Newborn hospital care Cost by Hospital

Newborn hospital care is a clinic or emergency-department visit. Prices are from 956 US hospitals across 50 states, from their machine-readable files.

$139median cash price · 956 hospitals, 50 statestypically $60–$331 depending on the hospital
≈ 2.4× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$190
Cash / self-pay
$139
Insurer-negotiated
$124
Medicare pays
$58
$60$331
Median cash $139  ·  Medicare $58  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $139 — about 2.4× the Medicare rate ($58). On the higher side. A fair cash price is usually within ~2× Medicare ($116).

💡 Asking for the cash price instead of the $190 list price could save about $51 (27%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Unity Health-Jacksonville Jacksonville, AR $28 — — 130 min —
Unity Health-Newport Newport, AR $28 — — 103 min —
Northern Maine Medical Center Fort Kent, ME $30 $85 — 140 min —
Adventist Health Tulare Tulare, CA $31 $62 ★ 3/5 198 min —
Saint Vincent Hospital Erie, PA $33 $76 ★ 4/5 219 min —
Jefferson Hospital Louisville, GA $35 $65 — 99 min —
Jefferson Hospital Jefferson Hills, PA $35 $65 ★ 4/5 170 min —
Punxsutawney Area Hospital Punxsutawney, PA $37 $78 ★ 2/5 136 min —
Nacogdoches Memorial Hospital Nacogdoches, TX $38 $106 ★ 2/5 174 min —
Yuma Regional Medical Center Yuma, AZ $40 $65 ★ 2/5 192 min —
Westfield Memorial Hospital, Inc Westfield, NY $41 $77 — 120 min —
Canonsburg General Hospital Canonsburg, PA $41 $70 ★ 3/5 155 min —
Forbes Hospital Monroeville, PA $41 $68 ★ 3/5 261 min —
Grove City Medical Center Grove City, PA $43 $70 ★ 4/5 150 min —
North Texas Medical Center Gainesville, TX $43 $128 ★ 4/5 117 min —
Allegheny Valley Hospital Natrona, PA $44 $70 ★ 4/5 203 min —
Allegheny General Hospital Pittsburgh, PA $44 $70 ★ 3/5 274 min —
Marlette Regional Hospital Marlette, MI $46 $41 — 106 min —
Conway Medical Center Conway, SC $46 $86 ★ 2/5 134 min —
Ahn Wexford Hospital Wexford, PA $48 $68 ★ 5/5 184 min —
Cox Monett Hospital Monett, MO $49 $83 ★ 3/5 151 min —
West Penn Hospital Pittsburgh, PA $50 $71 ★ 3/5 208 min —
Labette Health Parsons, KS $50 $80 ★ 3/5 120 min —
Heritage Valley Beaver Beaver, PA $51 $130 ★ 3/5 185 min —
Heritage Valley Sewickley Sewickley, PA $51 $130 ★ 4/5 135 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Newborn hospital care

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $139; Medicare pays $58.

InsurerHospitalsNegotiated median
Amerigroup 54
$37
$12 – $140
Independent Health 22
$42
$23 – $105
Medicaid 83
$52
$23 – $105
AmeriHealth 73
$52
$20 – $143
Geisinger 20
$52
$27 – $194
Univera 11
$58
$34 – $113
Molina Healthcare 228
$70
$30 – $171
Medicare 190
$76
$33 – $125
Highmark 53
$79
$34 – $175
Centene / Ambetter 321
$80
$34 – $195
Anthem 216
$84
$35 – $238
Priority Health 30
$84
$35 – $238
Kaiser Permanente 67
$84
$35 – $238
Blue Cross Blue Shield 485
$84
$34 – $227
Tricare / VA 119
$84
$37 – $153
Health Net 53
$86
$37 – $236
Humana 412
$88
$35 – $200
UnitedHealthcare 499
$88
$35 – $215
UPMC Health Plan 32
$91
$35 – $199
MVP Health Care 38
$97
$38 – $299
Sanford Health Plan 32
$97
$37 – $228
Aetna 487
$98
$37 – $271
UCare 38
$103
$38 – $236
AvMed 11
$115
$47 – $233
Cigna 295
$115
$39 – $316
Security Health Plan 22
$121
$37 – $300
Medica 43
$122
$40 – $286
Healthcare Highways 5
$122
$88 – $243
Devoted Health 92
$124
$38 – $143
Coventry 41
$124
$55 – $230
HealthPartners 79
$129
$38 – $354
SelectHealth 24
$130
$55 – $248
MultiPlan / PHCS network 135
$134
$49 – $315
Harvard Pilgrim 22
$136
$50 – $313
Oscar Health 72
$142
$54 – $247
Workers' Comp / No-Fault 23
$155
$82 – $174
Bright Health 12
$175
$84 – $220
EmblemHealth 43
$354
$84 – $1,050

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Pennsylvania$46
Utah$58
Mississippi$59
West Virginia$68
Indiana$75
Kansas$78

Prices by city

Chicago, ILAustin, TXCharlotte, NCCleveland, OHDallas, TXHouston, TXNashville, TNNew York, NYSan Antonio, TXBronx, NYBrooklyn, NYFort Worth, TXRochester, NYArlington, TXAurora, COColorado Springs, COKnoxville, TNMilwaukee, WIPlano, TXCincinnati, OHColumbus, OHDenver, COJacksonville, FLLas Vegas, NV

Prices by state

TexasOhioCaliforniaNew YorkMinnesotaIllinoisMichiganWisconsinColoradoPennsylvaniaFloridaTennesseeNorth CarolinaIowaIndianaMaineNew JerseyKansasWashingtonGeorgiaAlabamaOklahomaLouisianaWest VirginiaUtahMissouriSouth CarolinaKentuckyConnecticutArkansasIdahoSouth DakotaWyomingNew HampshireNebraskaNorth DakotaMontanaMassachusettsArizonaNevadaVermontOregonNew MexicoMississippiDelaware

Does Medicare cover Newborn hospital care?

Yes — Medicare generally covers Newborn hospital care. It is typically an inpatient service, so Medicare Part A (hospital insurance) pays the hospital a bundled rate — Medicare’s benchmark payment is about $58. Your own cost is mainly the Part A hospital deductible for the benefit period (a flat amount, not a percentage), plus any physician (Part B) charges. A Medicare Advantage or Medigap plan can change what you owe.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 956 US hospitals across 50 states, the typical (median) cash price is $139, versus a chargemaster (list) price around $190, a median insurer-negotiated rate of $124, a Medicare rate of about $58. Most cash prices fall between $60 and $331 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Newborn hospital care cost without insurance?
The median cash (self-pay) price across 956 US hospitals is $139. Most hospitals fall between $60 and $331. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Newborn hospital care?
Yes — it is generally covered under Medicare Part A as an inpatient service (Medicare's benchmark payment is about $58). You pay the Part A hospital deductible for the benefit period, plus any Part B physician charges.
What does Medicare pay for Newborn hospital care?
Medicare pays about $58. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Newborn hospital care prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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