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
$8
Average
$2.7k
Median
$2.1k
High
$11.8k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 30.8× 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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64 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Grossmont Hospital Corporation La Mesa, CA fee schedule · inpatient | 1 | $12.1k | $12.1k | — | — | 1–10 | $12.1k – $12.1k |
| 2 | Grossmont Hospital Corporation La Mesa, CA other · inpatient | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 3 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Council Bluffs, IA per diem · inpatient | 1 | $994 | $994 | — | — | — | $994 – $994 |
| 4 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE per diem · inpatient | 1 | $994 | $994 | — | — | — | $994 – $994 |
| 5 | ALEGENT HEALTH BERGAN MERCY HEALTH SYSTEM Omaha, NE per diem · inpatient | 1 | $994 | $994 | — | — | — | $994 – $994 |
| 6 | ALEGENT HEALTH IMMANUEL MEDICAL CENTER Omaha, NE per diem · inpatient | 1 | $994 | $994 | — | — | — | $994 – $994 |
| 7 | Acadia Hospital Bangor, ME facility · per diem · inpatient | 1 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 8 | Alexian Brothers Behavioral Health Hospital Estates, IL other · outpatient | 2 | $11.8k | $11.8k | $4.7k | 40% | — | $7.1k – $16.5k |
| 9 | Alexian Brothers Behavioral Health Hospital Estates, IL per diem · inpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Alexian Brothers Medical Center Village, IL other · outpatient | 2 | $11.8k | $11.8k | $4.7k | 40% | — | $7.1k – $16.5k |
| 11 | Ascension Cedar Park Park, TX per diem · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | Ascension Providence Waco, TX percent of total billed charges · bothfrom % of charges | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 13 | Ascension Providence Waco, TX percent of total billed charges · outpatientfrom % of charges | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 14 | Ascension Seton Austin, TX per diem · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 15 | Ascension Seton Austin, TX per diem · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 16 | Ascension Seton Austin, TX per diem · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 17 | Ascension Seton Luling, TX per diem · inpatient | 2 | $2.4k | $2.4k | $289 | 12% | — | $2.1k – $2.7k |
| 18 | Ascension Seton Burnet, TX per diem · inpatient | 2 | $2.0k | $2.0k | $81 | 4% | — | $1.9k – $2.1k |
| 19 | Ascension Seton Smithville, TX other · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 20 | Ascension Seton Smithville, TX per diem · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 21 | Ascension Seton Bastrop, TX per diem · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 22 | Ascension Seton Austin, TX per diem · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 23 | Austin Center for Outpatient Surgery LP, DBA Northwest Hills Surgical Hospital Austin, TX per diem · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 24 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · case rate · outpatient | 10 | $707 | $707 | — | — | — | $707 – $707 |
| 25 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
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