RC 204
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.
Generation details were not recorded for this description.
Original text from hospital filings
HC 204 PSYCH ICU
Low
$48
Average
$2.0k
Median
$1.6k
High
$4.8k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 2.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
43 hospital rates
iThe hospitals that file a Ambetter 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Ascension Seton Luling, TX per diem · inpatient | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 2 | Ascension Seton Burnet, TX per diem · inpatient | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 3 | Ascension Seton Smithville, TX other · inpatient | 1 | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 4 | CLAIBORNE MEDICAL CENTER Tazewell, TN per diem · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 5 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN per diem · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 6 | Cheshire Medical Center Keene, NH facility · per diem · inpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN per diem · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 8 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN per diem · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 9 | LECONTE MEDICAL CENTER Sevierville, TN per diem · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 10 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN per diem · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 11 | MISSION HOSPITAL Arden, NC per diem · inpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 12 | MISSION HOSPITAL MCDOWELL Marion, NC per diem · inpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 13 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN per diem · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 14 | Mary Hitchcock Memorial Hospital Lebanon, NH facility · per diem · inpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Navos MultiTreatment Center Seattle, WA per diem · inpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | PARKWEST MEDICAL CENTER Knoxville, TN per diem · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 17 | PARKWEST MEDICAL CENTER Louisville, TN per diem · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 18 | ROANE COUNTY MEDICAL CENTER Harriman, TN per diem · outpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 19 | Sarasota Memorial Hospital Sarasota, FL fee schedule · inpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 20 | St. Mary's Warrick Hospital, Inc. Boonville, IN per diem · inpatient | 2 | $1.4k | $1.4k | $482 | 35% | — | $900 – $1.9k |
| 21 | St. Vincent Clay Hospital, Inc. Brazil, IN per diem · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | St. Vincent Clay Hospital, Inc. Brazil, IN per diem · inpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 23 | St. Vincent Jennings Hospital, Inc. Vernon, IN per diem · both | 1 | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 24 | St. Vincent Jennings Hospital, Inc. Vernon, IN per diem · inpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 25 | St. Vincent Madison County Health System, Inc. Elwood, IN per diem · both | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
← Payers reporting RC 204 · Snapshot 20261111T120946Z-9134e7f7