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
$1.2k
Average
$23.9k
Median
$3.9k
High
$377.1k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 8.2× 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.
Filter by billing methodology
Filter by billing class
21 hospital rates
iThe hospitals that file a Medicaid 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 | $377.1k | $377.1k | — | — | 11 | $377.1k – $377.1k |
| 2 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · inpatientfrom % of charges | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 3 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 4 | Childrens Hospital of Los Angeles Angeles, CA facility · fee schedule · inpatient | 2 | $2.0k | $2.0k | $397 | 20% | — | $1.6k – $2.4k |
| 5 | Community Memorial Hospital Ventura, CA facility · fee schedule · inpatient | 1 | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 6 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · inpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 7 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $12.8k | $12.8k | — | — | — | $12.8k – $12.8k |
| 8 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · inpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 9 | Lake Charles Memorial Hospital Charles., LA per diem · inpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 10 | Lancaster General Health Lancaster, PA facility · other · inpatient | 1 | $5.9k | $5.9k | $533 | 9% | — | $5.3k – $6.4k |
| 11 | MINDEN MEDICAL CENTER MINDEN, LA fee schedule · both | 16 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 12 | Ojai Valley Community Hospital Ca. 93023 facility · fee schedule · inpatient | 1 | $14.1k | $14.1k | — | — | — | $14.1k – $14.1k |
| 13 | RIDEOUT MEMORIAL HOSPITAL Marysville, CA percent of total billed charges · inpatientfrom % of charges | 1 | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 14 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA percent of total billed charges · inpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 15 | SIERRA VISTA HOSPITAL INC Obispo, CA percent of total billed charges · inpatientfrom % of charges | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 16 | Sharp Coronado Hospital and Healthcare Center Coronado, CA percent of total billed charges · inpatientfrom % of charges | 1 | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 17 | TWIN CITIES COMMUNITY HOSPITAL INC Templeton, CA percent of total billed charges · inpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 19 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · inpatientfrom % of charges | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 20 | Wesley Health System LLC Hattiesburg, MS facility · case rate · inpatient | 2 | $9.9k | $9.9k | — | — | — | $9.9k – $9.9k |
| 21 | Wesley Health System LLC Hattiesburg, MS facility · per diem · inpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
← Payers reporting RC 174 · Snapshot 20261111T120946Z-9134e7f7