RC 174
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 IV
Low
$89
Average
$7.1k
Median
$5.3k
High
$401.6k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
601 hospitals; the 90th percentile is 5.1× 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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697 hospital rates
iThe hospitals that file a Aetna 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 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL other · inpatient | 1 | $1512.2k | $1512.2k | — | — | 1–10 | $1512.2k – $1512.2k |
| 2 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL per diem · inpatient | 1 | $6.2k | $6.2k | — | — | 1–10 | $6.2k – $6.2k |
| 3 | Grossmont Hospital Corporation La Mesa, CA fee schedule · inpatient | 1 | $64.8k | $64.8k | — | — | 1–10 | $64.8k – $64.8k |
| 4 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 3 | $11.9k | $12.0k | $563 | 5% | 1–10 | $11.4k – $12.8k |
| 5 | MEDICAL CITY ARLINGTON GRAND PRAIRIE, TX percent of total billed charges · inpatientfrom % of charges | 1 | $19.6k | $19.6k | — | — | 1–10 | $19.6k – $19.6k |
| 6 | Texas Children's Hospital The Woodlands, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $401.6k | $401.6k | — | — | 1–10 | $401.6k – $401.6k |
| 7 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · inpatientfrom % of charges | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 8 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · inpatientfrom % of charges | 1 | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 9 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 2 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 10 | ANGEL MEDICAL CENTER Franklin, NC fee schedule · inpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 11 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 12 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 3 | $8.9k | $7.5k | $2.2k | 30% | — | $4.3k – $9.2k |
| 13 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA per diem · inpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 15 | Affinity Hospital LLC Birmingham, AL facility · per diem · inpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 16 | Alexian Brothers Behavioral Health Hospital Estates, IL other · outpatient | 2 | $5.3k | $5.3k | $535 | 10% | — | $4.8k – $5.9k |
| 17 | Alexian Brothers Medical Center Village, IL other · outpatient | 2 | $5.3k | $5.3k | $535 | 10% | — | $4.8k – $5.9k |
| 18 | Alta Newport Hospital, LLC Tustin, CA facility · per diem · inpatient | 2 | $2.6k | $2.6k | $199 | 8% | — | $2.4k – $2.8k |
| 19 | American Hospital Management Corporation Arcata, CA facility · per diem · inpatient | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 20 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 2 | $11.2k | $11.2k | $327 | 3% | — | $10.9k – $11.6k |
| 21 | Armstrong County Memorial Hospital Kittanning, PA facility · case rate · inpatient | 1 | $917 | $917 | — | — | — | $917 – $917 |
| 22 | Ascension All Saints Hospital, Inc. Racine, WI percent of total billed charges · inpatientfrom % of charges | 2 | $3.5k | $3.5k | $282 | 8% | — | $3.2k – $3.9k |
| 23 | Ascension Cedar Park Park, TX per diem · inpatient | 7 | $7.6k | $8.2k | $1.2k | 14% | — | $7.0k – $11.2k |
| 24 | Ascension Cedar Park Park, TX percent of total billed charges · inpatientfrom % of charges | 12 | $5.9k | $5.9k | $1.2k | 20% | — | $3.7k – $8.0k |
| 25 | Ascension Cedar Park Park, TX percent of total billed charges · outpatientfrom % of charges | 10 | $5.4k | $5.7k | $1.3k | 23% | — | $3.8k – $8.3k |
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