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
$87
Average
$246
Median
$181
High
$912
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
19 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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27 hospital rates
iThe hospitals that file a Tricare 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 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $281 | $327 | $240 | 73% | — | $49 – $1.2k |
| 2 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $62 | $90 | $77 | 85% | — | $11 – $304 |
| 3 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $452 | $912 | $921 | 101% | — | $75 – $3.2k |
| 4 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $452 | $912 | $921 | 101% | — | $75 – $3.2k |
| 5 | Craig Hospital Englewood, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 6 | Craig Hospital Englewood, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 7 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $522 | $522 | — | — | — | $522 – $522 |
| 8 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $439 | $439 | — | — | — | $439 – $439 |
| 9 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $189 | $189 | $63 | 33% | — | $126 – $252 |
| 10 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $238 | $238 | $79 | 33% | — | $159 – $317 |
| 11 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $181 | $181 | $60 | 33% | — | $121 – $241 |
| 12 | Mercy Hospital Lincoln Troy, MO facility · fee schedule · outpatient | 1 | $95 | $95 | — | — | — | $95 – $95 |
| 13 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $114 | $160 | $197 | 123% | — | $37 – $1.6k |
| 14 | Mercy Hospital Paris Paris, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $408 | $408 | — | — | — | $408 – $408 |
| 15 | Mercy Hospital South Louis, MO facility · fee schedule · outpatient | 1 | $76 | $78 | $44 | 56% | — | $8 – $157 |
| 16 | Mercy Hospital South Louis, MO facility · other · outpatient | 1 | $197 | $303 | $250 | 83% | — | $58 – $1.6k |
| 17 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 18 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
| 19 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · fee schedule · outpatient | 1 | $75 | $76 | $43 | 56% | — | $7 – $153 |
| 20 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · other · outpatient | 1 | $302 | $451 | $459 | 102% | — | $58 – $2.9k |
| 21 | Methodist Hospitals of Dallas Coppell, TX other · both | 1 | $123 | $118 | $17 | 14% | — | $68 – $123 |
| 22 | Methodist Hospitals of Dallas Celina, TX other · both | 1 | $124 | $118 | $17 | 14% | — | $68 – $124 |
| 23 | Methodist Hospitals of Dallas Souhtlake, TX other · both | 1 | $123 | $118 | $17 | 14% | — | $68 – $123 |
| 24 | Nationwide Children's Hospital Columbus, OH facility · fee schedule · outpatient | 1 | $265 | $276 | $93 | 33% | — | $95 – $395 |
| 25 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · other · outpatient | 1 | $131 | $131 | — | — | — | $131 – $131 |
← Payers reporting RC 456 · Snapshot 20261111T120946Z-9134e7f7