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
$6.4k
Median
$5.3k
High
$88.3k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
458 hospitals; the 90th percentile is 4.2× 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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532 hospital rates
iThe hospitals that file a Cigna 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 | WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA percent of total billed charges · inpatientfrom % of charges | 1 | $35.4k | $48.5k | $56.6k | 117% | 120–156 | $3.2k – $182.8k |
| 2 | WEST PENN ALLEGHENY HEALTH SYSTEM INC WEXFORD, PA percent of total billed charges · inpatientfrom % of charges | 1 | $18.2k | $23.7k | $22.5k | 95% | 16–61 | $4.2k – $71.9k |
| 3 | WEST PENN ALLEGHENY HEALTH SYSTEM INC MONROEVILLE, PA percent of total billed charges · inpatientfrom % of charges | 1 | $4.7k | $8.6k | $5.8k | 68% | 7–70 | $1.4k – $16.8k |
| 4 | Affinity Hospital LLC Birmingham, AL facility · other · inpatient | 1 | $4.5k | $4.5k | — | — | 1–10 | $4.5k – $4.5k |
| 5 | Baptist Health Medical Center - Little Rock Rock, AR other · inpatient | 1 | $88.3k | $88.3k | — | — | 1–10 | $88.3k – $88.3k |
| 6 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · inpatientfrom % of charges | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 7 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · inpatientfrom % of charges | 1 | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 8 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · inpatientfrom % of charges | 1 | $5.7k | $5.7k | — | — | — | $5.7k – $5.7k |
| 9 | Abbeville Area Medical Center Abbeville, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 10 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 11 | Alexian Brothers Behavioral Health Hospital Estates, IL other · outpatient | 2 | $3.3k | $3.3k | $1.2k | 38% | — | $2.0k – $4.5k |
| 12 | Alexian Brothers Medical Center Village, IL other · outpatient | 3 | $2.0k | $2.5k | $1.5k | 61% | — | $889 – $4.5k |
| 13 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · inpatientfrom % of charges | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 14 | Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges | 3 | $12.6k | $12.4k | $2.6k | 21% | — | $9.2k – $15.5k |
| 15 | Ascension Cedar Park Park, TX percent of total billed charges · bothfrom % of charges | 2 | $4.4k | $4.4k | $446 | 10% | — | $4.0k – $4.9k |
| 16 | Ascension Cedar Park Park, TX percent of total billed charges · inpatientfrom % of charges | 8 | $7.5k | $7.5k | $1.0k | 14% | — | $6.1k – $9.7k |
| 17 | Ascension Cedar Park Park, TX percent of total billed charges · outpatientfrom % of charges | 3 | $7.5k | $7.5k | $557 | 7% | — | $6.9k – $8.3k |
| 18 | Ascension NE Wisconsin, Inc. Appleton, WI percent of total billed charges · inpatientfrom % of charges | 1 | $3.1k | $3.1k | $40 | 1% | — | $3.1k – $3.2k |
| 19 | Ascension Providence Waco, TX percent of total billed charges · bothfrom % of charges | 1 | $2.7k | $2.8k | $114 | 4% | — | $2.7k – $3.0k |
| 20 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 2 | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 21 | Ascension Seton Austin, TX percent of total billed charges · inpatientfrom % of charges | 8 | $17.9k | $18.3k | $1.4k | 8% | — | $16.2k – $21.1k |
| 22 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 4 | $17.1k | $17.2k | $960 | 6% | — | $16.2k – $18.3k |
| 23 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 2 | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 24 | Ascension Seton Austin, TX percent of total billed charges · inpatientfrom % of charges | 8 | $17.9k | $18.3k | $1.4k | 8% | — | $16.2k – $21.1k |
| 25 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 3 | $16.2k | $16.8k | $794 | 5% | — | $16.2k – $17.9k |
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