RC 400
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
Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)
Low
$1
Average
$88
Median
$23
High
$505
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 284.8× 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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14 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 | Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Geisinger Community Medical Center Scranton, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 4 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 5 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 8 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 1 | $505 | $505 | — | — | — | $505 – $505 |
| 9 | Mercy Hospital Ada Inc Ada, OK facility · fee schedule · outpatient | 1 | $34 | $34 | — | — | — | $34 – $34 |
| 10 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 11 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 2 | $27 | $27 | $7 | 26% | — | $20 – $34 |
| 12 | North Oaks Medical Center Drive. Hammond, LA fee schedule · both | 1 | $79 | $79 | $40 | 51% | — | $39 – $119 |
| 13 | The Chester County Hospital West Chester, PA facility · fee schedule · outpatient | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 14 | UMass Memorial Medical Center MA 01605; 157 Union Street Marlborough, MA percent of total billed charges · bothfrom % of charges | 2 | $323 | $323 | $72 | 22% | — | $251 – $395 |
← Payers reporting RC 400 · Snapshot 20261111T120946Z-9134e7f7