621-4 (OTHER) by state — Price Transparency

OTHER · across United States

621-4 — Neonate Birth Weight 2000-2499 Grams With Major Anomaly

State-by-state median negotiated rates. Lower bars are cheaper states; the range bar shows the IQR (25th to 75th percentile within each state).

$63,561 National median

$57,530 – $90,000 IQR (p25 – p75)

33 hospitals filing

15 states

View hospital-by-hospital → Raw rate rows →

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This estimate runs on the hospital’s facility charge only. The surgeon’s and anesthesiologist’s fees are billed separately and aren’t in this number — your EOB shows your complete total.

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Out-of-pocket max (assumed — typical plan) Coinsurance % (after deductible)

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Median negotiated rate, by state

Ranked by typical (median) negotiated price. Hover for state-level IQR.

Median negotiated rate by state for 621-4 (OTHER), with interquartile range
State	Median	p25	p75
DC	$154,394	$154,394	$154,394
RI	$150,354	$127,254	$183,606
IN	$149,017	$149,017	$149,017
CA	$90,000	$90,000	$90,000
TX	$79,855	$78,334	$79,855
FL	$65,467	$63,561	$66,739
OH	$62,722	$60,310	$91,522
LA	$57,530	$57,530	$57,530
AL	$57,530	$57,530	$57,530
MS	$57,530	$57,530	$57,530
PA	$55,817	$53,159	$57,308
NY	$55,598	$47,538	$106,959
CO	$50,569	$50,569	$50,569
GA	$24,106	$22,958	$29,051
SC	$1,661	$1,644	$1,688

Sortable, filterable data table. Use the column headers to sort, the filter row to narrow results.
State	Median	p25	p75	Min	Max	Hospitals	Payers	Rates

DC	$154,394	$154,394	$154,394	$154,394	$154,394	1 ⚠ thin data	1	1
RI	$150,354	$127,254	$183,606	$83,214	$260,327	1 ⚠ thin data	3	6
IN	$149,017	$149,017	$149,017	$100,499	$149,017	2 ⚠ thin data	9	24
CA	$90,000	$90,000	$90,000	$27,000	$112,500	7	35	116
TX	$79,855	$78,334	$79,855	$78,334	$83,657	3	6	14
FL	$65,467	$63,561	$66,739	$1,200	$73,730	4	24	83
OH	$62,722	$60,310	$91,522	$1,600	$100,674	2 ⚠ thin data	12	24
LA	$57,530	$57,530	$57,530	$57,530	$57,530	2 ⚠ thin data	28	53
AL	$57,530	$57,530	$57,530	$57,530	$62,976	2 ⚠ thin data	17	28
MS	$57,530	$57,530	$57,530	$57,530	$57,530	2 ⚠ thin data	16	30
PA	$55,817	$53,159	$57,308	$53,159	$58,474	1 ⚠ thin data	6	14
NY	$55,598	$47,538	$106,959	$47,538	$136,827	1 ⚠ thin data	9	36
CO	$50,569	$50,569	$50,569	$50,569	$50,569	1 ⚠ thin data	1	1
GA	$24,106	$22,958	$29,051	$22,958	$40,377	3	5	7
SC	$1,661	$1,644	$1,688	$1,560	$1,737	1 ⚠ thin data	7	16