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Newborn nursery stay in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

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CPT 99460

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$1711.3×12026-04-01
Bryn Mawr Hospital Bryn Mawr$1721.3×12026-04-01
Lehigh Valley Hospital Allentown$4513.3×52026-07-01

MS-DRG 795

HospitalMedian across insurers× MedicareInsurersFile date
Upmc Presbyterian Shadyside Pittsburgh$3,0792.2×12026-03-06
Riddle Memorial Hospital Media$3,3232.3×42026-04-01
Bryn Mawr Hospital Bryn Mawr$3,4522.4×42026-04-01
Lehigh Valley Hospital Allentown$4,1092.8×62026-07-01
Thomas Jefferson University Hospital Philadelphia$4,5453.1×52026-09-15

Questions

How much do insurers pay for newborn nursery stay in Pennsylvania?

5 Pennsylvania hospitals post usable commercial rates for newborn nursery stay in their federal price-transparency files. For CPT 99460, hospital outpatient, the median across 3 hospitals is $172, 1.3× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.