RC 372
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
HC IR+ IV Sedation > 5 Yrs Initial 15 Min
Low
$9
Average
$54
Median
$43
High
$244
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
46 hospitals; the 90th percentile is 3.0× 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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46 hospital rates
iThe hospitals that file a Medicaid 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 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 2 | $34 | $26 | $12 | 44% | — | $10 – $34 |
| 2 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $38 | $43 | $25 | 57% | — | $13 – $88 |
| 3 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 4 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $9 | $9 | $1 | 9% | — | $8 – $10 |
| 5 | Laredo Texas Hospital Company LP Laredo, TX facility · fee schedule · outpatient | 1 | $19 | $17 | $6 | 36% | — | $3 – $24 |
| 6 | Longview Medical Center LP Longview, TX facility · fee schedule · outpatient | 1 | $17 | $15 | $6 | 39% | — | $8 – $23 |
| 7 | Mercy Hospital Columbus Columbus, KS facility · fee schedule · outpatient | 1 | $45 | $38 | $17 | 44% | — | $10 – $52 |
| 8 | Mercy Hospital Ada Inc Ada, OK facility · fee schedule · outpatient | 1 | $50 | $45 | $18 | 39% | — | $10 – $67 |
| 9 | Mercy Hospital Ardmore Inc Ardmore, OK facility · fee schedule · outpatient | 1 | $48 | $44 | $19 | 43% | — | $10 – $67 |
| 10 | Mercy Hospital Berryville Berryville, AR facility · fee schedule · outpatient | 1 | $45 | $38 | $17 | 44% | — | $10 – $52 |
| 11 | Mercy Hospital Booneville Booneville, AR facility · fee schedule · outpatient | 1 | $45 | $38 | $17 | 44% | — | $10 – $52 |
| 12 | Mercy Hospital Carthage Carthage, MO facility · fee schedule · outpatient | 1 | $50 | $45 | $18 | 39% | — | $10 – $67 |
| 13 | Mercy Hospital Cassville Knob, MO facility · fee schedule · outpatient | 1 | $45 | $38 | $17 | 44% | — | $10 – $52 |
| 14 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $52 | $49 | $19 | 39% | — | $10 – $74 |
| 15 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 1 | $52 | $49 | $19 | 39% | — | $10 – $74 |
| 16 | Mercy Hospital Healdton Inc Healdton, OK facility · fee schedule · outpatient | 1 | $45 | $38 | $17 | 44% | — | $10 – $52 |
| 17 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $63 | $29 | 45% | — | $30 – $121 |
| 18 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · fee schedule · outpatient | 1 | $52 | $49 | $19 | 39% | — | $10 – $74 |
| 19 | Mercy Hospital Kingfisher, Inc Kingfisher, OK facility · fee schedule · outpatient | 1 | $45 | $38 | $17 | 44% | — | $10 – $52 |
| 20 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · fee schedule · outpatient | 1 | $52 | $49 | $19 | 39% | — | $10 – $74 |
| 21 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $37 | $0 | 1% | — | $37 – $38 |
| 22 | Mercy Hospital Logan County Inc Guthrie, OK facility · fee schedule · outpatient | 1 | $45 | $38 | $17 | 44% | — | $10 – $52 |
| 23 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 1 | $52 | $49 | $19 | 39% | — | $10 – $74 |
| 24 | Mercy Hospital Ozark Ozark, AR facility · fee schedule · outpatient | 1 | $45 | $38 | $17 | 44% | — | $10 – $52 |
| 25 | Mercy Hospital Paris Paris, AR facility · fee schedule · outpatient | 1 | $45 | $38 | $17 | 44% | — | $10 – $52 |
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