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
$23
Average
$145
Median
$92
High
$380
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
28 hospitals; the 90th percentile is 5.6× 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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29 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 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 1 | $317 | $317 | — | — | 1–10 | $317 – $317 |
| 2 | Ascension Cedar Park Park, TX percent of total billed charges · bothfrom % of charges | 1 | $373 | $380 | $96 | 25% | — | $267 – $509 |
| 3 | Ascension Cedar Park Park, TX percent of total billed charges · outpatientfrom % of charges | 1 | $373 | $380 | $96 | 25% | — | $267 – $509 |
| 4 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 5 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $63 | $49 | $22 | 45% | — | $19 – $72 |
| 6 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $309 | $309 | $236 | 76% | — | $73 – $545 |
| 7 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $277 | $277 | — | — | — | $277 – $277 |
| 8 | Marshall County HMA, LLC Madill, OK facility · fee schedule · outpatient | 1 | $147 | $147 | — | — | — | $147 – $147 |
| 9 | Mercy Hospital Columbus Columbus, KS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $184 | $183 | $9 | 5% | — | $169 – $195 |
| 10 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | $3 | 4% | — | $72 – $80 |
| 11 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $66 | $3 | 5% | — | $63 – $70 |
| 12 | Mercy Hospital Booneville Booneville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $64 | $63 | $4 | 7% | — | $56 – $68 |
| 13 | Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $68 | $66 | $6 | 9% | — | $56 – $72 |
| 14 | Mercy Hospital Cassville Knob, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $108 | $5 | 4% | — | $101 – $112 |
| 15 | Mercy Hospital Healdton Inc Healdton, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $76 | $75 | $2 | 3% | — | $71 – $76 |
| 16 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $53 | $1 | 1% | — | $52 – $54 |
| 17 | Mercy Hospital Ozark Ozark, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $63 | $4 | 7% | — | $56 – $68 |
| 18 | Mercy Hospital Paris Paris, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $61 | $4 | 7% | — | $54 – $66 |
| 19 | Mercy Hospital Waldron Waldron, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | $4 | 7% | — | $52 – $62 |
| 20 | Mercy Hospital Watonga Inc Watonga, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $114 | $5 | 4% | — | $109 – $120 |
| 21 | Mercy Love County Marietta, OK facility · percent of total billed charges · outpatientfrom % of charges | 1 | $95 | $93 | $3 | 3% | — | $88 – $95 |
| 22 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $105 | $33 | 31% | — | $88 – $185 |
| 23 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $91 | $90 | $4 | 4% | — | $85 – $94 |
| 24 | Penn Medicine Princeton Medical Center Princeton, NJ facility · fee schedule · outpatient | 1 | $185 | $211 | $124 | 59% | — | $73 – $374 |
| 25 | Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · fee schedule · outpatient | 1 | $74 | $74 | — | — | — | $74 – $74 |
← Payers reporting RC 372 · Snapshot 20261111T120946Z-9134e7f7