RC 359
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
CT Scan - Other
Low
$79
Average
$1.7k
Median
$1.1k
High
$3.6k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 20.2× 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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42 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $736 | $736 | — | — | — | $736 – $736 |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $381 | $381 | — | — | — | $381 – $381 |
| 3 | Ascension St. Vincent Heart Center Carmel, IN percent of total billed charges · outpatientfrom % of charges | 3 | $918 | $1.1k | $515 | 46% | — | $452 – $1.8k |
| 4 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $1.1k | $1.4k | $418 | 30% | — | $1.1k – $2.1k |
| 5 | Carmel AmbSurg Carmel, IN percent of total billed charges · outpatientfrom % of charges | 3 | $918 | $1.1k | $436 | 40% | — | $452 – $1.8k |
| 6 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $120 | $1.1k | $1.6k | 152% | — | $0 – $4.8k |
| 7 | Endo Surgery Center Carmel, IN percent of total billed charges · outpatientfrom % of charges | 3 | $918 | $1.1k | $436 | 40% | — | $452 – $1.8k |
| 8 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | Jane Phillips Nowata Hospital, Inc. Nowata, OK percent of total billed charges · outpatientfrom % of charges | 1 | $223 | $249 | $170 | 68% | — | $45 – $505 |
| 10 | Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 11 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $319 | $396 | $221 | 56% | — | $80 – $785 |
| 12 | Lompoc Valley Medical Center Lompoc, CA fee schedule · outpatient | 1 | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 13 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 14 | MedStar Washington Hospital Center NW, WA facility · fee schedule · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 15 | Mercy Rehabilitation Hospital South Louis, MO case rate · inpatient | 1 | $1.9k | $2.0k | $865 | 43% | — | $1.0k – $3.1k |
| 16 | Mercy Rehabilitation Hospital St. Louis Chesterfield, MO case rate · inpatient | 1 | $1.8k | $2.0k | $849 | 43% | — | $1.0k – $3.1k |
| 17 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 18 | Naab Road Surgery Center Indianapolis, IN percent of total billed charges · outpatientfrom % of charges | 3 | $918 | $1.1k | $436 | 40% | — | $452 – $1.8k |
| 19 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 20 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $3.4k | $3.6k | $273 | 8% | — | $3.4k – $4.0k |
| 21 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $3.4k | $3.6k | $273 | 8% | — | $3.4k – $4.0k |
| 22 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $3.4k | $3.6k | $273 | 8% | — | $3.4k – $4.0k |
| 23 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $3.4k | $3.6k | $273 | 8% | — | $3.4k – $4.0k |
| 24 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $3.4k | $3.6k | $273 | 8% | — | $3.4k – $4.0k |
| 25 | Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · fee schedule · outpatient | 1 | $184 | $184 | — | — | — | $184 – $184 |
← Payers reporting RC 359 · Snapshot 20261111T120946Z-9134e7f7