RC 173
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
NEWBORN - LEVEL III
Low
$1.7k
Average
$4.3k
Median
$3.0k
High
$9.3k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 3.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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52 hospital rates
iThe hospitals that file a Medical Mutual rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Adena Fayette Medical Center Washington Court House, OH facility · per diem · inpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 3 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 4 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $7.9k | $7.9k | — | — | — | $7.9k – $7.9k |
| 5 | Carmel AmbSurg Carmel, IN percent of total billed charges · inpatientfrom % of charges | 3 | $8.9k | $8.9k | $606 | 7% | — | $8.2k – $9.7k |
| 6 | Carmel AmbSurg Carmel, IN percent of total billed charges · outpatientfrom % of charges | 3 | $8.9k | $8.9k | $606 | 7% | — | $8.2k – $9.7k |
| 7 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $4.5k | $4.5k | $131 | 3% | — | $4.4k – $4.6k |
| 8 | Endo Surgery Center Carmel, IN percent of total billed charges · inpatientfrom % of charges | 3 | $8.9k | $8.9k | $606 | 7% | — | $8.2k – $9.7k |
| 9 | Endo Surgery Center Carmel, IN percent of total billed charges · outpatientfrom % of charges | 3 | $8.9k | $8.9k | $606 | 7% | — | $8.2k – $9.7k |
| 10 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 11 | Mayo Clinic Rochester, MN facility · other · inpatient | 1 | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 12 | Mayo Clinic Health System Mankato 56001-4752 facility · other · inpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 13 | Mayo Clinic Health System Lake City 55041-1143 facility · other · inpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 14 | Mayo Clinic Health System Saint James 56081-5550 facility · other · inpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 15 | Mayo Clinic Health System Fairmont 56031-4575 facility · other · inpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 16 | Mayo Clinic Health System Osseo, WI facility · other · inpatient | 4 | $2.9k | $2.9k | $24 | 1% | — | $2.9k – $2.9k |
| 17 | Mayo Clinic Health System Menomonie, WI facility · other · inpatient | 4 | $2.9k | $2.9k | $24 | 1% | — | $2.9k – $2.9k |
| 18 | Mayo Clinic Health System St, NE facility · other · inpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 19 | Mayo Clinic Health System Bloomer, WI facility · other · inpatient | 3 | $2.9k | $2.9k | $21 | 1% | — | $2.9k – $2.9k |
| 20 | Mayo Clinic Health System Eau Claire 54703-5270 facility · other · inpatient | 4 | $2.9k | $2.9k | $7 | 0% | — | $2.9k – $2.9k |
| 21 | Mayo Clinic Health System Sparta, WI facility · other · inpatient | 4 | $2.9k | $2.9k | $25 | 1% | — | $2.9k – $3.0k |
| 22 | Mayo Clinic Health System Waseca 56093-2811 facility · other · inpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 23 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · other · inpatient | 2 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 24 | Mayo Clinic Health System Red Wing 55066-2848 facility · other · inpatient | 3 | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 25 | Mayo Clinic Health System Barron, WI facility · other · inpatient | 4 | $2.9k | $2.9k | $24 | 1% | — | $2.9k – $2.9k |
← Payers reporting RC 173 · Snapshot 20261111T120946Z-9134e7f7