RC 344
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
NM I131 Sod Iod Ther Addtl Mci
Low
$1
Average
$13.4k
Median
$5.9k
High
$142.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1239 hospitals; the 90th percentile is 483.6× 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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2,092 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 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · other · outpatient | 5 | $168 | $207 | $166 | 80% | 1,647–1,656 | $24 – $623 |
| 2 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 2 | $24 | $97 | $111 | 115% | 1,646 | $20 – $315 |
| 3 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 2 | $24 | $97 | $111 | 115% | 1,646 | $20 – $315 |
| 4 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $284 | $1.3k | $1.6k | 123% | 1,223 | $24 – $4.1k |
| 5 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $160 | $4.0k | $9.3k | 236% | 220 | $32 – $33.9k |
| 6 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $160 | $4.0k | $9.3k | 236% | 220 | $32 – $33.9k |
| 7 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $48.4k | $48.4k | — | — | 145 | $48.4k – $48.4k |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · both | 10 | $40 | $40 | — | — | 124 | $40 – $40 |
| 9 | St. Lukes Hospital of Kansas City City, KS other · both | 13 | $418 | $367 | $185 | 51% | 122–140 | $25 – $516 |
| 10 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 3 | $6.5k | $45.5k | $66.6k | 147% | 49–58 | $10 – $179.5k |
| 11 | Mayo Clinic Rochester, MN facility · other · both | 1 | $288 | $8.4k | $20.1k | 240% | 47–56 | $22 – $61.4k |
| 12 | Cumberland County Hospital System Inc Fayetteville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | — | — | 37 | $78 – $78 |
| 13 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $23 | $10.8k | $15.3k | 141% | 33 | $1 – $32.4k |
| 14 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 2 | $139 | $153 | $133 | 87% | 20 | $20 – $315 |
| 15 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 2 | $139 | $153 | $133 | 87% | 20 | $20 – $315 |
| 16 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $744 | $35.9k | $54.5k | 152% | 18 | $32 – $133.5k |
| 17 | Sarasota Memorial Hospital Sarasota, FL percent of total billed charges · outpatientfrom % of charges | 4 | $0 | $17.9k | $42.4k | 237% | 15–24 | $0 – $132.4k |
| 18 | Sarasota Memorial Hospital - Venice North Venice, FL percent of total billed charges · outpatientfrom % of charges | 4 | $0 | $17.9k | $42.4k | 237% | 15–24 | $0 – $132.4k |
| 19 | University Medical Center, Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $144 | $6.1k | $14.8k | 244% | 13 | $17 – $62.8k |
| 20 | UofL Health -Shelbyville, Inc. Shelbyville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62.8k | $62.8k | — | — | 13 | $62.8k – $62.8k |
| 21 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $12.6k | $25.1k | 199% | 13 | $27 – $62.8k |
| 22 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62.8k | $62.8k | — | — | 13 | $62.8k – $62.8k |
| 23 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $21.0k | $29.6k | 141% | 13 | $27 – $62.8k |
| 24 | UofL Health-Louisville Inc. Shepherdville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62.8k | $62.8k | — | — | 13 | $62.8k – $62.8k |
| 25 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $300 | $20.3k | $26.1k | 129% | 13 | $27 – $62.8k |
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