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
$1
Average
$6.7k
Median
$5.6k
High
$92.2k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
244 hospitals; the 90th percentile is 4.8× 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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307 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 per diem · inpatient | 2 | $7.3k | $7.3k | $175 | 2% | 45–54 | $7.1k – $7.5k |
| 2 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · inpatientfrom % of charges | 4 | $2.3k | $2.3k | $1.2k | 51% | 3–30 | $1.1k – $3.5k |
| 3 | LOS ROBLES HOSPITAL AND MEDICAL CENTER THOUSAND OAKS, CA per diem · inpatient | 2 | $7.6k | $7.6k | $1.3k | 18% | 2–20 | $6.2k – $8.9k |
| 4 | MISSION HOSPITAL Arden, NC percent of total billed charges · inpatientfrom % of charges | 2 | $14.5k | $14.5k | — | — | 2–20 | $14.5k – $14.5k |
| 5 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · other · inpatient | 3 | $15.1k | $15.1k | — | — | 2–20 | $15.1k – $15.1k |
| 6 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · inpatient | 3 | $16.4k | $16.4k | $897 | 5% | 2–20 | $15.5k – $17.3k |
| 7 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL other · inpatient | 1 | $727.1k | $727.1k | — | — | 1–10 | $727.1k – $727.1k |
| 8 | Childrens Hospital of Los Angeles Angeles, CA facility · other · inpatient | 1 | $2.0k | $2.0k | $397 | 20% | 1–10 | $1.6k – $2.4k |
| 9 | Geisinger Medical Center Muncy, PA other · inpatient | 1 | $30.2k | $30.2k | — | — | 1–10 | $30.2k – $30.2k |
| 10 | Grossmont Hospital Corporation La Mesa, CA case rate · inpatient | 1 | $59.0k | $59.0k | — | — | 1–10 | $59.0k – $59.0k |
| 11 | Grossmont Hospital Corporation La Mesa, CA fee schedule · inpatient | 1 | $44.0k | $44.0k | — | — | 1–10 | $44.0k – $44.0k |
| 12 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · inpatientfrom % of charges | 3 | $2.4k | $2.4k | $60 | 2% | 1–10 | $2.4k – $2.5k |
| 13 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA per diem · inpatient | 6 | $10.3k | $11.1k | $2.7k | 24% | — | $8.6k – $15.8k |
| 14 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · inpatientfrom % of charges | 2 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 15 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · per diem · inpatient | 3 | $6.8k | $6.8k | $621 | 9% | — | $6.1k – $7.6k |
| 16 | AMH Cath Labs LLC Arlington, TX per diem · inpatient | 4 | $8.6k | $8.6k | $2.8k | 33% | — | $4.6k – $12.5k |
| 17 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · per diem · inpatient | 1 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 18 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · per diem · inpatient | 1 | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 19 | Advocate Christ Medical Center Oak Lawn, IL facility · per diem · inpatient | 1 | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 20 | Advocate Condell Medical Center Libertyville, IL per diem · inpatient | 1 | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 21 | Advocate Good Samaritan Hospital Downers Grove, IL per diem · inpatient | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 22 | Advocate Good Shepherd Hospital Barrington, IL per diem · inpatient | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 23 | Advocate Illinois Masonic Medical Center Chicago, IL per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 24 | Advocate Lutheran General Hospital Park Ridge, IL per diem · inpatient | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 25 | Advocate Sherman Hospital Elgin, IL per diem · inpatient | 1 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
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