RC 432
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
OT RE-EVAL EST PLAN CARE
Low
$23
Average
$213
Median
$205
High
$564
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
78 hospitals; the 90th percentile is 7.4× 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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82 hospital rates
iThe hospitals that file a Anthem 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 | Ascension Calumet Hospital, Inc. Chilton, WI per diem · outpatient | 4 | $196 | $204 | $93 | 45% | — | $82 – $342 |
| 2 | Ascension NE Wisconsin, Inc. Appleton, WI per diem · outpatient | 4 | $196 | $204 | $93 | 45% | — | $82 – $342 |
| 3 | Ascension NE Wisconsin, Inc. Oshkosh, WI per diem · outpatient | 4 | $196 | $204 | $93 | 45% | — | $82 – $342 |
| 4 | Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI per diem · outpatient | 4 | $249 | $261 | $82 | 32% | — | $157 – $387 |
| 5 | Ascension SE Wisconsin Hospital, Inc. Franklin, WI per diem · outpatient | 4 | $249 | $261 | $82 | 32% | — | $157 – $387 |
| 6 | Ascension SE Wisconsin Hospital, Inc. Brookfield, WI per diem · outpatient | 4 | $249 | $261 | $82 | 32% | — | $157 – $387 |
| 7 | Ascension St. Francis Hospital, Inc. Milwaukee, WI per diem · outpatient | 4 | $249 | $261 | $82 | 32% | — | $157 – $387 |
| 8 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 4 | $186 | $175 | $21 | 12% | — | $139 – $186 |
| 9 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · case rate · outpatient | 4 | $205 | $205 | — | — | — | $205 – $205 |
| 10 | CATHOLIC MEDICAL CENTER MANCHESTER, NH case rate · outpatient | 8 | $149 | $175 | $72 | 41% | — | $105 – $296 |
| 11 | CENTENNIAL HOSPITAL A CAMPUS OF TMCA ENGLEWOOD, CO case rate · outpatient | 4 | $369 | $353 | $111 | 31% | — | $212 – $461 |
| 12 | CHIPPENHAM HOSPITAL RICHMOND, VA case rate · outpatient | 4 | $231 | $219 | $27 | 12% | — | $175 – $240 |
| 13 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 4 | $186 | $175 | $21 | 12% | — | $139 – $186 |
| 14 | Columbia St. Mary's Hospital Milwaukee, Inc. Milwaukee, WI per diem · outpatient | 4 | $215 | $227 | $66 | 29% | — | $149 – $330 |
| 15 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI per diem · outpatient | 4 | $215 | $227 | $66 | 29% | — | $149 – $330 |
| 16 | Endo Surgery Center Carmel, IN fee schedule · outpatient | 4 | $186 | $175 | $21 | 12% | — | $139 – $186 |
| 17 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · case rate · outpatient | 3 | $205 | $205 | — | — | — | $205 – $205 |
| 18 | Grady Memorial Hospital Atlanta, GA facility · case rate · outpatient | 3 | $445 | $450 | $8 | 2% | — | $445 – $462 |
| 19 | HCA HEALTHONE AURORA Aurora, CO case rate · outpatient | 4 | $369 | $353 | $111 | 31% | — | $212 – $461 |
| 20 | HCA HEALTHONE BELMAR ER LAKEWOOD, CO case rate · outpatient | 4 | $369 | $353 | $111 | 31% | — | $212 – $461 |
| 21 | HCA HEALTHONE CENTRAL PARK ER DENVER, CO case rate · outpatient | 4 | $369 | $353 | $111 | 31% | — | $212 – $461 |
| 22 | HCA HEALTHONE MOUNTAIN RIDGE Thornton, CO case rate · outpatient | 4 | $369 | $353 | $111 | 31% | — | $212 – $461 |
| 23 | HCA HEALTHONE NORTHEAST ER THORNTON, CO case rate · outpatient | 4 | $369 | $353 | $111 | 31% | — | $212 – $461 |
| 24 | HCA HEALTHONE PRESBYTERIAN ST LUKES Denver, CO case rate · outpatient | 4 | $369 | $353 | $111 | 31% | — | $212 – $461 |
| 25 | HCA HEALTHONE ROSE Denver, CO case rate · outpatient | 4 | $369 | $353 | $111 | 31% | — | $212 – $461 |
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