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
$553
Average
$2.9k
Median
$1.4k
High
$16.1k
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 6.9× 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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20 hospital rates
iThe hospitals that file a Aetna Better Health 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 | BRFHH MONROE, LLC Monroe, LA per diem · inpatient | 1 | $870 | $870 | — | — | — | $870 – $870 |
| 2 | Children's National Hospital Washington, DC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 3 | Deaconess Hospital, Inc Newburgh, IN facility · per diem · inpatient | 1 | $672 | $672 | — | — | — | $672 – $672 |
| 4 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA per diem · inpatient | 1 | $902 | $902 | — | — | — | $902 – $902 |
| 5 | HSA PGH LLC Hialeah, FL facility · fee schedule · inpatient | 1 | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 6 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA per diem · inpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | Memorial Hospital Pembroke Pembroke Pines, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 8 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · inpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | OCHSNER CLINIC FOUNDATION LA 70121; 4430 Veterans Memorial Blvd.Metairie, LA per diem · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | OCHSNER LSU HEALTH SHREVEPORT - ST. MARY MEDICAL CENTER, LLC Shreveport, LA per diem · inpatient | 1 | $876 | $876 | — | — | — | $876 – $876 |
| 11 | OCHSNER MEDICAL CENTER � KENNER LLC Kenner, LA per diem · inpatient | 1 | $896 | $896 | — | — | — | $896 – $896 |
| 12 | Pekin Memorial Hospital Pekin, IL percent of total billed charges · inpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 13 | Penn Medicine Princeton Medical Center Princeton, NJ facility · percent of total billed charges · inpatientfrom % of charges | 1 | $16.1k | $16.1k | — | — | — | $16.1k – $16.1k |
| 14 | Proctor Community Hospital Peoria, IL percent of total billed charges · inpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 15 | RAPIDES REGIONAL MEDICAL CENTER ALEXANDRIA, LA fee schedule · inpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | St Tammany Hosptial Service District No 2 Slidell, LA per diem · inpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 17 | St Tammany Hosptial Service District No 2 Slidell, LA per diem · inpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | St. Agnes Healthcare, Inc. Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 19 | The Toledo Hospital Maumee, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $553 | $553 | — | — | — | $553 – $553 |
| 20 | UNIVERSITY HEALTH SHREVEPORT, LLC Shreveport, LA per diem · inpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
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