RC 420
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
Atc Evaluation
The hospitals that file a Bcbs Mi 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.
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17 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Covenant Medical Center Inc Saginaw, MI facility · case rate · outpatient | 1 | $35.60 | $3.00 – $149.45 |
| 2 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $29.08 | $27.91 – $31.41 |
| 3 | Covenant Medical Center Inc Saginaw, MI facility · case rate · outpatient | 1 | $35.60 | $3.00 – $149.45 |
| 4 | Covenant Medical Center Inc Saginaw, MI professional · fee schedule · both | 1 | $29.08 | $27.91 – $31.41 |
| 5 | Emma L Bixby Medical Center Adrian, MI facility · fee schedule · outpatient | 2 | $55.57 | $35.87 – $134.55 |
| 6 | Emma L Bixby Medical Center Adrian, MI facility · percent of total billed charges · outpatientfrom % of charges | 2 | $52.81 | $25.70 – $101.71 |
| 7 | Emma L Bixby Medical Center Adrian, MI professional · fee schedule · outpatient | 4 | $59.84 | $19.65 – $180.05 |
| 8 | INDIANA ORTHOPAEDIC HOSPITAL LLC Indianapolis, IN facility · case rate · inpatient | 1 | $25,846 | $25,846 – $25,846 |
| 9 | INDIANA ORTHOPAEDIC HOSPITAL LLC Indianapolis, IN facility · fee schedule · outpatient | 1 | $2,089 | $2,089 – $2,089 |
| 10 | Mercy Memorial Hospital Corporation Monroe, MI facility · fee schedule · outpatient | 2 | $55.77 | $37.01 – $132.01 |
| 11 | Mercy Memorial Hospital Corporation Monroe, MI facility · other · outpatient | 1 | $34.16 | $21.46 – $76.56 |
| 12 | Mercy Memorial Hospital Corporation Monroe, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $77.42 | $38.76 – $150.54 |
| 13 | Mercy Memorial Hospital Corporation Monroe, MI professional · fee schedule · outpatient | 3 | $52.63 | $19.65 – $150.54 |
| 14 | The Toledo Hospital Maumee, OH facility · fee schedule · outpatient | 1 | $52.87 | $36.26 – $129.34 |
| 15 | The Toledo Hospital Maumee, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $88.93 | $36.00 – $149.50 |
| 16 | The Toledo Hospital Maumee, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $82.31 | $36.00 – $149.50 |
| 17 | The Toledo Hospital Maumee, OH professional · fee schedule · outpatient | 2 | $115.61 | $46.80 – $194.35 |
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