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
$48
Average
$3.0k
Median
$2.4k
High
$16.1k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 5.5× 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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28 hospital rates
iThe hospitals that file a WellCare 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 | Affinity Hospital LLC Birmingham, AL facility · other · inpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 2 | Ascension Calumet Hospital, Inc. Chilton, WI per diem · inpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 3 | Ascension Seton Luling, TX per diem · inpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 4 | Ascension Seton Burnet, TX per diem · inpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 5 | Ascension Seton Smithville, TX other · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 9 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · inpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 10 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · inpatientfrom % of charges | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Cape Fear Valley - Bladen County Hospital Elizabethtown, NC facility · per diem · inpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 14 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 15 | Ojai Valley Community Hospital Ca. 93023 facility · other · inpatient | 1 | $6.3k | $6.3k | — | — | — | $6.3k – $6.3k |
| 16 | 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 |
| 17 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · inpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 18 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS other · inpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 19 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS other · inpatient | 1 | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 20 | Sarasota Memorial Hospital Sarasota, FL fee schedule · inpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 21 | St. Mary's Warrick Hospital, Inc. Boonville, IN per diem · inpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | St. Vincent Clay Hospital, Inc. Brazil, IN per diem · inpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 23 | St. Vincent Jennings Hospital, Inc. Vernon, IN per diem · inpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 24 | St. Vincent Madison County Health System, Inc. Elwood, IN per diem · inpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 25 | St. Vincent Randolph Hospital, Inc. Winchester, IN per diem · inpatient | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
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