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
$774
Average
$2.6k
Median
$1.5k
High
$14.1k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
173 hospitals; the 90th percentile is 4.2× 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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212 hospital rates
iThe hospitals that file a Optum 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 | Fairview Health Services Minneapolis, MN other · inpatient | 2 | $4.0k | $4.1k | $2.4k | 60% | 126–162 | $1.5k – $7.7k |
| 2 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 3 | $1.7k | $2.6k | $1.4k | 55% | 25–70 | $1.4k – $5.0k |
| 3 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 1 | $1.4k | $4.1k | $3.1k | 75% | 17–53 | $1.4k – $7.6k |
| 4 | HealthEast St John's Hospital Maplewood, MN other · outpatient | 1 | $1.4k | $4.1k | $3.1k | 75% | 17–53 | $1.4k – $7.6k |
| 5 | Boston Children's Hospital Boston, MA case rate · both | 1 | $8.1k | $8.1k | — | — | 9–90 | $8.1k – $8.1k |
| 6 | Fairview Health Services Princeton, MN other · inpatient | 1 | $1.5k | $1.5k | — | — | 7–70 | $1.5k – $1.5k |
| 7 | Fairview Health Services Princeton, MN other · outpatient | 1 | $1.5k | $1.5k | — | — | 7–70 | $1.5k – $1.5k |
| 8 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $1.1k | $1.1k | — | — | 4–40 | $1.1k – $1.1k |
| 9 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 1 | $1.3k | $1.3k | — | — | 4–40 | $1.3k – $1.3k |
| 10 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $1.2k | $1.2k | — | — | 4–40 | $1.2k – $1.2k |
| 11 | Fairview Health Services Edina, MN other · inpatient | 1 | $1.5k | $1.5k | — | — | 4–40 | $1.5k – $1.5k |
| 12 | Fairview Health Services Edina, MN other · outpatient | 1 | $1.5k | $1.5k | — | — | 4–40 | $1.5k – $1.5k |
| 13 | Fairview Health Services Minneapolis, MN other · outpatient | 1 | $4.0k | $4.0k | — | — | 4–40 | $4.0k – $4.0k |
| 14 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · outpatientfrom % of charges | 2 | $4.0k | $4.0k | — | — | 4–40 | $4.0k – $4.0k |
| 15 | Appalachian Regional Healthcare, Inc. Williamson, KY other · outpatient | 1 | $843 | $843 | — | — | 3–30 | $843 – $843 |
| 16 | University of North Carolina Hospitals at Chapel Hill Butner, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.8k | $2.2k | $1.1k | 51% | 3–30 | $704 – $5.7k |
| 17 | Appalachian Regional Healthcare, Inc. Middlesboro, KY other · outpatient | 1 | $1000 | $1000 | — | — | 2–20 | $1000 – $1000 |
| 18 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $1.4k | $1.4k | $7 | 0% | 2–20 | $1.4k – $1.4k |
| 19 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · outpatient | 1 | $1.4k | $1.4k | $7 | 0% | 2–20 | $1.4k – $1.4k |
| 20 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $1.4k | $1.6k | $299 | 19% | 1–10 | $1.4k – $2.2k |
| 21 | Vanderbilt Clarksville Hospital Clarksville, TN other · outpatient | 1 | $1.5k | $1.5k | — | — | 1–10 | $1.5k – $1.5k |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | $67 | 5% | — | $1.2k – $1.3k |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.7k | $5.5k | $282 | 5% | — | $5.1k – $5.7k |
| 24 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | $50 | 4% | — | $1.2k – $1.3k |
| 25 | Affinity Hospital LLC Birmingham, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9.0k | $9.9k | $1.3k | 14% | — | $9.0k – $12.0k |
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