RC 404
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
POSITRON EMISSION TOMOGRAPHY
Low
$26
Average
$1.6k
Median
$1.5k
High
$6.8k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
157 hospitals; the 90th percentile is 1.4× 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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173 hospital rates
iThe hospitals that file a Medicare 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $1.3k | $1.3k | $53 | 4% | 1,863–1,872 | $1.2k – $1.3k |
| 2 | Massachusetts General Hospital Boston, MA other · both | 1 | $1.7k | $1.8k | $345 | 19% | 745–781 | $1.6k – $2.7k |
| 3 | Brigham and Women's Hospital Boston, MA other · both | 1 | $1.7k | $1.9k | $343 | 18% | 681–735 | $1.6k – $2.7k |
| 4 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $1.5k | $1.5k | — | — | 618 | $1.5k – $1.5k |
| 5 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $1.4k | $1.5k | $301 | 20% | 396–432 | $1.3k – $2.2k |
| 6 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $1.4k | $1.5k | $301 | 20% | 396–432 | $1.3k – $2.2k |
| 7 | PRISMA HEALTH BAPTIST COLUMBIA HOSPITAL COLUMBIA, SC other · both | 1 | $1.4k | $1.3k | $52 | 4% | 368–377 | $1.2k – $1.4k |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Durango, CO other · inpatient | 1 | $1.2k | $1.2k | — | — | 245 | $1.2k – $1.2k |
| 9 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $1.8k | $1.8k | — | — | 235–244 | $1.8k – $1.8k |
| 10 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN other · both | 1 | $1.3k | $1.3k | $52 | 4% | 218–227 | $1.2k – $1.3k |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN other · both | 2 | $1.5k | $1.6k | $311 | 19% | 116 | $1.4k – $2.3k |
| 12 | Newton Wellesley Hospital Newton, MA other · both | 1 | $1.7k | $1.7k | — | — | 115–124 | $1.7k – $1.7k |
| 13 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $1.3k | $1.3k | — | — | 83–101 | $1.3k – $1.3k |
| 14 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $1.5k | $1.7k | $308 | 19% | 72–117 | $1.5k – $2.4k |
| 15 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $1.4k | $1.3k | $48 | 4% | 67–85 | $1.2k – $1.4k |
| 16 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $1.4k | $1.3k | $48 | 4% | 67–85 | $1.2k – $1.4k |
| 17 | PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN other · both | 1 | $1.4k | $1.3k | $51 | 4% | 59–68 | $1.2k – $1.4k |
| 18 | John Muir Health Walnut Creek, CA other · both | 3 | $2.0k | $2.0k | — | — | 42–51 | $2.0k – $2.0k |
| 19 | John Muir Health Walnut Creek, CA other · outpatient | 3 | $2.0k | $2.0k | — | — | 41 | $2.0k – $2.0k |
| 20 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC other · both | 1 | $1.4k | $1.3k | $45 | 3% | 36–54 | $1.2k – $1.4k |
| 21 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO other · inpatient | 1 | $1.2k | $1.2k | — | — | 32–41 | $1.2k – $1.2k |
| 22 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO other · inpatient | 1 | $1.1k | $1.1k | — | — | 29 | $1.1k – $1.1k |
| 23 | CATHOLIC HEALTH INITIATIVES COLORADO Pueblo, CO other · inpatient | 1 | $1.2k | $1.7k | $760 | 44% | 27–45 | $1.2k – $2.8k |
| 24 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $1.5k | $1.5k | — | — | 26–35 | $1.5k – $1.5k |
| 25 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT other · inpatient | 1 | $1.1k | $1.1k | — | — | 18 | $1.1k – $1.1k |
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