RC 124
Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
PSYCHIATRIC
The hospitals that file a Molina rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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168 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5,388 | $5,388 – $5,388 |
| 2 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 2 | $2,099 | $2,097 – $2,100 |
| 3 | Adena Fayette Medical Center Washington Court House, OH facility · per diem · inpatient | 2 | $3,516 | $2,306 – $4,726 |
| 4 | Ascension All Saints Hospital, Inc. Racine, WI percent of total billed charges · outpatientfrom % of charges | 2 | $1,018 | $994.74 – $1,041 |
| 5 | Ascension Calumet Hospital, Inc. Chilton, WI per diem · inpatient | 1 | $5,988 | $5,988 – $5,988 |
| 6 | Ascension Providence Waco, TX percent of total billed charges · bothfrom % of charges | 1 | $181.18 | $172.55 – $189.81 |
| 7 | Ascension Providence Waco, TX percent of total billed charges · outpatientfrom % of charges | 1 | $190.68 | $172.55 – $208.80 |
| 8 | Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI per diem · inpatient | 1 | $1,107 | $1,107 – $1,107 |
| 9 | Ascension SE Wisconsin Hospital, Inc. Franklin, WI per diem · inpatient | 1 | $1,107 | $1,107 – $1,107 |
| 10 | Ascension SE Wisconsin Hospital, Inc. Brookfield, WI per diem · inpatient | 1 | $1,107 | $1,107 – $1,107 |
| 11 | Ascension St. Francis Hospital, Inc. Milwaukee, WI per diem · inpatient | 1 | $1,107 | $1,107 – $1,107 |
| 12 | Ascension St. Francis Hospital, Inc. Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1,018 | $994.74 – $1,041 |
| 13 | Aurora BayCare Medical Center Green Bay, WI per diem · inpatient | 1 | $2,822 | $2,822 – $2,822 |
| 14 | Aurora Lakeland Medical Center Elkhorn, WI per diem · inpatient | 1 | $2,822 | $2,822 – $2,822 |
| 15 | Aurora Medical Center Bay Area Marinette, WI per diem · inpatient | 1 | $2,822 | $2,822 – $2,822 |
| 16 | Aurora Medical Center Burlington Burlington, WI per diem · inpatient | 1 | $2,822 | $2,822 – $2,822 |
| 17 | Aurora Medical Center Fond du Lac Fond Du Lac, WI per diem · inpatient | 1 | $2,822 | $2,822 – $2,822 |
| 18 | Aurora Medical Center Grafton Grafton, WI per diem · inpatient | 1 | $2,822 | $2,822 – $2,822 |
| 19 | Aurora Medical Center Kenosha Kenosha, WI per diem · inpatient | 1 | $2,822 | $2,822 – $2,822 |
| 20 | Aurora Medical Center Manitowoc Two Rivers, WI per diem · inpatient | 1 | $2,822 | $2,822 – $2,822 |
| 21 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI per diem · inpatient | 1 | $2,822 | $2,822 – $2,822 |
| 22 | Aurora Medical Center Oshkosh Oshkosh, WI per diem · inpatient | 1 | $2,822 | $2,822 – $2,822 |
| 23 | Aurora Medical Center Sheboygan County Sheboygan, WI per diem · inpatient | 1 | $2,822 | $2,822 – $2,822 |
| 24 | Aurora Medical Center Summit Summit, WI per diem · inpatient | 1 | $2,822 | $2,822 – $2,822 |
| 25 | Aurora Medical Center Washington County Hartford, WI per diem · inpatient | 1 | $2,822 | $2,822 – $2,822 |
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