ppo | — | $1,131,950.74 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Choicecare Ppo | — | $1,131,950.74 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Choicecare Ppo | — | $1,131,950.74 | $1,331,706.75 | $865,609.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $1,331,706.75 | $1,331,706.75 | $865,609.39 | 2026-05-28 | MRF ↗ |