RC 260
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 ER Thpy/Pro/Dx Inj Sq/Im
Low
$0
Average
$198
Median
$118
High
$2.8k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
304 hospitals; the 90th percentile is 5.1× 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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351 hospital rates
iThe hospitals that file a Tricare 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 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $66 | $118 | $84 | 71% | 593 | $43 – $309 |
| 2 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $66 | $118 | $84 | 71% | 593 | $43 – $309 |
| 3 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $65 | $117 | $70 | 60% | 536–545 | $42 – $192 |
| 4 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $67 | $119 | $84 | 71% | 447–465 | $43 – $311 |
| 5 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $67 | $119 | $84 | 71% | 447–465 | $43 – $311 |
| 6 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $71 | $114 | $76 | 67% | 268–295 | $46 – $211 |
| 7 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $71 | $106 | $74 | 70% | 251 | $46 – $209 |
| 8 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $71 | $106 | $74 | 70% | 251 | $46 – $209 |
| 9 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $78 | $272 | $394 | 145% | 202–211 | $39 – $1.5k |
| 10 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $56 | $90 | $66 | 73% | 182–200 | $44 – $202 |
| 11 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $56 | $90 | $66 | 73% | 182–200 | $44 – $202 |
| 12 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $63 | $134 | $108 | 81% | 161–170 | $49 – $348 |
| 13 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $67 | $118 | $84 | 71% | 150–204 | $43 – $311 |
| 14 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA case rate · outpatient | 1 | $74 | $174 | $148 | 86% | 132–150 | $48 – $471 |
| 15 | The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient | 1 | $62 | $95 | $63 | 66% | 130–139 | $40 – $182 |
| 16 | The Children's Hospital of Alabama Birmingham, AL facility · other · outpatient | 1 | $62 | $101 | $67 | 66% | 130–139 | $40 – $182 |
| 17 | Massachusetts General Hospital Boston, MA other · both | 1 | $80 | $118 | $79 | 67% | 120–165 | $52 – $238 |
| 18 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $71 | $127 | $77 | 61% | 110 | $46 – $211 |
| 19 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $93 | $215 | $311 | 144% | 93–102 | $51 – $1.5k |
| 20 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $134 | $134 | $86 | 64% | 63–90 | $48 – $220 |
| 21 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $90 | $141 | $97 | 69% | 57–237 | $58 – $266 |
| 22 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $84 | $253 | $360 | 142% | 54–63 | $39 – $1.5k |
| 23 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS other · outpatient | 1 | $62 | $105 | $68 | 65% | 52–79 | $40 – $183 |
| 24 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN other · both | 1 | $63 | $113 | $70 | 62% | 42–69 | $42 – $192 |
| 25 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN other · both | 1 | $63 | $113 | $70 | 62% | 39–93 | $42 – $192 |
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