RC 350

CT scan, general

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC CT LOWER EXTREMITY W/O CONTRAST

Wellmark rates for RC 350

The hospitals that file a Wellmark 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.

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139 hospital rates

#		Plans
1	ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient	2	$1,989	$129.00 – $8,241
2	ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient	2	$1,890	$122.55 – $7,829
3	Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient	1	$435.44	$82.81 – $611.76
4	Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · inpatientfrom % of charges	1	$3,250	$737.84 – $5,702
5	Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL percent of total billed charges · outpatientfrom % of charges	1	$3,250	$737.84 – $5,702
6	Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both	2	$134.06	$88.91 – $179.20
7	Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient	3	$161.77	$79.09 – $199.30
8	Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both	1	$125.45	$83.20 – $167.69
9	Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both	2	$134.06	$88.91 – $179.20
10	Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · other · both	1	$125.45	$83.20 – $167.69
11	Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient	1	$440.79	$83.82 – $619.28
12	Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both	2	$179.20	$179.20 – $179.20
13	Covenant Medical Center Inc Waterloo, IA facility · other · both	1	$166.90	$166.90 – $166.90
14	Diley Ridge Medical Center Canal Winchester, OH facility · other · both	1	$471.95	$313.01 – $630.88
15	Grinnell Regional Medical Center Grinnell, IA case rate · outpatient	1	$83.82	$83.82 – $83.82
16	Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · inpatientfrom % of charges	2	$320.02	$51.35 – $556.40
17	Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient	2	$639.21	$184.54 – $998.35
18	Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · outpatientfrom % of charges	2	$1,007	$165.75 – $1,874
19	HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · both	2	$864.21	$864.21 – $864.21
20	Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges	1	$232.07	$60.25 – $495.39
21	Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both	1	$1,839	$1,839 – $1,839
22	Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · outpatient	1	$10,568	$10,568 – $10,568
23	Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges	1	$216.14	$56.11 – $461.37
24	Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both	1	$1,242	$1,242 – $1,242
25	Keokuk County Health Center Sigourney, IA other · outpatient	2	$645.79	$312.99 – $916.24

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