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
$876
Average
$5.8k
Median
$3.7k
High
$12.8k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 7.0× 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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33 hospital rates
iThe hospitals that file a Caresource 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 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $5.7k | $5.7k | $118 | 2% | — | $5.6k – $5.8k |
| 2 | Baptist Memorial Hospital-Crittenden West Memphis, AR facility · per diem · inpatient | 1 | $876 | $876 | — | — | — | $876 – $876 |
| 3 | CAREPARTNERS REHABILITATION HOSPITAL Asheville, NC per diem · outpatient | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 4 | Carmel AmbSurg Carmel, IN percent of total billed charges · inpatientfrom % of charges | 2 | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
| 5 | Carmel AmbSurg Carmel, IN percent of total billed charges · outpatientfrom % of charges | 2 | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
| 6 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · inpatientfrom % of charges | 1 | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 7 | Children's Healthcare of Atlanta Atlanta, GA percent of total billed charges · inpatientfrom % of charges | 1 | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 8 | Endo Surgery Center Carmel, IN percent of total billed charges · inpatientfrom % of charges | 2 | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
| 9 | Endo Surgery Center Carmel, IN percent of total billed charges · outpatientfrom % of charges | 2 | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
| 10 | NATIONWIDE CHILDREN'S HOSPITAL TOLEDO, LLC Toledo, OH facility · per diem · inpatient | 2 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 11 | Naab Road Surgery Center Indianapolis, IN percent of total billed charges · inpatientfrom % of charges | 2 | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
| 12 | Naab Road Surgery Center Indianapolis, IN percent of total billed charges · outpatientfrom % of charges | 2 | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
| 13 | Northside Hospital, Inc. Lawrenceville, GA percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 14 | Northside Hospital, Inc. Atlanta, GA percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 15 | Northside Hospital, Inc. Cumming, GA percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 16 | Northside Hospital, Inc. Duluth, GA percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 17 | Northside Hospital, Inc. Canton, GA percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 18 | Renown South Meadows Medical Center Reno, NV facility · per diem · inpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | River Oaks Hospital LLC Flowood, MS facility · case rate · inpatient | 1 | $6.6k | $6.6k | — | — | — | $6.6k – $6.6k |
| 20 | St. Mary's Health, Inc. IN 47750; 10388 Warrick Wellness Trail Newburgh, IN percent of total billed charges · inpatientfrom % of charges | 1 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 21 | St. Mary's Health, Inc. IN 47750; 10388 Warrick Wellness Trail Newburgh, IN percent of total billed charges · outpatientfrom % of charges | 1 | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 22 | St. Mary's Warrick Hospital, Inc. Boonville, IN per diem · inpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | St. Vincent Carmel Hospital, Inc. Carmel, IN percent of total billed charges · inpatientfrom % of charges | 2 | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
| 24 | St. Vincent Clay Hospital, Inc. Brazil, IN per diem · inpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 25 | St. Vincent Hospital and Health Care Center, Inc. Indianapolis, IN percent of total billed charges · inpatientfrom % of charges | 2 | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
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