APR633 SOI 4 — Neonate Birth Weight > 2499 Grams With Major Anomaly
Cite this view
HANK Price Transparency. (n.d.). NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY (OTHER APR633 SOI 4) negotiated rates. PPMan price-transparency data, derived from CMS-required hospital MRFs. Retrieved , from http://ppman.hank.ai/transparency/code/APR633 SOI 4?code_type=OTHER
“NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY (OTHER APR633 SOI 4) negotiated rates.” HANK Price Transparency, http://ppman.hank.ai/transparency/code/APR633 SOI 4?code_type=OTHER. Accessed .
“NEONATE BIRTH WEIGHT > 2499 GRAMS WITH MAJOR ANOMALY (OTHER APR633 SOI 4) negotiated rates,” HANK Price Transparency, accessed , http://ppman.hank.ai/transparency/code/APR633 SOI 4?code_type=OTHER.
Source: PPMan price-transparency data, derived from CMS-required hospital machine-readable files (45 CFR 180). See methodology.
Usually $60,691–$72,441 (25th–75th percentile) across 2 hospitals · 7 payers.
“Negotiated” is the hospital’s negotiated facility rate for this OTHER APR633 SOI 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 |
|---|---|---|---|---|---|---|---|
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $59,605.39 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $59,605.39 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $59,605.39 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $59,605.39 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $63,948.07 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $65,849.77 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Health_Partners_Medicaid | All_Other_Plans | $68,688.04 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Geisinger_Medicaid | All_Plans | $68,688.04 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | PA_Health_&_Wellness_Medicaid | All_Plans | $68,688.04 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Highmark_Wholecare_Gateway_Medicaid | All_Plans | $68,688.04 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | UPMC_Medicaid | All_Plans | $73,692.45 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Amerihealth_Caritas_Medicaid | All_Plans | $75,883.93 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN CHAMBERSBURG HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $136,240.90 | — | — | 2026-01-01 | MRF ↗ |
| WELLSPAN YORK HOSPITAL Inpatient | Aetna_Better_Health_Kids | All_Plans | $157,001.23 | — | — | 2026-01-01 | MRF ↗ |