Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Newborn nursery stay: what insurers pay

A healthy newborn's hospital stay (MS-DRG 795) and the pediatrician's first-day (99460) and later-day (99462) visits. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 99460: Init Nb Em Per Day Hosp

61 hospitals in 24 markets. National Medicare rate $136.

MarketHospitals25th pctMedian75th pctLow–high
Austin TX2———$260–$555
Boston MA7$189$220$239$177–$278
Chicago IL5$176$240$240$164–$398
Cleveland OH3———$239–$309
Dallas-Fort Worth TX2———$565–$565
Denver CO3———$162–$671
Detroit MI7$111$275$464$98–$505
Houston TX1———$362–$362
Illinois (statewide)1———$102–$102
Indianapolis IN3———$95–$113
Kansas (statewide)1———$110–$110
Las Vegas NV1———$142–$142
Los Angeles CA1———$488–$488
Minneapolis-St. Paul MN1———$206–$206
Nashville TN4———$72–$173
New York City1———$279–$279
Ohio (statewide)1———$200–$200
Pennsylvania (statewide)1———$451–$451
Philadelphia PA2———$171–$172
Phoenix AZ2———$305–$305
Portland OR6$376$376$461$376–$489
San Antonio TX1———$336–$336
Seattle-Tacoma WA4———$361–$580
Tampa FL1———$134–$134
HospitalMarketMedian across insurers× MedicareInsurersFile date
TriStar StoneCrest Medical CenterNashville TN$720.6×12026-09-01
Hendricks Regional HealthIndianapolis IN$950.7×62026-05-20
Henry Ford Health Rochester HospitalDetroit MI$980.7×22026-01-01
Sarah Bush Lincoln Health CenterIllinois (statewide)$1020.7×42026-06-03
Mclaren Port HuronDetroit MI$1030.8×32025-12-31
Menorah Medical CenterKansas (statewide)$1100.9×12026-09-01
Ascension St Vincent AndersonIndianapolis IN$1130.8×22026-01-01
Ascension St Vincent CarmelIndianapolis IN$1130.8×22026-01-01
Harper University HospitalDetroit MI$1190.9×22026-09-02
Morton Plant HospitalTampa FL$1341.0×12026-01-01
University Medical Center of Southern NevadaLas Vegas NV$1421.0×22026-07-01
Vanderbilt University Medical CenterNashville TN$1611.3×62025-10-01
Adventhealth PorterDenver CO$1621.2×12026-04-01
Adventhealth ParkerDenver CO$1621.2×12026-04-01
University of Chicago Medical CenterChicago IL$1641.1×12026-04-01
Riddle Memorial HospitalPhiladelphia PA$1711.3×12026-04-01
Bryn Mawr HospitalPhiladelphia PA$1721.3×12026-04-01
Ascension Saint Thomas RutherfordNashville TN$1731.4×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$1731.4×12026-01-01
Endeavor Health Northwest Community HospitalChicago IL$1761.2×12026-04-01
New England Baptist HospitalBoston MA$1771.1×22026-04-01
Winchester HospitalBoston MA$1861.2×12026-04-01
Beverly Hospital CorporationBoston MA$1921.2×12026-04-01
Bethesda NorthOhio (statewide)$2001.5×32026-04-01
Lakeview Memorial HospitalMinneapolis-St. Paul MN$2061.5×32026-03-31
Anna Jaques HospitalBoston MA$2201.4×22026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$2221.4×12026-04-01
Medina HospitalCleveland OH$2391.9×12026-06-15
Endeavor Health Elmhurst HospitalChicago IL$2401.7×12026-04-01
Endeavor Health Edward HospitalChicago IL$2401.7×12026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$2561.6×12026-04-01
Ascension Seton Medical Center AustinAustin TX$2601.9×22026-01-01
Cleveland Clinic Lutheran HospitalCleveland OH$2732.2×12026-06-15
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2752.1×12026-05-01
Beth Israel Deaconess Medical CenterBoston MA$2781.7×12026-04-01
Montefiore Medical CenterNew York City$2791.7×82026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$3052.1×12026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$3052.1×12026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$3092.5×12026-06-15
Methodist HospitalSan Antonio TX$3362.5×12026-09-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$3612.3×42026-04-01
Houston Methodist HospitalHouston TX$3622.7×12026-04-01
Legacy Emanuel Medical CenterPortland OR$3762.5×22026-04-01
Legacy Good Samaritan Medical CenterPortland OR$3762.5×22026-04-01
Legacy Mount Hood Medical CenterPortland OR$3762.5×22026-04-01
Legacy Meridian Park Medical CenterPortland OR$3762.5×22026-04-01
Endeavor Health Evanston HospitalChicago IL$3982.8×12026-04-01
Lehigh Valley HospitalPennsylvania (statewide)$4513.3×52026-07-01
Corewell Health William Beaumont University HospitDetroit MI$4643.5×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$4643.5×12026-05-01
Swedish Medical CenterSeattle-Tacoma WA$4783.1×42026-04-01
Keck Hospital Of UscLos Angeles CA$4882.9×12026-04-01
Providence St Vincent Medical CenterPortland OR$4893.3×12026-04-01
Providence Portland Medical CenterPortland OR$4893.3×12026-04-01
Corewell Health Dearborn HospitalDetroit MI$5053.8×12026-05-01
St David's Medical CenterAustin TX$5554.1×12026-09-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$5603.6×52026-08-27
Medical City PlanoDallas-Fort Worth TX$5654.2×12026-09-01
Medical City MckinneyDallas-Fort Worth TX$5654.2×12026-09-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$5803.8×42026-08-27
UCHealth University of Colorado HospitalDenver CO$6714.8×12025-11-01

MS-DRG 795: Normal Newborn

113 hospitals in 35 markets. National Medicare rate $1,454.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA2———$2,348–$3,506
Austin TX2———$1,183–$2,679
Boston MA7$1,776$1,848$2,060$1,501–$2,912
California (statewide)1———$2,500–$2,500
Chicago IL7$2,310$2,576$2,924$1,898–$3,716
Cleveland OH5$2,568$3,190$3,266$2,500–$3,938
Columbus OH1———$3,694–$3,694
Dallas-Fort Worth TX4———$3,286–$5,172
Denver CO7$2,551$4,064$4,366$2,235–$4,525
Detroit MI8$2,716$2,737$2,769$2,392–$3,266
Florida (statewide)1———$5,796–$5,796
Georgia (statewide)1———$3,932–$3,932
Houston TX1———$3,641–$3,641
Illinois (statewide)1———$1,592–$1,592
Indianapolis IN3———$2,902–$11,436
Kansas (statewide)1———$1,534–$1,534
Las Vegas NV1———$2,211–$2,211
Los Angeles CA2———$3,747–$6,116
Miami-Fort Lauderdale FL2———$2,440–$3,399
Minneapolis-St. Paul MN6$2,774$2,948$3,058$2,226–$3,834
Nashville TN4———$3,333–$5,967
New York City2———$1,964–$11,146
Ohio (statewide)1———$3,495–$3,495
Pennsylvania (statewide)1———$4,109–$4,109
Philadelphia PA5$3,452$3,747$4,545$3,323–$5,758
Phoenix AZ3———$3,043–$3,267
Pittsburgh PA1———$3,079–$3,079
Portland OR6$4,986$4,986$5,054$4,904–$5,077
Research Triangle NC3———$1,360–$2,730
Richmond VA4———$1,277–$3,104
Salt Lake City UT3———$3,604–$3,790
San Antonio TX1———$2,602–$2,602
Seattle-Tacoma WA6$4,609$4,609$4,609$3,936–$5,590
Tampa FL4———$4,038–$4,749
Washington DC6$3,007$3,920$4,315$2,378–$4,472
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center AustinAustin TX$1,1830.8×22026-01-01
Bon Secours St. Mary's HospitalRichmond VA$1,2770.9×52026-04-01
North Carolina Specialty HospitalResearch Triangle NC$1,3601.0×12026-02-25
Anna Jaques HospitalBoston MA$1,5010.9×12026-04-01
Menorah Medical CenterKansas (statewide)$1,5341.1×32026-09-01
Sarah Bush Lincoln Health CenterIllinois (statewide)$1,5921.0×12026-06-03
Beth Israel Deaconess Hospital - PlymouthBoston MA$1,7031.0×12026-04-01
Beverly Hospital CorporationBoston MA$1,8481.1×12026-04-01
Winchester HospitalBoston MA$1,8481.1×12026-04-01
Endeavor Health Northwest Community HospitalChicago IL$1,8981.2×32026-04-01
Montefiore Medical CenterNew York City$1,9641.1×12026-04-01
Beth Israel Deaconess Medical CenterBoston MA$1,9901.1×22026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$2,0071.4×32026-09-01
Henrico Doctors' HospitalRichmond VA$2,0441.5×32026-09-01
Duke Regional HospitalResearch Triangle NC$2,1131.5×12026-04-01
New England Baptist HospitalBoston MA$2,1301.2×32026-04-01
Endeavor Health Edward HospitalChicago IL$2,1901.4×32026-04-01
University Medical Center of Southern NevadaLas Vegas NV$2,2111.5×22026-07-01
Lakeview Memorial HospitalMinneapolis-St. Paul MN$2,2261.5×22026-03-31
HCA HealthONE Sky RidgeDenver CO$2,2351.5×32026-09-01
Piedmont Atlanta HospitalAtlanta GA$2,3481.6×22026-07-01
Reston Hospital CenterWashington DC$2,3781.6×32026-09-01
Mclaren Port HuronDetroit MI$2,3921.7×12025-12-31
Endeavor Health Elmhurst HospitalChicago IL$2,4291.6×32026-04-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$2,4401.6×42026-06-15
Hca Healthone RoseDenver CO$2,4891.6×32026-09-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$2,5001.3×22026-09-01
Cleveland Clinic Hillcrest HospitalCleveland OH$2,5001.9×22026-06-15
University Hospitals - Elyria Medical CenterCleveland OH$2,5681.9×32026-07-14
Loyola University Medical CenterChicago IL$2,5761.7×32026-03-31
Methodist HospitalSan Antonio TX$2,6021.8×22026-09-01
HCA HealthONE SwedishDenver CO$2,6131.7×32026-09-01
St David's Medical CenterAustin TX$2,6791.9×32026-09-01
Corewell Health Dearborn HospitalDetroit MI$2,6871.9×22026-05-01
Trinity Health Oakland HospitalDetroit MI$2,7261.9×172026-03-31
Duke University HospitalResearch Triangle NC$2,7301.9×12026-04-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2,7371.9×32026-05-01
Corewell Health William Beaumont University HospitDetroit MI$2,7371.9×32026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$2,7371.9×32026-05-01
Buffalo HospitalMinneapolis-St. Paul MN$2,7521.8×32026-06-16
Endeavor Health Evanston HospitalChicago IL$2,7891.8×32026-04-01
Stonesprings Hospital CenterWashington DC$2,7981.9×32026-09-01
Abbott Northwestern HospitalMinneapolis-St. Paul MN$2,8381.9×52026-06-16
Henry Ford Health Rochester HospitalDetroit MI$2,8642.0×12026-01-01
Hendricks Regional HealthIndianapolis IN$2,9021.9×32026-05-20
Lahey Hospital & Medical Center, BurlingtonBoston MA$2,9121.7×42026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$3,0432.0×42026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$3,0432.0×42026-04-01
Mercy Hospital (Allina, Coon Rapids)Minneapolis-St. Paul MN$3,0582.0×42026-06-17
United Hospital (Allina)Minneapolis-St. Paul MN$3,0582.0×42026-06-16
Rush University Medical CenterChicago IL$3,0602.0×42026-09-25
Upmc Presbyterian ShadysidePittsburgh PA$3,0792.2×12026-03-06
VCU Medical CenterRichmond VA$3,1042.2×12026-01-02
Cleveland Clinic Lutheran HospitalCleveland OH$3,1902.4×42026-06-15
Harper University HospitalDetroit MI$3,2662.3×12026-09-02
Medina HospitalCleveland OH$3,2662.4×32026-06-15
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$3,2672.1×32026-04-01
Medical City PlanoDallas-Fort Worth TX$3,2862.3×32026-09-01
Riddle Memorial HospitalPhiladelphia PA$3,3232.3×42026-04-01
Medical City MckinneyDallas-Fort Worth TX$3,3282.3×32026-09-01
Vanderbilt University Medical CenterNashville TN$3,3332.5×52025-10-01
Mount Sinai Medical Center Of Florida, IncMiami-Fort Lauderdale FL$3,3992.3×32026-03-13
Bryn Mawr HospitalPhiladelphia PA$3,4522.4×42026-04-01
Bethesda NorthOhio (statewide)$3,4952.5×52026-04-01
Emory University HospitalAtlanta GA$3,5062.5×42026-04-01
Lds HospitalSalt Lake City UT$3,6042.5×22026-08-05
George Washington Univ HospitalWashington DC$3,6332.1×32026-09-01
Houston Methodist HospitalHouston TX$3,6412.5×12026-04-01
TriStar StoneCrest Medical CenterNashville TN$3,6712.7×42026-09-01
Ohio State University HospitalsColumbus OH$3,6942.7×22026-07-01
University of Chicago Medical CenterChicago IL$3,7162.4×52026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$3,7472.0×12025-11-26
Jefferson Stratford HospitalPhiladelphia PA$3,7472.3×52026-09-15
Intermountain Health Utah Valley HospitalSalt Lake City UT$3,7902.6×22026-08-05
Mckay-Dee HospitalSalt Lake City UT$3,7902.6×22026-08-05
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$3,8342.6×12026-03-31
Emory Houston Hospital Warner RobinsGeorgia (statewide)$3,9323.2×32026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$3,9362.4×62026-04-01
Cleveland Clinic (main campus)Cleveland OH$3,9382.9×22026-06-16
Tampa General HospitalTampa FL$4,0382.7×42026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$4,0642.7×22026-09-01
Morton Plant HospitalTampa FL$4,0882.8×32026-01-01
Lehigh Valley HospitalPennsylvania (statewide)$4,1092.8×62026-07-01
UCHealth University of Colorado HospitalDenver CO$4,2062.8×62025-11-01
Medstar Washington Hospital CenterWashington DC$4,2072.5×52026-04-01
Adventhealth TampaTampa FL$4,3182.9×42026-04-01
Inova Alexandria HospitalWashington DC$4,3513.0×22026-04-01
Medstar Georgetown University HospitalWashington DC$4,4722.6×42026-04-01
Adventhealth PorterDenver CO$4,5253.0×12026-04-01
Adventhealth ParkerDenver CO$4,5253.0×12026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$4,5453.1×52026-09-15
Baylor University Medical CenterDallas-Fort Worth TX$4,5883.2×22026-06-29
St Clare HospitalSeattle-Tacoma WA$4,6092.7×52026-02-28
Multicare Good Samaritan HospitalSeattle-Tacoma WA$4,6092.7×52026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$4,6092.7×52026-08-27
St Anthony HospitalSeattle-Tacoma WA$4,6092.7×52026-02-28
Adventhealth CarrollwoodTampa FL$4,7493.2×42026-04-01
Legacy Meridian Park Medical CenterPortland OR$4,9043.1×42026-04-01
Legacy Emanuel Medical CenterPortland OR$4,9863.1×42026-04-01
Legacy Good Samaritan Medical CenterPortland OR$4,9863.1×42026-04-01
Legacy Mount Hood Medical CenterPortland OR$4,9863.1×42026-04-01
Providence St Vincent Medical CenterPortland OR$5,0773.2×32026-04-01
Providence Portland Medical CenterPortland OR$5,0773.2×32026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$5,1723.6×12026-04-21
Swedish Medical CenterSeattle-Tacoma WA$5,5903.3×52026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$5,7583.6×22026-03-24
Orlando Health Orlando Regional Medical CenterFlorida (statewide)$5,7963.9×42026-04-01
Ascension Saint Thomas RutherfordNashville TN$5,9674.4×32026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$5,9674.4×32026-01-01
Keck Hospital Of UscLos Angeles CA$6,1163.3×72026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$11,1466.2×72026-01-01
Ascension St Vincent AndersonIndianapolis IN$11,4367.6×22026-01-01
Ascension St Vincent CarmelIndianapolis IN$11,4367.6×22026-01-01

Questions

How much do commercial insurers pay hospitals for newborn nursery stay?

Across 61 hospitals in 24 metro areas that post a usable dollar rate, the median commercial rate for CPT 99460, hospital outpatient is $256, 1.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $171 to $376. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for newborn nursery stay?

Medicare's national hospital outpatient rate for CPT 99460 is $136, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for newborn nursery stay?

Lowest medians: TriStar StoneCrest Medical Center ($72), Hendricks Regional Health ($95), Henry Ford Health Rochester Hospital ($98). Highest: UCHealth University of Colorado Hospital ($671), Multicare Good Samaritan Hospital ($580), Medical City Mckinney ($565). Coverage is limited to the markets listed on this page.