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 630-1 — Neonate Birth Weight > 2499 Grams With Major Cardiovascular 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 $136,824

Usually $49,347–$175,581 (25th–75th percentile) across 12 hospitals · 35 payers.

“Negotiated” is the hospital’s negotiated facility rate for this OTHER APR-DRG 630-1 — 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 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL United Healthcare $24,686.71 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL United Healthcare $24,686.71 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL United Healthcare $24,686.71 $619,098.30 $402,413.90 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach United Healthcare $24,686.71 $619,098.30 $402,414.00 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL United Healthcare $24,686.71 $619,098.30 $402,413.90 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Affinity Medicaid $25,457.31 $34,886.15 $25,457.31 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER United Healthcare Medicaid $25,457.31 $34,886.15 $25,457.31 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Hip Medicaid $25,457.31 $34,886.15 $25,457.31 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Behavioral Health $25,457.31 $34,886.15 $25,457.31 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Amerigroup Medicaid $25,457.31 $34,886.15 $25,457.31 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Metroplus Medicaid $25,457.31 $34,886.15 $25,457.31 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Healthfirst Medicaid $25,457.31 $34,886.15 $25,457.31 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Medicaid $25,457.31 $34,886.15 $25,457.31 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER United Healthcare Community Plan $28,512.18 $34,886.15 $25,457.31 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Essential Plan $30,548.77 $34,886.15 $25,457.31 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Pathways Exchange $44,520.11 $34,886.15 $25,457.31 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Fidelis Health Benefit Exchange $44,550.29 $34,886.15 $25,457.31 2026-05-28 MRF ↗
PRISMA HEALTH RICHLAND HOSPITAL United Healthcare Options Ppo $49,346.64 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE United Healthcare Options Ppo $49,346.64 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL United Healthcare Medicare $60,776.64 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Select Health First Choice Vip $65,059.35 $619,098.30 $402,413.90 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Hmo $69,231.21 $34,886.15 $25,457.31 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Ppo $71,103.91 $34,886.15 $25,457.31 2026-05-28 MRF ↗
RICHMOND UNIVERSITY MEDICAL CENTER Empire Ipn $87,323.62 $34,886.15 $25,457.31 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Tricare Humana Military $89,479.30 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Medicare $99,301.44 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Medicare Advantage Non Contracted $99,980.16 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Bcbs Medicare Advantage $101,935.22 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Humana Gold Plus Medicare Advantage Hmo $102,910.80 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Medicare $129,414.41 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Medicare Advantage Non Contracted $130,021.88 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Aetna Medicare Prime Hmo $131,279.71 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL United Healthcare Medicare $132,579.51 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Bcbs Medicare Advantage $132,579.51 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Humana Gold Plus Medicare Advantage Hmo $133,886.71 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Select Health First Choice Vip $136,461.46 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Wellcare Medicare $136,478.91 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Medicare $137,169.08 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL First Health-Wc $137,172.78 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Medicare Advantage Non Contracted $138,435.51 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Humana Gold Plus Medicare Advantage Hmo $139,061.21 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Aetna Medicare Prime Hmo $139,819.86 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Bcbs Medicare Advantage $141,178.50 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Molina Dual Options $143,848.68 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Wellcare Medicare $145,330.82 $619,098.30 $402,413.90 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach First Health-Wc $153,928.86 $619,098.30 $402,414.00 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach Medicare $155,515.13 $619,098.30 $402,414.00 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach Humana Gold Plus Medicare Advantage Hmo $155,515.13 $619,098.30 $402,414.00 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach Bcbs Medicare Advantage $157,070.27 $619,098.30 $402,414.00 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach Aetna Medicare Prime Hmo $157,070.27 $619,098.30 $402,414.00 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach Wellcare Medicare $157,070.27 $619,098.30 $402,414.00 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Medicare $164,685.36 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH OCONEE MEMORIAL HOSPITAL Medicare $167,555.38 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Humana Choicecare Medicare Advantage Pffs $167,977.84 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Select Health First Choice Vip $174,561.48 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Wellcare Medicare $174,644.33 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL First Health-Wc $178,390.02 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL Medicare $188,869.80 $619,098.00 $402,414.00 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL First Health-Wc $189,933.52 $619,098.30 $402,413.90 2026-05-28 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Molina Medicaid $210,010.68 $619,098.30 $433,368.81 2026-06-20 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Aetna Medicaid $210,010.68 $619,098.30 $433,368.81 2026-06-20 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Medicaid $325,667.07 $619,098.30 $433,368.81 2026-06-20 MRF ↗
PRISMA HEALTH BAPTIST PARKRIDGE Ambetter-Atc Exchange $345,437.45 $619,098.30 $402,413.90 2026-05-28 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Parkland Medicaid Star $351,720.44 $619,098.30 $433,368.81 2026-06-20 MRF ↗
TEXAS INSTITUTE FOR SURGERY AT PRESBYTERIAN HOSPIT Cigna Healthspring Medicaid $358,233.78 $619,098.30 $433,368.81 2026-06-20 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Ambetter-Atc Exchange $385,121.20 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH LAURENS COUNTY HOSPITAL United Healthcare $390,651.03 $619,098.00 $402,414.00 2026-05-28 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL First Health-Aetna Rental Network $507,660.61 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH TUOMEY HOSPITAL Aetna $507,660.61 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREER MEMORIAL HOSPITAL Humana Choicecare Ppo $526,233.56 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Humana Choicecare Ppo $526,233.56 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL Humana Choicecare Ppo $526,233.56 $619,098.30 $402,413.90 2026-05-28 MRF ↗
PRISMA HEALTH PATEWOOD HOSPITAL Humana Choicecare Ppo $526,233.56 $619,098.30 $402,413.90 2026-05-28 MRF ↗
Prisma Health North Greenville Ltach Humana Choicecare Ppo $526,233.56 $619,098.30 $402,414.00 2026-05-28 MRF ↗
PRISMA HEALTH BAPTIST EASLEY HOSPITAL Medicaid Other $619,098.30 $619,098.30 $402,413.90 2026-05-28 MRF ↗