RC 434
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
EVALUATION OR RE-EVALUATION
Low
$1
Average
$155
Median
$112
High
$1.5k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
499 hospitals; the 90th percentile is 4.3× 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.
Filter by billing methodology
Filter by billing class
679 hospital rates
iThe hospitals that file a Molina 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $106 | $125 | $49 | 39% | 255–282 | $59 – $184 |
| 2 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $172 | $153 | $44 | 29% | 243 | $60 – $192 |
| 3 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $109 | $90 | $21 | 23% | 169–178 | $61 – $109 |
| 4 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $105 | $97 | $14 | 15% | 133–142 | $72 – $105 |
| 5 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $64 | $70 | $32 | 46% | 94 | $28 – $111 |
| 6 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 2 | $249 | $249 | $10 | 4% | 89–116 | $239 – $258 |
| 7 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $201 | $205 | $36 | 18% | 61 | $136 – $245 |
| 8 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $93 | $97 | $22 | 23% | 60–78 | $60 – $120 |
| 9 | Upstate University Hospital Syracuse, NY facility · case rate · outpatient | 2 | $160 | $173 | $75 | 43% | 58–139 | $83 – $302 |
| 10 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $94 | $14 | 15% | 42–78 | $61 – $109 |
| 11 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 3 | $90 | $91 | $18 | 20% | 42 | $55 – $136 |
| 12 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 3 | $90 | $91 | $18 | 20% | 42 | $55 – $136 |
| 13 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $148 | $159 | $67 | 42% | 40–103 | $66 – $282 |
| 14 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 1 | $105 | $97 | $14 | 15% | 35–44 | $72 – $105 |
| 15 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $94 | $84 | $14 | 16% | 28–37 | $64 – $94 |
| 16 | PeaceHealth United General Medical Center Sedro Woolley, WA facility · other · outpatient | 1 | $111 | $111 | $7 | 7% | 27–36 | $104 – $119 |
| 17 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $105 | $97 | $14 | 15% | 24–33 | $72 – $105 |
| 18 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT case rate · outpatient | 2 | $249 | $249 | $10 | 4% | 21–57 | $239 – $258 |
| 19 | WINDHAM COMMUNITY MEMORIAL HOSPITAL INC WILLIMANTIC, CT other · outpatient | 1 | $105 | $97 | $14 | 15% | 21 | $72 – $105 |
| 20 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT case rate · outpatient | 2 | $217 | $217 | $9 | 4% | 20–56 | $208 – $225 |
| 21 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 1 | $105 | $97 | $14 | 15% | 20–29 | $72 – $105 |
| 22 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT case rate · outpatient | 2 | $198 | $198 | $8 | 4% | 19–28 | $190 – $205 |
| 23 | The University of Texas Southwestern Medical Center at Dallas Dallas, TX percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $89 | $27 | 30% | 19–37 | $64 – $128 |
| 24 | Bexar County Hospital District San Antonio, TX other · outpatient | 1 | $134 | $134 | $8 | 6% | 17–35 | $126 – $142 |
| 25 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT other · outpatient | 1 | $105 | $97 | $14 | 15% | 17–26 | $72 – $105 |
← Payers reporting RC 434 · Snapshot 20261111T120946Z-9134e7f7