RC 224
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
SPECIAL CHARGES LATE CHARGE, MEDICALLY NECESSARY
Low
$0
Average
$2.1k
Median
$1.8k
High
$6.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
13 payers; the 90th percentile is 259.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare fee schedule · outpatient · +4 other terms | 7 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Blue Cross Blue Shield percent of total billed charges · bothfrom % of charges · +1 other terms | 3 | $159 | $1.5k | $2.5k | 169% | — | $98 – $6.1k |
| 3 | Cigna percent of total billed charges · bothfrom % of charges · +1 other terms | 3 | $145 | $2.4k | $3.2k | 133% | — | $130 – $7.0k |
| 4 | Medicare percent of total billed charges · bothfrom % of charges | 2 | $138 | $138 | $40 | 29% | — | $98 – $177 |
| 5 | Aetna fee schedule · outpatient · +2 other terms | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 6 | Ambetter other · outpatient | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 7 | Bcbs Tx percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 8 | Healthcare Highways per diem · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 9 | Humana fee schedule · outpatient · +1 other terms | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 10 | MultiPlan percent of total billed charges · bothfrom % of charges | 1 | $6.6k | $6.6k | $461 | 7% | — | $5.9k – $6.9k |
| 11 | Optum percent of total billed charges · bothfrom % of charges | 1 | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 12 | Superior Healthplan fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 13 | Tricare other · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
← Hospitals reporting RC 224 · Snapshot 20261111T120946Z-9134e7f7