RC 419
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.
Generation details were not recorded for this description.
Original text from hospital filings
HC PR Orient/Initial Eval W/6 Min Walk
Low
$21
Average
$164
Median
$31
High
$2.5k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
34 hospitals; the 90th percentile is 8.9× 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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35 hospital rates
iThe hospitals that file a Tricare 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 2 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 3 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $171 | $171 | $42 | 24% | — | $130 – $213 |
| 4 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · bothfrom % of charges | 1 | $58 | $125 | $94 | 75% | — | $58 – $257 |
| 5 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $125 | $94 | 75% | — | $58 – $257 |
| 6 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 7 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $514 | $514 | — | — | — | $514 – $514 |
| 8 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 9 | MCLAREN BAY REGION CITY, MI fee schedule | 1 | $24 | $29 | $7 | 24% | — | $24 – $38 |
| 10 | MCLAREN CENTRAL MICHIGAN PLEASANT, MI fee schedule | 1 | $22 | $26 | $6 | 24% | — | $22 – $35 |
| 11 | MCLAREN FLINT FLINT, MI fee schedule | 1 | $23 | $28 | $7 | 24% | — | $23 – $37 |
| 12 | MCLAREN GREATER LANSING LANSING, MI fee schedule | 1 | $23 | $27 | $6 | 24% | — | $23 – $37 |
| 13 | MCLAREN LAPEER REGION LAPEER, MI fee schedule | 1 | $23 | $27 | $6 | 24% | — | $23 – $37 |
| 14 | MCLAREN MACOMB CLEMENS, MI fee schedule | 1 | $22 | $26 | $6 | 24% | — | $22 – $35 |
| 15 | MCLAREN THUMB REGION AXE, MI fee schedule | 1 | $21 | $21 | — | — | — | $21 – $21 |
| 16 | McLeod Health Dillon, SC percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | $21 | 69% | — | $10 – $52 |
| 17 | McLeod Health Cheraw, SC percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | $21 | 69% | — | $10 – $52 |
| 18 | McLeod Health Manning, SC percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | $21 | 69% | — | $10 – $52 |
| 19 | McLeod Health Florence, SC percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | $21 | 69% | — | $10 – $52 |
| 20 | McLeod Health Beach, SC percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | $21 | 69% | — | $10 – $52 |
| 21 | McLeod Health Loris, SC percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | $21 | 69% | — | $10 – $52 |
| 22 | McLeod Health River, SC percent of total billed charges · bothfrom % of charges | 1 | $31 | $31 | $21 | 69% | — | $10 – $52 |
| 23 | Mercy Rehabilitation Hospital South Louis, MO case rate · inpatient | 1 | $477 | $925 | $605 | 65% | — | $344 – $1.7k |
| 24 | Mercy Rehabilitation Hospital St. Louis Chesterfield, MO case rate · inpatient | 1 | $96 | $95 | $15 | 16% | — | $77 – $112 |
| 25 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $29 | $32 | $4 | 13% | — | $29 – $38 |
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