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
$97
Average
$3.9k
Median
$1.2k
High
$30.9k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 7.7× 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.
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22 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Sharp Mesa Vista Hospital San Diego, CA other · inpatient | 2 | $42.3k | $42.3k | $20.4k | 48% | 29 | $21.9k – $62.6k |
| 2 | Ascension Calumet Hospital, Inc. Chilton, WI per diem · inpatient | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 3 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 1 | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 4 | DIGNITY COMMUNITY CARE Northridge, CA per diem · inpatient | 2 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL per diem · outpatient | 1 | $750 | $750 | — | — | — | $750 – $750 |
| 6 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · inpatientfrom % of charges | 3 | $968 | $1.1k | $169 | 16% | — | $930 – $1.3k |
| 7 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 8 | HCA HOUSTON HEALTHCARE TOMBALL Tomball, TX fee schedule · inpatient | 1 | $1.2k | $1.2k | $205 | 17% | — | $893 – $2.1k |
| 9 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · inpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · fee schedule · inpatient | 3 | $97 | $97 | — | — | — | $97 – $97 |
| 11 | MEDICAL CITY DECATUR DECATUR, TX fee schedule · inpatient | 3 | $1.2k | $1.2k | $205 | 17% | — | $890 – $2.1k |
| 12 | MEDICAL CITY GREEN OAKS HOSPITAL DALLAS, TX fee schedule · inpatient | 3 | $1.2k | $1.2k | $204 | 17% | — | $886 – $2.0k |
| 13 | MEDICAL CITY MCKINNEY MCKINNEY, TX fee schedule · inpatient | 3 | $1.2k | $1.2k | $204 | 17% | — | $886 – $2.0k |
| 14 | MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER ALLIANCE FORT WORTH, TX fee schedule · inpatient | 3 | $1.2k | $1.2k | $205 | 17% | — | $890 – $2.1k |
| 15 | MEDICAL CITY MH FRISCO Frisco, TX fee schedule · inpatient | 3 | $1.2k | $1.2k | $204 | 17% | — | $886 – $2.0k |
| 16 | MEDICAL CITY NORTH HILLS North Richland Hills, TX fee schedule · inpatient | 3 | $1.1k | $1.2k | $191 | 17% | — | $831 – $1.9k |
| 17 | Sharp Chula Vista Medical Center Chula Vista, CA percent of total billed charges · inpatientfrom % of charges | 2 | $5.9k | $5.9k | $2.9k | 49% | — | $3.0k – $8.9k |
| 18 | Sharp Coronado Hospital and Healthcare Center Coronado, CA percent of total billed charges · inpatientfrom % of charges | 1 | $7.3k | $7.3k | — | — | — | $7.3k – $7.3k |
| 19 | Sharp Mesa Vista Hospital San Diego, CA percent of total billed charges · inpatientfrom % of charges | 1 | $8.1k | $8.1k | — | — | — | $8.1k – $8.1k |
| 20 | University Medical Center of Southern Nevada Las Vegas, NV per diem · inpatient | 1 | $944 | $944 | — | — | — | $944 – $944 |
| 21 | University of Iowa Health Care Medical Center Iowa City, IA facility · per diem · inpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 22 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · inpatientfrom % of charges | 3 | $1.4k | $1.3k | $227 | 17% | — | $1.0k – $1.6k |
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