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 Cigna Healthspring 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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71 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $49.45 | $11.21 – $149.19 |
| 2 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $54.46 | $6.04 – $393.93 |
| 3 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $54.43 | $6.04 – $393.56 |
| 4 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $54.85 | $6.04 – $398.99 |
| 5 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX case rate · outpatient | 2 | $200.02 | $199.02 – $201.01 |
| 6 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $54.85 | $6.04 – $398.99 |
| 7 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $56.40 | $6.04 – $419.51 |
| 8 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $40.69 | $15.34 – $111.16 |
| 9 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $54.85 | $6.04 – $398.99 |
| 10 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $53.16 | $12.31 – $195.73 |
| 11 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $44.03 | $5.49 – $156.49 |
| 12 | Crestview Hospital Corporation Crestview, FL facility · fee schedule · outpatient | 1 | $30.26 | $0.01 – $166.98 |
| 13 | Foley Hospital Company LLC Foley, AL facility · fee schedule · outpatient | 1 | $84.05 | $11.21 – $349.83 |
| 14 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $39.28 | $5.43 – $146.29 |
| 15 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $48.43 | $12.14 – $301.45 |
| 16 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $23.24 | $5.92 – $39.74 |
| 17 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $42.99 | $13.18 – $432.05 |
| 18 | Jackson HMA LLC Jackson, MS facility · fee schedule · outpatient | 1 | $25.70 | $11.19 – $91.03 |
| 19 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $90.19 | $33.00 – $325.80 |
| 20 | Laird Hospital, Inc. Union, MS fee schedule · outpatient | 1 | $32.84 | $26.65 – $45.56 |
| 21 | Laird Hospital, Inc. Union, MS other · outpatient | 1 | $87.30 | $34.65 – $199.08 |
| 22 | Lancaster General Health Lancaster, PA facility · fee schedule · outpatient | 1 | $82.63 | $6.02 – $390.46 |
| 23 | Laredo Texas Hospital Company LP Laredo, TX facility · per diem · outpatient | 1 | $55.91 | $17.85 – $123.92 |
| 24 | MEMORIAL HEALTH SYSTEM OF EAST TEXAS Lufkin, TX case rate · outpatient | 2 | $64.64 | $23.15 – $189.70 |
| 25 | MEMORIAL HOSPITAL OF POLK COUNTY Livingston, TX case rate · outpatient | 2 | $68.50 | $24.53 – $201.01 |
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