Price AtlasInteractive atlas · All states · techysurgeon.comNewborn 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.
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CPT 99460: Newborn Nursery Stay
711 hospitals in 74 markets. National Medicare rate $136.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 7 | $107 | $144 | $198 | $95–$239 |
| Alaska (statewide) | 4 | — | — | — | $184–$949 |
| Arizona (statewide) | 3 | — | — | — | $88–$159 |
| Arkansas (statewide) | 2 | — | — | — | $118–$152 |
| Atlanta GA | 2 | — | — | — | $401–$407 |
| Austin TX | 10 | $128 | $394 | $555 | $125–$555 |
| Boston MA | 10 | $188 | $221 | $225 | $132–$278 |
| California (statewide) | 22 | $129 | $182 | $228 | $92–$436 |
| Charlotte NC | 5 | $153 | $153 | $153 | $151–$153 |
| Chicago IL | 7 | $208 | $240 | $360 | $164–$398 |
| Cleveland OH | 7 | $139 | $180 | $224 | $139–$296 |
| Colorado (statewide) | 12 | $198 | $490 | $587 | $130–$715 |
| Connecticut (statewide) | 2 | — | — | — | $100–$191 |
| Dallas-Fort Worth TX | 6 | $565 | $565 | $565 | $565–$574 |
| Denver CO | 11 | $137 | $211 | $302 | $130–$671 |
| Detroit MI | 14 | $108 | $156 | $306 | $100–$413 |
| Florida (statewide) | 18 | $134 | $181 | $224 | $106–$734 |
| Georgia (statewide) | 9 | $206 | $401 | $402 | $151–$508 |
| Hawaii (statewide) | 2 | — | — | — | $116–$129 |
| Houston TX | 15 | $299 | $299 | $338 | $254–$448 |
| Idaho (statewide) | 9 | $126 | $134 | $238 | $121–$356 |
| Illinois (statewide) | 28 | $171 | $183 | $307 | $100–$383 |
| Indiana (statewide) | 28 | $106 | $112 | $211 | $78–$286 |
| Indianapolis IN | 4 | — | — | — | $88–$106 |
| Iowa (statewide) | 19 | $136 | $159 | $254 | $77–$337 |
| Kansas (statewide) | 19 | $106 | $134 | $280 | $72–$724 |
| Kentucky (statewide) | 8 | $136 | $157 | $175 | $89–$221 |
| Las Vegas NV | 1 | — | — | — | $164–$164 |
| Los Angeles CA | 15 | $191 | $191 | $250 | $168–$378 |
| Louisiana (statewide) | 9 | $116 | $123 | $250 | $94–$540 |
| Maine (statewide) | 16 | $528 | $600 | $613 | $132–$771 |
| Massachusetts (statewide) | 2 | — | — | — | $173–$196 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $241–$241 |
| Michigan (statewide) | 23 | $100 | $133 | $172 | $100–$484 |
| Minneapolis-St. Paul MN | 7 | $308 | $353 | $367 | $206–$370 |
| Minnesota (statewide) | 12 | $333 | $365 | $410 | $155–$489 |
| Mississippi (statewide) | 6 | $154 | $194 | $279 | $91–$363 |
| Missouri (statewide) | 5 | $105 | $202 | $215 | $96–$260 |
| Montana (statewide) | 7 | $158 | $274 | $330 | $140–$394 |
| Nashville TN | 8 | $78 | $124 | $164 | $72–$173 |
| Nebraska (statewide) | 8 | $134 | $162 | $181 | $122–$329 |
| New Hampshire (statewide) | 4 | — | — | — | $110–$771 |
| New Jersey (statewide) | 4 | — | — | — | $152–$424 |
| New Mexico (statewide) | 5 | $136 | $195 | $205 | $116–$389 |
| New York (statewide) | 28 | $179 | $224 | $264 | $101–$484 |
| New York City | 6 | $205 | $220 | $256 | $200–$454 |
| North Carolina (statewide) | 2 | — | — | — | $136–$340 |
| North Dakota (statewide) | 5 | $197 | $220 | $233 | $92–$302 |
| Ohio (statewide) | 27 | $225 | $280 | $348 | $125–$512 |
| Oklahoma (statewide) | 11 | $141 | $245 | $270 | $86–$315 |
| Oregon (statewide) | 10 | $200 | $328 | $466 | $171–$614 |
| Pennsylvania (statewide) | 11 | $182 | $300 | $502 | $171–$612 |
| Philadelphia PA | 5 | $171 | $172 | $172 | $171–$198 |
| Phoenix AZ | 4 | — | — | — | $305–$305 |
| Pittsburgh PA | 5 | $176 | $176 | $176 | $176–$232 |
| Portland OR | 9 | $457 | $457 | $520 | $377–$520 |
| Rhode Island (statewide) | 3 | — | — | — | $273–$549 |
| Rio Grande Valley TX | 2 | — | — | — | $628–$653 |
| Salt Lake City UT | 9 | $219 | $226 | $226 | $120–$226 |
| San Antonio TX | 3 | — | — | — | $200–$494 |
| San Diego CA | 2 | — | — | — | $295–$316 |
| San Francisco Bay Area CA | 1 | — | — | — | $314–$314 |
| Seattle-Tacoma WA | 11 | $389 | $467 | $502 | $348–$568 |
| South Carolina (statewide) | 16 | $179 | $226 | $345 | $179–$527 |
| South Dakota (statewide) | 2 | — | — | — | $128–$164 |
| Tampa FL | 5 | $134 | $134 | $134 | $134–$740 |
| Tennessee (statewide) | 19 | $127 | $136 | $161 | $69–$170 |
| Texas (statewide) | 42 | $140 | $302 | $394 | $92–$565 |
| Utah (statewide) | 8 | $120 | $170 | $205 | $96–$226 |
| Vermont (statewide) | 2 | — | — | — | $94–$107 |
| Virginia (statewide) | 15 | $382 | $412 | $442 | $287–$505 |
| Washington (statewide) | 12 | $266 | $364 | $395 | $104–$786 |
| West Virginia (statewide) | 3 | — | — | — | $143–$886 |
| Wisconsin (statewide) | 17 | $217 | $320 | $551 | $98–$553 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Parkridge Medical Center | Tennessee (statewide) | $69 | 0.6× | 1 | 2026-09-01 |
| Clay County Medical Center | Kansas (statewide) | $72 | 0.6× | 3 | 2026-07-22 |
| TriStar StoneCrest Medical Center | Nashville TN | $72 | 0.6× | 1 | 2026-09-01 |
| TriStar Skyline Medical Center | Nashville TN | $74 | 0.6× | 1 | 2026-09-01 |
| Sabetha Community Hospital | Kansas (statewide) | $76 | 0.6× | 4 | 2026-08-04 |
| Waverly Health Center | Iowa (statewide) | $77 | 0.6× | 5 | 2026-03-03 |
| Johnson Memorial Hospital | Indiana (statewide) | $78 | 0.6× | 1 | 2026-05-05 |
| Decatur County Memorial Hospital | Indiana (statewide) | $78 | 0.6× | 3 | 2026-09-02 |
| TriStar Summit Medical Center | Nashville TN | $79 | 0.6× | 1 | 2026-09-01 |
| Tristar Horizon Medical Center | Tennessee (statewide) | $82 | 0.6× | 1 | 2026-09-01 |
| Harrison County Hospital | Indiana (statewide) | $84 | 0.6× | 12 | 2026-07-16 |
| Cheyenne County Hospital | Kansas (statewide) | $84 | 0.7× | 8 | 2026-08-04 |
| Valley Regional Medical Center | Rio Grande Valley TX | $653 | 4.9× | 1 | 2026-09-01 |
| UCHealth University of Colorado Hospital | Denver CO | $671 | 4.8× | 1 | 2025-11-01 |
| Parkview Medical Center, Inc | Colorado (statewide) | $715 | 5.1× | 1 | 2025-11-01 |
| Providence Centralia Hospital | Washington (statewide) | $722 | 4.9× | 3 | 2026-04-01 |
| Providence Medical Center | Kansas (statewide) | $724 | 5.8× | 1 | 2026-04-01 |
| Tampa General Hospital Crystal River | Florida (statewide) | $734 | 5.3× | 1 | 2026-04-01 |
| Tampa General Hospital Brooksville | Tampa FL | $740 | 5.3× | 1 | 2026-04-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $771 | 5.9× | 1 | 2025-09-09 |
| Southern Nh Medical Center | New Hampshire (statewide) | $771 | 5.4× | 2 | 2026-04-01 |
| Mary Bridge Children'S Hospital | Washington (statewide) | $786 | 5.1× | 4 | 2026-08-27 |
| Logan Regional Medical Center | West Virginia (statewide) | $886 | 6.9× | 1 | 2026-04-01 |
| Providence Alaska Medical Center | Alaska (statewide) | $949 | 6.4× | 1 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
MS-DRG 795: Normal Newborn
1421 hospitals in 81 markets. National Medicare rate $1,454.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 22 | $2,179 | $2,824 | $3,806 | $1,339–$7,097 |
| Alaska (statewide) | 4 | — | — | — | $1,807–$7,222 |
| Arizona (statewide) | 26 | $2,446 | $2,812 | $3,324 | $1,192–$4,548 |
| Arkansas (statewide) | 10 | $1,724 | $1,892 | $1,958 | $1,539–$2,371 |
| Atlanta GA | 7 | $3,506 | $3,506 | $4,694 | $2,348–$5,882 |
| Austin TX | 13 | $1,301 | $2,966 | $3,856 | $1,252–$6,150 |
| Boston MA | 12 | $1,753 | $1,919 | $2,922 | $1,501–$5,300 |
| California (statewide) | 50 | $2,840 | $3,269 | $3,768 | $1,267–$9,384 |
| Charlotte NC | 4 | — | — | — | $2,261–$2,264 |
| Chicago IL | 11 | $2,407 | $2,656 | $3,219 | $1,898–$3,716 |
| Cleveland OH | 11 | $2,541 | $2,611 | $3,006 | $1,873–$3,458 |
| Colorado (statewide) | 16 | $3,206 | $3,868 | $4,924 | $1,224–$6,282 |
| Columbus OH | 2 | — | — | — | $3,415–$3,474 |
| Connecticut (statewide) | 3 | — | — | — | $3,809–$5,552 |
| Dallas-Fort Worth TX | 15 | $2,130 | $3,403 | $4,288 | $1,880–$5,842 |
| Delaware (statewide) | 2 | — | — | — | $2,706–$4,382 |
| Denver CO | 15 | $2,651 | $2,657 | $3,547 | $2,235–$5,993 |
| Detroit MI | 16 | $2,448 | $2,737 | $2,807 | $1,648–$3,614 |
| Florida (statewide) | 88 | $2,726 | $3,710 | $4,457 | $1,485–$11,231 |
| Georgia (statewide) | 31 | $3,072 | $4,160 | $5,700 | $2,016–$6,993 |
| Hawaii (statewide) | 11 | $2,678 | $3,037 | $3,907 | $2,344–$4,548 |
| Houston TX | 18 | $3,602 | $3,884 | $6,170 | $2,900–$9,622 |
| Idaho (statewide) | 15 | $2,092 | $2,956 | $3,640 | $2,048–$4,270 |
| Illinois (statewide) | 42 | $1,932 | $2,286 | $3,062 | $1,345–$4,762 |
| Indiana (statewide) | 48 | $2,706 | $3,446 | $4,368 | $1,469–$11,436 |
| Indianapolis IN | 6 | $4,529 | $7,058 | $10,820 | $3,657–$11,231 |
| Iowa (statewide) | 23 | $2,034 | $2,469 | $3,290 | $1,574–$7,300 |
| Kansas (statewide) | 25 | $1,624 | $1,766 | $2,165 | $794–$7,222 |
| Kentucky (statewide) | 32 | $1,751 | $2,086 | $2,719 | $1,235–$3,864 |
| Las Vegas NV | 1 | — | — | — | $2,211–$2,211 |
| Los Angeles CA | 18 | $3,310 | $3,624 | $3,798 | $2,740–$4,651 |
| Louisiana (statewide) | 21 | $1,686 | $1,945 | $2,340 | $1,226–$4,014 |
| Maine (statewide) | 12 | $4,042 | $6,041 | $6,043 | $1,540–$6,043 |
| Massachusetts (statewide) | 8 | $2,333 | $3,646 | $5,132 | $1,424–$6,174 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $2,131–$3,502 |
| Michigan (statewide) | 37 | $2,186 | $2,599 | $3,099 | $1,600–$6,721 |
| Minneapolis-St. Paul MN | 15 | $2,704 | $2,752 | $3,020 | $2,040–$3,834 |
| Minnesota (statewide) | 22 | $2,538 | $2,550 | $2,709 | $980–$4,404 |
| Mississippi (statewide) | 22 | $1,455 | $2,087 | $2,832 | $1,185–$3,851 |
| Missouri (statewide) | 27 | $1,875 | $2,757 | $3,302 | $906–$6,642 |
| Montana (statewide) | 7 | $1,734 | $2,583 | $4,607 | $954–$6,838 |
| Nashville TN | 8 | $2,652 | $3,258 | $3,827 | $2,185–$3,836 |
| Nebraska (statewide) | 13 | $1,574 | $2,339 | $3,554 | $1,477–$5,438 |
| Nevada (statewide) | 4 | — | — | — | $3,585–$5,438 |
| New Hampshire (statewide) | 8 | $1,948 | $2,698 | $3,334 | $1,513–$4,699 |
| New Jersey (statewide) | 19 | $3,468 | $4,289 | $4,554 | $2,040–$8,490 |
| New Mexico (statewide) | 9 | $1,598 | $2,544 | $3,200 | $1,354–$9,500 |
| New York (statewide) | 45 | $2,306 | $2,670 | $3,741 | $1,517–$6,099 |
| New York City | 8 | $3,717 | $3,786 | $4,680 | $1,780–$10,295 |
| North Carolina (statewide) | 23 | $1,989 | $2,264 | $2,453 | $1,236–$8,543 |
| North Dakota (statewide) | 7 | $2,448 | $2,590 | $2,728 | $2,064–$3,608 |
| Ohio (statewide) | 45 | $2,373 | $2,942 | $3,568 | $1,283–$6,646 |
| Oklahoma (statewide) | 17 | $1,782 | $2,295 | $3,269 | $926–$7,540 |
| Oregon (statewide) | 13 | $3,286 | $3,863 | $4,963 | $1,783–$5,679 |
| Pennsylvania (statewide) | 59 | $2,485 | $3,056 | $3,512 | $1,604–$4,762 |
| Philadelphia PA | 11 | $3,388 | $4,074 | $4,258 | $2,977–$5,758 |
| Phoenix AZ | 11 | $3,043 | $3,043 | $3,219 | $2,552–$3,509 |
| Pittsburgh PA | 7 | $2,422 | $2,648 | $2,706 | $2,146–$2,839 |
| Portland OR | 9 | $4,479 | $4,986 | $5,946 | $4,468–$6,301 |
| Research Triangle NC | 9 | $1,290 | $2,113 | $2,730 | $1,277–$3,147 |
| Rhode Island (statewide) | 5 | $3,102 | $3,824 | $4,211 | $2,565–$4,326 |
| Richmond VA | 7 | $1,262 | $2,007 | $2,177 | $1,193–$3,104 |
| Rio Grande Valley TX | 6 | $3,800 | $4,693 | $5,963 | $2,448–$7,219 |
| Salt Lake City UT | 9 | $3,768 | $3,768 | $3,768 | $3,768–$3,768 |
| San Antonio TX | 3 | — | — | — | $2,148–$3,147 |
| San Diego CA | 6 | $2,368 | $3,488 | $4,145 | $2,144–$4,707 |
| San Francisco Bay Area CA | 2 | — | — | — | $2,676–$3,753 |
| Seattle-Tacoma WA | 16 | $4,425 | $4,525 | $4,619 | $3,992–$5,590 |
| South Carolina (statewide) | 28 | $1,792 | $2,370 | $3,744 | $1,195–$6,322 |
| South Dakota (statewide) | 4 | — | — | — | $2,198–$3,250 |
| Tampa FL | 11 | $4,025 | $4,039 | $4,124 | $3,089–$4,431 |
| Tennessee (statewide) | 29 | $1,733 | $2,264 | $3,042 | $1,044–$5,820 |
| Texas (statewide) | 87 | $2,133 | $3,355 | $5,172 | $1,030–$11,121 |
| Utah (statewide) | 13 | $3,768 | $3,768 | $3,768 | $1,420–$3,768 |
| Vermont (statewide) | 3 | — | — | — | $2,498–$5,521 |
| Virginia (statewide) | 22 | $2,531 | $3,806 | $4,084 | $1,181–$4,969 |
| Washington (statewide) | 13 | $3,581 | $3,904 | $4,052 | $1,698–$7,159 |
| Washington DC | 11 | $3,013 | $4,207 | $4,351 | $2,242–$4,507 |
| West Virginia (statewide) | 11 | $938 | $979 | $3,515 | $820–$4,812 |
| Wisconsin (statewide) | 37 | $2,550 | $3,536 | $4,156 | $1,290–$5,748 |
| Wyoming (statewide) | 2 | — | — | — | $2,666–$3,172 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Mcpherson Hospital Inc | Kansas (statewide) | $794 | 0.6× | 3 | 2026-06-08 |
| Wetzel County Hospital | West Virginia (statewide) | $820 | 0.6× | 1 | 2026-07-10 |
| Stormont Vail Health Flint Hills, Llc | Kansas (statewide) | $896 | 0.7× | 3 | 2025-12-19 |
| Lafayette Regional Health Center | Missouri (statewide) | $906 | 0.6× | 6 | 2026-09-01 |
| Weirton Medical Center, Inc | West Virginia (statewide) | $920 | 0.7× | 2 | 2026-07-10 |
| Reynolds Memorial Hospital, Inc | West Virginia (statewide) | $924 | 0.7× | 3 | 2026-07-09 |
| Weatherford Regional Hospital, Inc Of Weatherford | Oklahoma (statewide) | $926 | 0.7× | 4 | 2026-06-24 |
| Thomas Memorial Hospital | West Virginia (statewide) | $951 | 0.7× | 3 | 2026-07-10 |
| Mccone County Health Center | Montana (statewide) | $954 | 0.7× | 1 | 2026-01-01 |
| United Hospital Center, Inc | West Virginia (statewide) | $956 | 0.7× | 3 | 2026-07-10 |
| Wheeling Hospital, Inc | West Virginia (statewide) | $979 | 0.7× | 3 | 2026-07-09 |
| Lakewood Health System | Minnesota (statewide) | $980 | 0.7× | 1 | 2026-09-11 |
| Memorial Hermann Hospital System | Texas (statewide) | $11,121 | 7.8× | 1 | 2026-04-01 |
| Ascension St Vincent'S Clay County | Florida (statewide) | $11,231 | 7.5× | 5 | 2026-01-01 |
| Ascension St Vincent Kokomo | Indiana (statewide) | $11,231 | 7.4× | 5 | 2026-01-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $11,231 | 7.4× | 5 | 2026-01-01 |
| Ascension St Vincent Heart Center | Indiana (statewide) | $11,231 | 7.4× | 5 | 2026-01-01 |
| Ascension St Vincent Fishers | Indianapolis IN | $11,231 | 7.4× | 5 | 2026-01-01 |
| Ascension St Vincent Randolph | Indiana (statewide) | $11,231 | 7.4× | 5 | 2026-01-01 |
| Ascension St Vincent Jennings | Indiana (statewide) | $11,231 | 7.4× | 5 | 2026-01-01 |
| Ascension St Vincent Williamsport | Indiana (statewide) | $11,231 | 7.4× | 5 | 2026-01-01 |
| Ascension St Vincent Salem | Indiana (statewide) | $11,231 | 7.4× | 5 | 2026-01-01 |
| Ascension St Vincent Warrick | Indiana (statewide) | $11,231 | 7.4× | 5 | 2026-01-01 |
| Ascension St Vincent Evansville | Indiana (statewide) | $11,436 | 7.6× | 2 | 2026-01-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for newborn nursery stay?
Across 711 hospitals in 74 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 99460, hospital outpatient is $220, 1.5× the same hospital's local Medicare base rate. The middle half of hospitals runs $141 to $360. 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: Parkridge Medical Center ($69), Clay County Medical Center ($72), TriStar StoneCrest Medical Center ($72). Highest: Providence Alaska Medical Center ($949), Logan Regional Medical Center ($886), Mary Bridge Children'S Hospital ($786). Coverage: every hospital whose price file we could read.