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
$0
Average
$346
Median
$169
High
$8.3k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
240 hospitals; the 90th percentile is 12.2× 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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323 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Mercy Hospital Springfield Ozark, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $130 | $156 | $69 | 44% | 948–1,002 | $85 – $292 |
| 2 | Mercy Hospital Springfield Springfield, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $130 | $156 | $69 | 44% | 948–1,002 | $85 – $292 |
| 3 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $148 | $45 | 30% | 133 | $97 – $236 |
| 4 | Mercy Hospital Fort Smith Smith, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $148 | $45 | 30% | 133 | $97 – $236 |
| 5 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $151 | $154 | $34 | 22% | 129 | $114 – $218 |
| 6 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 5 | $313 | $374 | $220 | 59% | 109 | $98 – $1.1k |
| 7 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $380 | $266 | $162 | 61% | 84–93 | $45 – $436 |
| 8 | Mercy Hospital Oklahoma City Inc City, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $476 | $477 | $258 | 54% | 78 | $146 – $948 |
| 9 | F.F. Thompson Hospital Canandaigua, NY percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | 22 | $57 – $57 |
| 10 | METHODIST SPECIALTY AND TRANSPLANT SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | 21 | $1.2k – $1.2k |
| 11 | Tucson Medical Center Tucson, AZ facility · other · outpatient | 1 | $127 | $127 | $12 | 9% | 19–28 | $116 – $139 |
| 12 | Tucson Medical Center Tucson, AZ facility · other · outpatient | 1 | $127 | $127 | $12 | 9% | 19–28 | $116 – $139 |
| 13 | METHODIST HOSPITAL STONE OAK SPRING BRANCH, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 17 | $1.5k – $1.5k |
| 14 | STONE OAK REHAB SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 17 | $1.5k – $1.5k |
| 15 | METHODIST HOSPITAL HELOTES, TX percent of total billed charges · outpatientfrom % of charges | 2 | $475 | $475 | $154 | 32% | 16–25 | $321 – $629 |
| 16 | Columbus Regional Hospital Columbus, IN percent of total billed charges · bothfrom % of charges | 1 | $266 | $266 | $123 | 46% | 14–23 | $144 – $389 |
| 17 | Mercy Hospital Ardmore Inc Ardmore, OK facility · percent of total billed charges · outpatientfrom % of charges | 2 | $96 | $106 | $33 | 31% | 2–20 | $63 – $170 |
| 18 | Northern Illinois Medical Center DBA Northwestern Medicine McHenry Hospital Woodstock, IL percent of total billed charges · outpatientfrom % of charges | 2 | $140 | $172 | $72 | 42% | 2–20 | $88 – $290 |
| 19 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 3 | $213 | $230 | $130 | 56% | 2–20 | $88 – $551 |
| 20 | Northwestern Medicine Central DuPage Hospital Winfield, IL percent of total billed charges · outpatientfrom % of charges | 3 | $258 | $395 | $294 | 74% | 2–20 | $101 – $1.1k |
| 21 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 3 | $197 | $148 | $78 | 52% | 2–20 | $38 – $209 |
| 22 | MEDICAL CITY LAS COLINAS Irving, TX percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $20 | — | — | 1–10 | $20 – $20 |
| 23 | MERCY HEALTH LOURDES HOSPITAL LLC Paducah, KY other · outpatient | 3 | $11.7k | $8.3k | $4.1k | 49% | 1–10 | $3.3k – $11.7k |
| 24 | METHODIST HOSPITAL ATASCOSA Jourdanton, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 25 | METROPOLITAN METHODIST SAN ANTONIO, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
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