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
$12
Average
$474
Median
$309
High
$2.5k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
190 hospitals; the 90th percentile is 7.8× 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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244 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 | DIGNITY HEALTH San Bernardino, CA fee schedule · outpatient | 3 | $60 | $84 | $63 | 75% | 1,053–1,107 | $26 – $268 |
| 2 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · bothfrom % of charges | 1 | $53 | $53 | — | — | 928 | $53 – $53 |
| 3 | Methodist Hospitals of Dallas Dallas, TX percent of total billed charges · bothfrom % of charges | 1 | $149 | $215 | $160 | 74% | 571–598 | $88 – $939 |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | 504 | $39 – $39 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · bothfrom % of charges | 1 | $44 | $44 | — | — | 261 | $44 – $44 |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · bothfrom % of charges | 1 | $44 | $44 | — | — | 128 | $44 – $44 |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY percent of total billed charges · bothfrom % of charges | 1 | $44 | $44 | — | — | 110 | $44 – $44 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · bothfrom % of charges | 1 | $39 | $39 | — | — | 92 | $39 – $39 |
| 9 | Pana Community Hospital Association Pana, IL facility · other · outpatient | 1 | $357 | $357 | $24 | 7% | 80 | $334 – $381 |
| 10 | Methodist Hospitals of Dallas Richardson, TX percent of total billed charges · bothfrom % of charges | 1 | $174 | $251 | $186 | 74% | 14–32 | $103 – $1.1k |
| 11 | Methodist Hospitals of Dallas Richardson, TX percent of total billed charges · bothfrom % of charges | 1 | $174 | $251 | $186 | 74% | 14–32 | $103 – $1.1k |
| 12 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $240 | $271 | 113% | 6–60 | $23 – $1.8k |
| 13 | Sparta Community Hospital Sparta, IL facility · fee schedule · both | 1 | $280 | $291 | $14 | 5% | 5–50 | $279 – $308 |
| 14 | Sparta Community Hospital Sparta, IL professional · fee schedule · both | 1 | $308 | $296 | $14 | 5% | 5–50 | $279 – $308 |
| 15 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient | 2 | $371 | $497 | $413 | 83% | 4–40 | $52 – $1.4k |
| 16 | Methodist Hospitals of Dallas Mansfield, TX percent of total billed charges · bothfrom % of charges | 1 | $112 | $161 | $120 | 74% | 2–20 | $66 – $704 |
| 17 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $505 | $505 | — | — | 1–10 | $505 – $505 |
| 18 | Methodist Hospitals of Dallas Dallas, TX other · both | 2 | $140 | $131 | $20 | 15% | 1–10 | $76 – $140 |
| 19 | Shannon Medical Center San Angelo, TX facility · other · outpatient | 1 | $51 | $51 | — | — | 1–10 | $51 – $51 |
| 20 | Shannon Medical Center Big Spring Big Spring, TX facility · other · outpatient | 1 | $51 | $51 | — | — | 1–10 | $51 – $51 |
| 21 | Shannon River Crest Hospital San Angelo, TX facility · other · outpatient | 1 | $51 | $51 | — | — | 1–10 | $51 – $51 |
| 22 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $470 | $470 | — | — | 1–10 | $470 – $470 |
| 23 | Ascension All Saints Hospital, Inc. Racine, WI percent of total billed charges · outpatientfrom % of charges | 2 | $234 | $269 | $152 | 57% | — | $63 – $683 |
| 24 | Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $237 | $265 | $145 | 55% | — | $63 – $683 |
| 25 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · bothfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
← Payers reporting RC 456 · Snapshot 20261111T120946Z-9134e7f7