RC 456
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
HC REPAIR SUPERFICIAL, WOUND BODY < =2.5CM
Low
$20
Average
$103
Median
$73
High
$332
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
17 hospitals; the 90th percentile is 11.2× 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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21 hospital rates
iThe hospitals that file a Medicaid 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 | Allina Health Systems Shakopee, MN facility · fee schedule · outpatient | 1 | $69 | $73 | $42 | 58% | — | $18 – $139 |
| 2 | Allina Health Systems Owatonna, MN facility · fee schedule · outpatient | 1 | $69 | $73 | $42 | 58% | — | $18 – $139 |
| 3 | Allina Health Systems Cambridge, MN facility · fee schedule · outpatient | 1 | $69 | $73 | $42 | 58% | — | $18 – $139 |
| 4 | Allina Health Systems River Falls, WI facility · fee schedule · outpatient | 1 | $69 | $73 | $42 | 58% | — | $18 – $139 |
| 5 | Allina Health Systems Buffalo, MN facility · fee schedule · outpatient | 1 | $69 | $73 | $42 | 58% | — | $18 – $139 |
| 6 | Mercy Hospital Lincoln Troy, MO facility · fee schedule · outpatient | 1 | $237 | $328 | $324 | 99% | — | $71 – $1.9k |
| 7 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $80 | $112 | $138 | 123% | — | $26 – $1.2k |
| 8 | Mercy Hospital Paris Paris, AR facility · fee schedule · outpatient | 2 | $179 | $179 | $72 | 40% | — | $107 – $250 |
| 9 | Mercy Hospital South Louis, MO facility · fee schedule · outpatient | 1 | $205 | $299 | $280 | 94% | — | $51 – $1.4k |
| 10 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $191 | $223 | 117% | — | $28 – $1.4k |
| 11 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 3 | $76 | $125 | $89 | 71% | — | $49 – $250 |
| 12 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 3 | $76 | $125 | $89 | 71% | — | $49 – $250 |
| 13 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · fee schedule · outpatient | 1 | $252 | $389 | $413 | 106% | — | $51 – $2.4k |
| 14 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $279 | $312 | 112% | — | $23 – $1.4k |
| 15 | NYU Langone New York, NY fee schedule · both | 15 | $20 | $20 | — | — | — | $20 – $20 |
| 16 | NYU Langone Mineola, NY fee schedule · both | 15 | $20 | $20 | — | — | — | $20 – $20 |
| 17 | NYU Langone Brooklyn, NY fee schedule · both | 15 | $20 | $20 | — | — | — | $20 – $20 |
| 18 | NYU Langone New York, NY fee schedule · both | 15 | $20 | $20 | — | — | — | $20 – $20 |
| 19 | NYU Langone Hospital?Suffolk Patchogue, NY fee schedule · both | 15 | $20 | $20 | — | — | — | $20 – $20 |
| 20 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · fee schedule · outpatient | 1 | $110 | $110 | — | — | — | $110 – $110 |
| 21 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
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