RC 352
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
CT scan of arm before and after contrast
The hospitals that file a First Health 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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893 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 1 | $4,001 | $490.40 – $9,415 |
| 2 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $2,445 | $198.89 – $4,689 |
| 3 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $2,597 | $970.22 – $4,360 |
| 4 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $3,142 | $244.28 – $9,989 |
| 5 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA percent of total billed charges · inpatientfrom % of charges | 1 | $4,281 | $1,388 – $7,319 |
| 6 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA percent of total billed charges · outpatientfrom % of charges | 1 | $546.18 | $87.50 – $2,514 |
| 7 | Adena Fayette Medical Center Washington Court House, OH facility · case rate · outpatient | 1 | $1,250 | $1,250 – $1,250 |
| 8 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,924 | $350.88 – $3,748 |
| 9 | Adena Health System Chillicothe, OH facility · case rate · outpatient | 1 | $1,250 | $1,250 – $1,250 |
| 10 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,924 | $350.88 – $3,748 |
| 11 | Affinity Hospital LLC Birmingham, AL facility · other · outpatient | 1 | $3,390 | $1,035 – $3,500 |
| 12 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14,184 | $1,349 – $34,788 |
| 13 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2,078 | $456.20 – $4,791 |
| 14 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2,105 | $456.20 – $4,791 |
| 15 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,200 | $252.00 – $2,645 |
| 16 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,216 | $252.00 – $2,645 |
| 17 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2,078 | $456.20 – $4,791 |
| 18 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2,105 | $456.20 – $4,791 |
| 19 | Allina Health Systems Ulm, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,805 | $244.86 – $4,172 |
| 20 | Allina Health Systems Ulm, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,805 | $244.86 – $4,172 |
| 21 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1,200 | $252.00 – $2,645 |
| 22 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1,216 | $252.00 – $2,645 |
| 23 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2,078 | $456.20 – $4,791 |
| 24 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2,105 | $456.20 – $4,791 |
| 25 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $2,078 | $456.20 – $4,791 |
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