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 Devoted 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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323 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | AHS Claremore Hospital, LLC Claremore, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $95.60 | $46.80 – $165.60 |
| 2 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $20.80 | $20.80 – $20.80 |
| 3 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $137.68 | $23.20 – $203.20 |
| 4 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $12.80 | $12.80 – $12.80 |
| 5 | AHS Southcrest Hospital, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $47.00 | $30.40 – $63.60 |
| 6 | ALBANY GENERAL HOSPITAL Albany, OR facility · fee schedule · outpatient | 1 | $40.63 | $9.07 – $63.96 |
| 7 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $49.45 | $11.21 – $149.19 |
| 8 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $58.32 | $11.50 – $300.82 |
| 9 | Ascension Cedar Park Park, TX percent of total billed charges · outpatientfrom % of charges | 1 | $275.23 | $33.43 – $761.55 |
| 10 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $192.97 | $21.97 – $858.69 |
| 11 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $261.21 | $43.28 – $1,036 |
| 12 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $196.63 | $21.97 – $858.69 |
| 13 | Ascension Seton Luling, TX percent of total billed charges · outpatientfrom % of charges | 2 | $137.10 | $10.21 – $769.08 |
| 14 | Ascension Seton Burnet, TX percent of total billed charges · outpatientfrom % of charges | 2 | $129.43 | $6.99 – $769.08 |
| 15 | Ascension Seton Smithville, TX percent of total billed charges · inpatientfrom % of charges | 1 | $20.24 | $2.94 – $76.89 |
| 16 | Ascension Seton Smithville, TX percent of total billed charges · outpatientfrom % of charges | 1 | $160.09 | $23.27 – $608.13 |
| 17 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $157.81 | $23.27 – $608.13 |
| 18 | Ascension Seton Bastrop, TX percent of total billed charges · outpatientfrom % of charges | 1 | $194.25 | $23.27 – $1,036 |
| 19 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $192.97 | $21.97 – $858.69 |
| 20 | Ascension Seton Rock, TX percent of total billed charges · outpatientfrom % of charges | 1 | $182.61 | $23.27 – $1,036 |
| 21 | Banner Gateway Medical Center Gilbert, AZ facility · fee schedule · outpatient | 1 | $43.92 | $43.92 – $43.92 |
| 22 | Banner North Colorado Medical Center Greeley, CO facility · fee schedule · outpatient | 1 | $41.46 | $41.46 – $41.46 |
| 23 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · fee schedule · outpatient | 1 | $41.46 | $41.46 – $41.46 |
| 24 | Banner Payson Medical Center Payson, AZ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57.31 | $13.08 – $176.34 |
| 25 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $48.30 | $11.07 – $177.79 |
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