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
$650
Average
$8.9k
Median
$12.6k
High
$14.4k
Each hospital's average Phcs rate, under the methodology and billing class chosen below.
60 hospitals; the 90th percentile is 8.2× 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
60 hospital rates
iThe hospitals that file a Phcs 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 | ALEGENT CREIGHTON HEALTH Papillion, NE fee schedule · inpatient | 1 | $2.7k | $2.7k | $435 | 16% | — | $2.3k – $3.2k |
| 2 | ALEGENT CREIGHTON HEALTH Omaha, NE fee schedule · inpatient | 1 | $2.7k | $2.7k | $435 | 16% | — | $2.3k – $3.2k |
| 3 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA fee schedule · inpatient | 1 | $2.7k | $2.7k | $435 | 16% | — | $2.3k – $3.2k |
| 4 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $2.7k | $2.7k | $435 | 16% | — | $2.3k – $3.2k |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE fee schedule · inpatient | 1 | $2.7k | $2.7k | $435 | 16% | — | $2.3k – $3.2k |
| 6 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE fee schedule · inpatient | 1 | $2.7k | $2.7k | $435 | 16% | — | $2.3k – $3.2k |
| 7 | Alexian Brothers Behavioral Health Hospital Estates, IL per diem · inpatient | 1 | $735 | $735 | — | — | — | $735 – $735 |
| 8 | Alexian Brothers Medical Center Village, IL per diem · inpatient | 1 | $735 | $735 | — | — | — | $735 – $735 |
| 9 | Ascension Providence Waco, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 10 | Ascension Via Christi Hospital St. Teresa, Inc. Wichita, KS other · inpatient | 1 | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 11 | Ascension Via Christi Hospitals Wichita, Inc. Wichita, KS other · inpatient | 1 | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 12 | Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS other · inpatient | 1 | $10.6k | $10.6k | — | — | — | $10.6k – $10.6k |
| 13 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 14 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX per diem · outpatient | 1 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 15 | CHRISTUS Health - Pine Street Texarkana, TX per diem · outpatient | 1 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 16 | CHRISTUS Hospital - Orange Orange, TX per diem · outpatient | 1 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 17 | CHRISTUS West Beaumont Beaumont, TX per diem · outpatient | 1 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 18 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · per diem · inpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 19 | Christus Health Southeast Texas Beaumont, TX per diem · outpatient | 1 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 20 | Christus Health Southeast Texas Port Arthur, TX per diem · outpatient | 1 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 21 | DOMINION HOSPITAL FALLS CHURCH, VA per diem · inpatient | 1 | $795 | $787 | $23 | 3% | — | $755 – $810 |
| 22 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · per diem · inpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 23 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA per diem · inpatient | 1 | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 24 | Good Shepherd Medical Center - Longview Longview, TX per diem · outpatient | 1 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
| 25 | Good Shepherd Medical Center - Marshall Marshall, TX per diem · outpatient | 1 | $12.6k | $12.6k | — | — | — | $12.6k – $12.6k |
← Payers reporting RC 204 · Snapshot 20261111T120946Z-9134e7f7