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
$14
Average
$135
Median
$66
High
$764
Each hospital's average Molina rate, under the methodology and billing class chosen below.
57 hospitals; the 90th percentile is 13.7× 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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73 hospital rates
iThe hospitals that file a Molina 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 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 1 | $53 | $53 | $34 | 64% | 39 | $19 – $88 |
| 2 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 1 | $53 | $53 | $34 | 64% | 29 | $19 – $88 |
| 3 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 1 | $53 | $53 | $34 | 64% | 2–20 | $19 – $88 |
| 4 | Navarro Hospital LP Corsicana, TX facility · other · outpatient | 4 | $190 | $192 | $74 | 39% | 2–20 | $65 – $305 |
| 5 | DIGNITY HEALTH Folsom, CA fee schedule · outpatient | 1 | $53 | $53 | $34 | 64% | 1–10 | $19 – $88 |
| 6 | Texas Health Presbyterian Hospital Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $38 | — | — | 1–10 | $38 – $38 |
| 7 | AMH Cath Labs LLC Arlington, TX case rate · outpatient | 1 | $59 | $57 | $23 | 40% | — | $12 – $84 |
| 8 | AMH Cath Labs LLC Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 9 | CHRISTUS Hospital - Orange Orange, TX percent of total billed charges · outpatientfrom % of charges | 3 | $145 | $136 | $59 | 43% | — | $30 – $239 |
| 10 | CHRISTUS West Beaumont Beaumont, TX percent of total billed charges · outpatientfrom % of charges | 3 | $145 | $136 | $59 | 43% | — | $30 – $239 |
| 11 | Childrens Hospital at Mission - Cerner 27700 Medical Center Rd facility · fee schedule · outpatient | 1 | $73 | $66 | $22 | 34% | — | $12 – $90 |
| 12 | Childrens Hospital of Orange County - Profit Orange, CA facility · fee schedule · outpatient | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 13 | Christus Health Southeast Texas Beaumont, TX percent of total billed charges · outpatientfrom % of charges | 3 | $145 | $136 | $59 | 43% | — | $30 – $239 |
| 14 | Christus Health Southeast Texas Port Arthur, TX percent of total billed charges · outpatientfrom % of charges | 3 | $145 | $136 | $59 | 43% | — | $30 – $239 |
| 15 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL facility · case rate · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 16 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 2 | $77 | $77 | $3 | 4% | — | $74 – $80 |
| 17 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 3 | $54 | $77 | $68 | 88% | — | $13 – $287 |
| 18 | HMA Santa Rosa Medical Center LLC Milton, FL facility · other · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 19 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $69 | $30 | 44% | — | $22 – $89 |
| 20 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $69 | $30 | 44% | — | $22 – $89 |
| 21 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $69 | $30 | 44% | — | $22 – $89 |
| 22 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $66 | $31 | 48% | — | $22 – $89 |
| 23 | Key West HMA LLC FL 33040; 1200 Kennedy Dr. Key West, FL facility · other · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 24 | Laredo Texas Hospital Company LP Laredo, TX facility · per diem · outpatient | 3 | $26 | $28 | $13 | 47% | — | $3 – $48 |
| 25 | Longview Medical Center LP Longview, TX facility · per diem · outpatient | 2 | $21 | $25 | $14 | 55% | — | $8 – $51 |
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