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
$1
Average
$2.4k
Median
$1.8k
High
$12.6k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
443 hospitals; the 90th percentile is 3.6× 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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649 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 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $584 | $629 | $111 | 18% | 89–116 | $584 – $900 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $900 | $986 | $308 | 31% | 76–103 | $219 – $1.5k |
| 3 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $3.3k | — | — | 67–85 | $3.3k – $3.3k |
| 4 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $4.7k | $4.8k | $2.4k | 49% | 66–75 | $2.3k – $7.6k |
| 5 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $584 | $648 | $126 | 20% | 62–80 | $584 – $900 |
| 6 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $941 | $1.1k | $504 | 44% | 60–78 | $634 – $1.7k |
| 7 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 1 | $584 | $690 | $149 | 22% | 58–67 | $584 – $900 |
| 8 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $1.7k | $1.7k | $639 | 37% | 57–120 | $1.0k – $2.4k |
| 9 | MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient | 1 | $584 | $584 | — | — | 42–69 | $584 – $584 |
| 10 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 1 | $584 | $584 | — | — | 37–55 | $584 – $584 |
| 11 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $736 | $807 | $252 | 31% | 32–68 | $179 – $1.2k |
| 12 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT other · outpatient | 1 | $584 | $584 | — | — | 32–41 | $584 – $584 |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $655 | $717 | $224 | 31% | 23–59 | $159 – $1.1k |
| 14 | MIDSTATE MEDICAL CENTER MERIDEN, CT fee schedule · outpatient | 2 | $2.6k | $2.4k | $462 | 19% | 19–46 | $1.6k – $2.9k |
| 15 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $2.8k | $2.7k | $114 | 4% | 19–37 | $2.5k – $2.8k |
| 16 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT fee schedule · outpatient | 2 | $2.2k | $2.2k | $235 | 11% | 17–35 | $1.8k – $2.5k |
| 17 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $655 | $717 | $224 | 31% | 16–34 | $159 – $1.1k |
| 18 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · outpatientfrom % of charges | 1 | $736 | $807 | $252 | 31% | 14–41 | $179 – $1.2k |
| 19 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $1.8k | $2.4k | $760 | 32% | 14–32 | $1.8k – $3.4k |
| 20 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $2.0k | $388 | 20% | 12 | $1.5k – $2.5k |
| 21 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 2 | $9.4k | $9.4k | $366 | 4% | 6–60 | $9.0k – $9.8k |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $736 | $807 | $252 | 31% | 4–40 | $179 – $1.2k |
| 23 | Trinity Health Grand Haven Hospital Grand Haven, MI facility · fee schedule · both | 1 | $1.4k | $1.4k | — | — | 4–40 | $1.4k – $1.4k |
| 24 | Trinity Health Grand Haven Hospital Grand Haven, MI professional · fee schedule · both | 1 | $1.4k | $1.4k | $22 | 2% | 4–40 | $1.4k – $1.4k |
| 25 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | 3–30 | $1.6k – $1.6k |
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