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
$4
Average
$255
Median
$204
High
$28.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1710 hospitals; the 90th percentile is 3.8× 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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2,967 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $105 | $97 | $14 | 15% | 547 | $72 – $105 |
| 2 | East Carolina Health-Chowan, Inc. Edenton, NC percent of total billed charges · bothfrom % of charges | 8 | $273 | $248 | $115 | 47% | 539–548 | $64 – $431 |
| 3 | University Medical Center, Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $135 | $142 | $71 | 50% | 521 | $47 – $250 |
| 4 | UofL Health -Shelbyville, Inc. Shelbyville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $135 | $136 | $70 | 52% | 521 | $45 – $250 |
| 5 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $135 | $140 | $67 | 48% | 521 | $51 – $250 |
| 6 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $171 | $171 | — | — | 521 | $171 – $171 |
| 7 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $171 | $171 | — | — | 521 | $171 – $171 |
| 8 | UofL Health-Louisville Inc. Shepherdville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $135 | $143 | $68 | 48% | 521 | $51 – $258 |
| 9 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $171 | $171 | — | — | 521 | $171 – $171 |
| 10 | UofL Health-Louisville Inc. Louisville, KY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $135 | $140 | $67 | 48% | 521 | $51 – $250 |
| 11 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $262 | $265 | $111 | 42% | 449 | $95 – $423 |
| 12 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 1 | $94 | $86 | $13 | 15% | 419–707 | $64 – $94 |
| 13 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 3 | $92 | $103 | $30 | 29% | 393–681 | $63 – $150 |
| 14 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 3 | $92 | $103 | $30 | 29% | 393–681 | $63 – $150 |
| 15 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 2 | $117 | $127 | $31 | 25% | 385–412 | $65 – $160 |
| 16 | Methodist Hospital St. Louis Park, MN facility · fee schedule · both | 2 | $107 | $102 | $6 | 6% | 361 | $94 – $107 |
| 17 | Wentworth Douglass Hospital Dover, NH fee schedule · both | 1 | $102 | $91 | $15 | 16% | 344–353 | $71 – $102 |
| 18 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | $0 | 0% | 318–327 | $95 – $96 |
| 19 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 3 | $181 | $171 | $66 | 39% | 303–312 | $71 – $235 |
| 20 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $181 | $188 | $97 | 52% | 296–431 | $57 – $319 |
| 21 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $97 | $97 | — | — | 287 | $97 – $97 |
| 22 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · fee schedule · outpatient | 2 | $92 | $85 | $13 | 15% | 284 | $62 – $92 |
| 23 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $95 | $106 | $30 | 29% | 275–329 | $63 – $157 |
| 24 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $89 | $100 | $29 | 29% | 275–329 | $59 – $149 |
| 25 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 1 | $275 | $275 | — | — | 260–269 | $275 – $275 |
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