Evidence-Based Hospital Referral - High-Risk Deliveries and NICU's
Infants are typically cared for in a Neonatal Intensive Care Unit (NICU) following: births in which infants are predicted to weigh less than 1,500 grams at birth, born before 32 weeks of pregnancy, or have correctable major birth defects.
Find a hospital in your area: (Only states with eligible hospitals are listed.)
Note: Services must be rendered at the address listed in order for the benefit level to be at 100%
Alabama
Birmingham
Brookwood Medical Center
2010 Brookwood Medical Center Drive
Birmingham AL 35209
Effective Date: July 1, 2007
Arizona
Phoenix
Banner Good Samaritan Regional Medical Center
1111 East McDowell Road
Phoenix AZ 85006
Effective Date: August 10, 2007
Mesa
Banner Desert Medical Center
1400 South Dobson Road
Mesa AZ 85202
Effective Date: July 1, 2007
California
Burbank
Providence Saint Joseph Medical Center
501 S Buena Vista Street
Burbank CA 91505
Effective Date: July 1, 2007
Los Angeles
Cedars-Sinai Medical Center
8700 Beverly Boulevard
Los Angeles CA 90048
Effective Date: July 1, 2007
Children's Hospital Los Angeles
4650 W Sunset Boulevard
Los Angeles CA 90027
Effective Date: July 1, 2007
Hollywood Presbyterian Medical Center
1300 N Vermont Avenue
Los Angeles CA 90027
Effective Date: September 21, 2007
University of California - UCLA Medical Center
10833 Le Conte Avenue
Los Angeles CA 90095
Effective Date: August 10, 2007
Lynwood
St. Francis Medical Center
3630 E Imperial Highway
Lynwood CA 90262-2636
Effective Date: January 5, 2009
Modesto
Doctors Medical Center of Modesto
1441 Florida Avenue
Modesto CA 95350
Effective Date: August 10, 2007
Orange
Children's Hospital of Orange County
455 South Main Street
Orange CA 92868-3874
Effective Date: July 1, 2007
St. Joseph Hospital - Orange
1100 W Stewart Drive
Orange CA 92868-5600
Effective Date: July 1, 2007
University of California - UCI Medical Center
101 The City Drive South
Orange CA 92868
Effective Date: July 1, 2007
Palm Springs
Desert Regional Medical Center
1150 N Indian Canyon Drive
Palm Springs CA 92262
Effective Date: August 10, 2007
Pasadena
Huntington Hospital
100 W California Boulevard
Pasadena CA 91105
Effective Date: July 1, 2007
Pomona
Pomona Valley Hospital Medical Center
1798 N Garey Avenue
Pomona CA 91767
Effective Date: January 5, 2009
Sacramento
University of California Davis Medical Center
2315 Stockton Boulevard
Sacramento CA 95817
Effective Date: July 1, 2007
San Bernardino
St. Bernardine Medical Center
2101 N Waterman Avenue
San Bernardino CA 92404
Effective Date: January 1, 2010
San Diego
Sharp Mary Birch Hospital for Women
3003 Health Center Drive
San Diego CA 92123
Effective Date: July 1, 2007
University of California San Diego Medical Center
200 West Arbor Drive
San Diego CA 92103
Effective Date: July 1, 2007
San Francisco
California Pacific Medical Center - California Campus
3700 California Street
San Francisco CA 94118
Effective Date: July 1, 2007
UCSF Medical Center - Moffitt-Long Hospitals
505 Parnassus Avenue
San Francisco CA 94143
Effective Date: July 1, 2007
San Jose
Good Samaritan Hospital
2425 Samaritan Drive
San Jose CA 95124
Effective Date: January 1, 2010
Santa Clara Valley Medical Center
751 S Bascom Avenue
San Jose CA 95128
Effective Date: July 1, 2007
Torrance
Torrance Memorial Medical Center
3330 Lomita Boulevard
Torrance CA 90505
Effective Date: July 1, 2007
Whittier
Presbyterian Intercommunity Hospital
12401 Washington Boulevard
Whittier CA 90602
Effecitive Date: July 1, 2007
Colorado
Aurora
University of Colorado Hospital
12401 E 17th Avenue
Aurora CO 80045
Effective Date: January 5, 2009
Colorado Springs
Memorial Health System
1400 E Boulder Street
Colorado Springs CO 80909
Effective Date: August 10, 2007
Denver
The Children's Hospital Association
1056 E 19th Avenue
Denver CO 80218
Effective Date: July 1, 2007
Exempla Inc. Saint Joseph Hospital
1835 Franklin Street
Denver CO 80218
Effective Date: July 1, 2007
Presbyterian - St. Luke's Medical Center
1719 E 19th Avenue
Denver CO 80218
Effective Date: July 1, 2007
Connecticut
Hartford
St. Francis Hospital and Medical Center
114 Woodland Street
Hartford CT 06105
Effective Date: July 1, 2007
Florida
Boca Raton
West Boca Medical Center
21644 State Road 7
Boca Raton FL 33428
Effective Date: July 1, 2007
Brandon
Brandon Regional Hospital
119 Oakfield Drive
Brandon FL 33511
Effective Date: August 10, 2007
Fort Pierce
Lawnwood Regional Medical Center and Heart Institute
1700 S 23rd Street
Fort Pierce FL 34950
Effective Date: January 1, 2010
Plantation
Plantation General Hospital
401 NW 42nd Avenue
Plantation FL 33317
Effective Date: August 10, 2007
Georgia
Decatur
Dekalb Medical - North Decatur Campus
2701 N Decatur Road
Decatur GA 30033
Effective Date: January 1, 2010
Savannah
Memorial Health University Medical Center
4700 Waters Avenue Box 23089
Savannah GA 31404
Effective Date: July 1, 2007
Illinois
Chicago
Mt. Sinai Hospital Medical Center
15th Street at California
Chicago IL 60608
Effective Date: June 15, 2009
Northwestern Memorial Hospital
251 East Huron
Chicago IL 60611
Effective Date: July 1, 2007
Rush University Medical Center
1653 West Congress Parkway
Chicago IL 60612
Effective Date: July 1, 2007
University of Chicago Medical Center
5841 South Maryland Avenue
Chicago IL 60637
Effective Date: July 1, 2007
Evanston
Evanston Hospital
2650 Ridge Avenue
Evanston IL 60201
Effective Date: July 1, 2007
Maywood
Loyola University Medical Center
2160 S 1st Avenue
Maywood IL 60153
Effective Date: June 15, 2009
Park Ridge
Advocate Lutheran General Hospital
1775 Dempster Street
Park Ridge IL 60068
Effective Date: September 21, 2007
Peoria
Saint Francis Medical Center
530 NE Glen Oak Avenue
Peoria IL 61637
Effective Date: July 1, 2007
Rockford
Rockford Memorial Hospital
2400 North Rockton Avenue
Rockford IL 61103
Effective Date: January 1, 2010
Indiana
Evansville
St. Mary's Medical Center
3700 Washington Avenue
Evansville IN 47750
Effective Date: January 1, 2010
Indianapolis
Clarian Health - Indiana University Hospital
550 N University Boulevard
Indianapolis IN 46202
Effective Date: July 1, 2007
Clarian Health - Methodist Hospital
1701 N Senate Avenue
Indianapolis IN 46202
Effective Date: July 1, 2007
St. Vincent Hospital and Health Services
2001 West 86th Street
Indianapolis IN 46260
Effective Date: July 1, 2007
Newburgh
Deaconess Women's Hospital of Southern Indiana, LLC
4199 Gateway Boulevard
Newburgh IN 47630
Effective Date: July 1, 2007
Kansas
Overland Park
Overland Park Regional Medical Center
10500 Quivira Road
Overland Park KS 66215
Effective Date: July 1, 2007
Wichita
Wesley Medical Center
550 N Hillside Street
Wichita KS 67214
Effective Date: July 1, 2007
Kentucky
Louisville
Norton Suburban Hospital
4001 Dutchmans Lane
Louisville KY 40207
Effective Date: January 1, 2010
Louisiana
Alexandria
Rapides Regional Medical Center
211 4th Street
Alexandria LA 71301
Effective Date: August 10, 2007
Baton Rouge
Baton Rouge General Medical Center
3600 Florida Boulevard
Baton Rouge LA 70806
Effective Date: January 1, 2010
Lafayette
Women's and Children's Hospital
4600 Ambassador Caffery Pkwy.
Lafayette LA 70508
Effective Date: July 1, 2007
Metairie
Tulane - Lakeside Hospital
4700 - 10 Service Road
Metairie LA 70001
Effective Date: January 1, 2010
Maine
Bangor
Eastern Maine Medical Center
489 State Street
Bangor ME 04401
Effective Date: July 1, 2007
Maryland
Baltimore
Mercy Medical Center Inc.
301 St. Paul Place
Baltimore MD 21202
Effective Date: January 1, 2010
Sinai Hospital
2401 W Belvedere Avenue
Baltimore MD 21215
Effective Date: July 1, 2007
University of Maryland Medical Center
22 S Greene Street
Baltimore MD 21201
Effective Date: July 1, 2007
Massachusetts
Boston
Beth Israel Deaconess Medical Center
330 Brookline Avenue
Boston MA 02215
Effective Date: July 1, 2007
Brigham and Women's Hospital
75 Francis Street
Boston MA 02115
Effective Date: July 1, 2007
Caritas St. Elizabeth's Medical Center
736 Cambridge Street
Boston MA 02135
Effective Date: January 5, 2009
Children's Hospital Boston
300 Longwood Avenue
Boston MA 02115
Effective Date: July 1, 2007
Massachuesetts General Hospital
55 Fruit Street
Boston MA 02114
Effective Date: July 1, 2007
Tufts-New England Medical Center
750 Washington Street - NEMC #412
Boston MA 02111
Effective Date: July 1, 2007
Springfield
Baystate Medical Center
759 Chestnut Street
Springfield MA 01199
Effective Date: July 1, 2007
Michigan
Ann Arbor
Saint Joseph Mercy Hospital
5301 E Huron River Drive
Ann Arbor MI 48106-0995
Effective Date: January 5, 2009
University of Michigan Hospitals and Health Centers
1500 East Medical Center Drive
Ann Arbor MI 48109-0826
Effective Date: July 1, 2007
Dearborn
Oakwood Hospital and Medical Center
18101 Oakwood Boulevard
Dearborn MI 48123
Effective Date: July 1, 2007
Detroit
Children's Hospital of Michigan
3901 Beaubien Boulevard
Detroit MI 48201-2196
Effective Date: July 1, 2007
Harper-Hutzel Hospital
3990 John Road
Detroit MI 48201
Effective Date: August 10, 2007
Henry Ford Hospital
2799 W Grand Boulevard
Detroit MI 48202
Effective Date: September 21, 2007
Sinai-Grace Hospital
6071 W Outer Drive
Detroit MI 48235
Effective Date: January 5, 2009
St. John Hospital and Medical Center
22101 Moross Road
Detroit MI 48236-2172
Effective Date: July 1, 2007
Grand Rapids
Spectrum Health - Butterworth Campus
100 Michigan Street NE
Grand Rapids MI 49503
Effective Date: July 1, 2007
Kalamazoo
Bronson Healthcare Group Inc.
One Healthcare Plaza
Kalamazoo MI 49007
Effective Date: July 1, 2007
Lansing
Sparrow Hospital and Health System
1215 East Michigan Avenue
Lansing MI 48912
Effective Date: January 5, 2009
Pontiac
St. Joseph Mercy Oakland
44405 Woodward Aveneu
Pontiac MI 48341
Effective Date: January 1, 2010
Royal Oak
William Beaumont Hospital
3601 West 13 Mile Road
Royal Oak MI 48073-6769
Effective Date: July 1, 2007
Saginaw
Covenant Medical Center Harrison
1447 N Harrison Street
Saginaw MI 48602
Effective Date: August 10, 2007
Minnesota
Minneapolis
Abbott - Northwestern Hospital Inc.
800 East 28th Street
Minneapolis MN 55407
Effective Date: January 1, 2010
Children's Hospitals and Clinics of Minnesota - Minneapolis
2525 Chicago Avenue South
Minneapolis MN 55404
Effective Date: July 1, 2007
Hennepin County Medical Center
701 Park Avenue
Minneapolis MN 55415-1829
Effective Date: August 10, 2007
University of Minnesota Medical Center
2450 Riverside Avenue
Minneapolis MN 55454
Effective Date: January 5, 2009
Rochester
Mayo Clinic Rochester - St. Marys
1216 2nd Street SW
Rochester MN 55905
Effective Date: January 1, 2010
Saint Paul
United Hospital
333 North Smith
Saint Paul MN 55102
Effective Date: January 1, 2010
New Hampshire
Lebanon
Mary Hitchcock Memorial Hospital
1 Medical Center Drive
Lebanon NH 03756
Effective Date: January 30, 2008
New Jersey
Hackensack
Hackensack University Medical
30 Prospect Avenue
Hackensack NJ 07601
Effective Date: July 1, 2007
Morristown
Morristown Memorial Hospital
100 Madison Avenue
Morristown NJ 07962
Effective Date: August 10, 2007
New Brunswick
Robert Wood Johnson University Hospital
One Robert Wood Johnson Place
New Brunswick NJ 08901
Effective Date: July 1, 2007
Newark
UMDNJ - The University Hospital
150 Bergen Street C431
Newark NJ 07103
Effective Date: January 1, 2010
Ridgewood
Valley Hospital
223 N Van Dien Avenue
Ridgewood NJ 07450
Effective Date: July 1, 2007
New York
Bronx
Bronx-Lebanon Hospital Center
1650 Grand Concourse
Bronx NY 10457
Effective Date: January 1, 2010
Lincoln Medical and Mental Health Center
234 East 149th Street
Bronx NY 10451-5589
Effective Date: August 10, 2007
Montefiore Medical Center: Weiler Division
1825 Eastchester Road
Bronx NY 10461
Effective Date: July 1, 2007
Brooklyn
Woodhull Medical - Mental Health Center
760 Broadway
Brooklyn NY 11206
Effective Date: January 5, 2009
New York
Beth Israel Medical Center
First Avenue and 16th Street
New York NY 10003
Effective Date: January 5, 2009
NYU Hospitals Center
550 First Avenue
New York NY 10016
Effective Date: January 1, 2010
Poughkeepsie
Vassar Brothers Medical Center
45 Reade Place
Poughkeepsie NY 12601
Effective Date: January 5, 2009
North Carolina
Chapel Hill
University of North Carolina Hospitals at Chapel Hill
101 Manning Drive
Chapel Hill NC 27514
Effective Date: December 21, 2007
Durham
Duke University Hospital
PO Box 3708 DUMC Erwin Road
Durham NC 27710
Effective Date: July 1, 2007
Gastonia
Gaston Memorial Hospital
2525 Court Drive
Gastonia NC 28054
Effective Date: January 1, 2010
Raleigh
WakeMed Raleigh Campus
3000 New Bern Avenue
Raleigh NC 27610
Effective Date: July 1, 2007
Ohio
Cincinnati
Cincinnati Children's Hospital Medical Center
3333 Burnet Avenue
Cincinnati OH 45229-3039
Effective Date: July 1, 2007
Cleveland
MetroHealth Medical Center
2500 MetroHealth Drive
Cleveland OH 44109
Effective Date: December 21, 2007
Rainbow Babies and Children's Hospital UOC
11100 Euclid Avenue
Cleveland OH 44106
Effective Date: July 1, 2007
University Hospitals Case Medical Center
11100 Euclid Avenue
Cleveland OH 44106
Effective Date: July 1, 2007
Columbus
Children's Hospital
700 Children's Drive
Columbus OH 43205
Effective Date: July 1, 2007
Riverside Methodist Hospital
3535 Olentangy River Road
Columbus OH 43214
Effective Date: August 10, 2007
The Ohio State University Hospital
410 W 10th Avenue
Columbus OH 43210
Effective Date: July 1, 2007
Dayton
Miami Valley Hospital
One Wyoming Street
Dayton OH 45409
Effective Date: January 1, 2010
Oregon
Portland
Providence St. Vincent Medical Center
9205 SW Barnes Road
Portland OR 97225
Effective Date: July 1, 2007
Pennsylvania
Allentown
Lehigh Valley Hospital
1200 S Cedar Crest Boulevard
PO Box 689
Allentown PA 18105-1556
Effective Date: July 1, 2007
Erie
Hamot Medical Center
201 State Street
Erie PA 16550
Effective Date: January 5, 2009
Lancaster
Lancaster General Hospital
555 North Duke Street
Lancaster PA 17604
Effective Date: January 5, 2009
Philadelphia
Children's Hospital of Philadelphia
34th Street and Civic Center Boulevard
Philadelphia PA 19104
Effective Date: July 1, 2007
Hahnemann University Hospital
Broad and Vine Streets
Philadelphia PA 19102
Effective Date: January 5, 2009
Pittsburgh
Allegheny General Hospital
320 East North Avenue
Pittsburgh PA 15212
Effective Date: August 10, 2007
Children's Hospital of Pittsburgh of UPMC
3705 5th Avenue
Pittsburgh PA 15217
Effective Date: August 10, 2007
Magee-Womens Hospital
300 Halket Street
Pittsburgh PA 15213
Effective Date: January 1, 2010
South Carolina
Charleston
Medical University of South Carolina
169 Ashley Avenue
Charleston SC 29425
Effective Date: August 10, 2007
Greenville
Greenville Memorial Hospital
701 Grove Road
Greenville SC 29605-5601
Effective Date: August 10, 2007
Spartanburg
Spartanburg Regional Medical Center
101 E Wood Street
Spartanburg SC 29303
Effective Date: January 5, 2009
Tennessee
Chattanooga
Erlanger Medical Center
975 East Third Street
Chattanooga TN 37403
Effective Date: August 10, 2007
Germantwon
Methodist Healthcare Germantown Hospital
7691 Poplar Avenue
Germantown TN 38138
Effective Date: July 1, 2007
Knoxville
Fort Sanders Regional Medical Center
1901 Clinch Avenue
Knoxville TN 37916
Effective Date: July 1, 2007
University of TN Memorial Hospital
1924 Alcoa Highway
Knoxville TN 37920
Effective Date: January 5, 2009
Memphis
Baptist Memorial Hospital for Women
6225 Humphreys Boulevard
Memphis TN 38120
Effective Date: July 1, 2007
Nashville
Baptist Hospital
2000 Church Street
Nashville TN 37236
Effective Date: January 5, 2009
Centennial Medical Center
2300 Patterson Street
Nashville TN 37203
Effective Date: July 1, 2007
Monroe Carell Jr. Children's Hospital at Vanderbilt
2200 Children's Way
Nashville TN 37232
Effective Date: August 10, 2007
Vanderbilt University Hospital
1211 22nd Avenue South
Nashville TN 37232
Effective Date: July 1, 2007
Texas
Arlington
Arlington Memorial Hospital
800 W Randol Mill Road
Arlington TX 76012
Effective Date: July 1, 2007
Medical Center of Arlington
3301 Matlock Road
Arlington TX 76015
Effective Date: January 5, 2009
Austin
St. David's Medical Center
919 E 32nd Street
Austin TX 78705
Effective Date: August 10, 2007
Dallas
Baylor University Medical Center
3500 Gaston Avenue
Dallas TX 75246
Effective Date: September 21, 2007
Methodist Dallas Medical Center
1441 N Beckley Avenue
Dallas TX 75203
Effective Date: August 10, 2007
UT Southwestern University Hospital - St. Paul
5909 Harry Hines Boulevard
Dallas TX 75390
Effective Date: August 10, 2007
El Paso
Providence Memorial Hospital
2001 N Oregon Street
El Paso TX 79902
Effective Date: July 1, 2007
Fort Worth
Baylor All Saints Medical Centers
1400 Eight Avenue
Fort Worth TX 76104
Effective Date: January 5, 2009
Harris Methodist Forth Worth
1301 Pennsylvania
Fort Worth TX 76104
Effective Date: August 10, 2007
Houston
The Women's Hospital of Texas
7600 Fannin
Houston TX 77054
Effective Date: July 1, 2007
Plano
Medical Center of Plano
3901 W 15th Street
Plano TX 75075
Effective Date: January 5, 2009
Presbyterian Hospital of Plano
6200 W Parker Boulevard
Plano TX 75093
Effective Date: August 10, 2007
Utah
Ogden
Ogden Regional Medical Center
5475 South 500 East
Ogden UT 84405
Effective Date: January 5, 2009
Virginia
Newport News
Riverside Regional Medical Center
500 J Cyde Morris Boulevard
Newport News VA 23601
Effective Date: August 10, 2007
Norfolk
Sentara Norfolk General Hospital
600 Gresham Drive
Norfolk VA 23507
Effective Date: January 1, 2010
Richmond
Henrico Doctor's Hospital
1602 Skipwith Road
Richmond VA 23229
Effective Date: July 1, 2007
VCU Health System
1250 East Marshall Street
Richmond VA 23298
Effective Date: July 1, 2007
Winchester
Winchester Medical Center
1840 Amherst Street
Winchester VA 22601
Effective Date: August 10, 2007
Washington
Seattle
Swedish Medical Center - First Hill
747 Broadway
Seattle WA 98122
Effective Date: July 1, 2007
University of Washington Medical Center
1959 NE Pacific Street
Box 356151
Seattle WA 98195
Effective Date: July 1, 2007
Washington DC
Washington DC
Children's National Medical Center
111 Michigan Avenue NW
Washington DC 20010-2970
Effective Date: August 10, 2007
Wisconsin
Green Bay
Bellin Hospital
744 S Webster Avenue
PO Box 23400
Green Bay WI 54305-3400
Effective Date: August 10, 2007
Madison
Meriter Hospital, Inc.
202 S Park Street
Madison WI 53715
Effective Date: July 1, 2007
St. Mary's Hospital
707 South Mills Street
Madison WI 53715
Effective Date: January 5, 2009
Marshfield
St. Joseph's Hospital
611 St. Joseph Avenue
Marshfield WI 54449
Effective Date: July 1, 2007
Milwaukee
Aurora Sinai Medical Center
945 N 12th Street
Milwaukee WI 53201
Effective Date: July 1, 2007
Children's Hospital of Wisconsin
9000 W Wisconsin Avenue
PO Box 1997
Milwaukee WI 53201
Effective Date: July 1, 2007
Wheaton Franciscan Healthcare - St. Joseph Hospital
5000 W Chambers Street
Milwaukee WI 53210
Effective Date: January 5, 2009
For the hospital safety incentive to apply, the hospital you select must be eligible on the date you are admitted to the hospital.
Benefits are subject to all terms of the Plan, including eligibility for the dates of service, satisfaction of the annual deductible, and the accuracy and completeness of the information supplied. In addition, claims processing and payments are subject to the administrative guidelines of the local Blue Cross Blue Shield plan. Regence recommends that the Summary Plan Description be carefully reviewed to determine any Plan limitations.
