APR-DRG 622-4 — Neonate Birth Weight 2000-2499 Grams With Respiratory Distress Syndrome Or Other Major Respiratory Condition
Cite this view
APA (7th ed.)
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER APR-DRG 622-4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/APR-DRG 622-4?code_type=OTHER
MLA (9th ed.)
“NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER APR-DRG 622-4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/APR-DRG 622-4?code_type=OTHER. Accessed .
Chicago (notes-bibliography)
“NEONATE BIRTH WEIGHT 2000-2499 GRAMS WITH RESPIRATORY DISTRESS SYNDROME OR OTHER MAJOR RESPIRATORY CONDITION (OTHER APR-DRG 622-4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/APR-DRG 622-4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $87,858–$226,547 (25th–75th percentile) across 12 hospitals · 35 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER APR-DRG 622-4 — 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 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Metroplus Medicaid | — | $37,335.72 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | United Healthcare Medicaid | — | $37,335.72 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Hip Medicaid | — | $37,335.72 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Behavioral Health | — | $37,335.72 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Amerigroup Medicaid | — | $37,335.72 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Affinity Medicaid | — | $37,335.72 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Medicaid | — | $37,335.72 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Healthfirst Medicaid | — | $37,335.72 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | United Healthcare Community Plan | — | $41,816.00 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Essential Plan | — | $44,802.86 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare | — | $63,322.21 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | United Healthcare | — | $63,322.21 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | United Healthcare | — | $63,322.21 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | United Healthcare | — | $63,322.21 | $769,040.26 | $499,876.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | United Healthcare | — | $63,322.21 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Fidelis Health Benefit Exchange | — | $65,337.51 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Empire Pathways Exchange | — | $66,725.95 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | United Healthcare Medicare | — | $82,376.33 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Select Health First Choice Vip | — | $89,685.70 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Empire Hmo | — | $103,762.51 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Empire Ppo | — | $106,569.27 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Tricare Humana Military | — | $123,896.98 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | United Healthcare Options Ppo | — | $126,575.72 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH RICHLAND HOSPITAL | United Healthcare Options Ppo | — | $126,575.72 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| RICHMOND UNIVERSITY MEDICAL CENTER | Empire Ipn | — | $130,879.08 | $104,207.69 | $37,335.72 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Medicare | — | $131,158.27 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Medicare Advantage Non Contracted | — | $131,675.79 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Bcbs Medicare Advantage | — | $134,195.05 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $135,474.23 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $168,534.79 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Medicare | — | $168,602.01 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $170,111.41 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $171,795.67 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | United Healthcare Medicare | — | $171,795.67 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $173,539.61 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Wellcare Medicare | — | $176,848.48 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Select Health First Choice Vip | — | $176,876.90 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare | — | $178,023.81 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Medicare Advantage Non Contracted | — | $179,541.09 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | First Health-Wc | — | $180,659.18 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Gold Plus Medicare Advantage Hmo | — | $180,958.42 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Aetna Medicare Prime Hmo | — | $181,336.51 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Bcbs Medicare Advantage | — | $183,065.96 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Molina Dual Options | — | $186,830.83 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Wellcare Medicare | — | $188,450.25 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | First Health-Wc | — | $197,109.85 | $769,040.26 | $499,876.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Gold Plus Medicare Advantage Hmo | — | $199,136.73 | $769,040.26 | $499,876.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Medicare | — | $199,136.73 | $769,040.26 | $499,876.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Wellcare Medicare | — | $201,132.50 | $769,040.26 | $499,876.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Bcbs Medicare Advantage | — | $201,132.50 | $769,040.26 | $499,876.00 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Aetna Medicare Prime Hmo | — | $201,132.50 | $769,040.26 | $499,876.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicare | — | $212,158.66 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH OCONEE MEMORIAL HOSPITAL | Medicare | — | $215,490.25 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Choicecare Medicare Advantage Pffs | — | $216,500.52 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Select Health First Choice Vip | — | $224,875.34 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Wellcare Medicare | — | $224,986.26 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | First Health-Wc | — | $231,229.74 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | Medicare | — | $243,286.24 | $769,040.00 | $499,876.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | First Health-Wc | — | $246,330.37 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Molina Medicaid | — | $274,398.51 | $769,040.26 | $538,328.18 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Aetna Medicaid | — | $274,398.51 | $769,040.26 | $538,328.18 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Medicaid | — | $410,072.66 | $769,040.26 | $538,328.18 | 2026-06-20 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Parkland Medicaid Star | — | $442,878.47 | $769,040.26 | $538,328.18 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH BAPTIST PARKRIDGE | Ambetter-Atc Exchange | — | $448,058.86 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT | Cigna Healthspring Medicaid | — | $451,079.93 | $769,040.26 | $538,328.18 | 2026-06-20 | MRF ↗ |
| PRISMA HEALTH LAURENS COUNTY HOSPITAL | United Healthcare | — | $485,264.40 | $769,040.00 | $499,876.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Ambetter-Atc Exchange | — | $496,424.48 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | First Health-Aetna Rental Network | — | $630,613.01 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH TUOMEY HOSPITAL | Aetna | — | $630,613.01 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREER MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $653,684.22 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL | Humana Choicecare Ppo | — | $653,684.22 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Humana Choicecare Ppo | — | $653,684.22 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH PATEWOOD HOSPITAL | Humana Choicecare Ppo | — | $653,684.22 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |
| Prisma Health North Greenville Ltach | Humana Choicecare Ppo | — | $653,684.22 | $769,040.26 | $499,876.00 | 2026-05-28 | MRF ↗ |
| PRISMA HEALTH BAPTIST EASLEY HOSPITAL | Medicaid Other | — | $769,040.26 | $769,040.26 | $499,876.17 | 2026-05-28 | MRF ↗ |