RC 479
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
Evaluation and testing for balance with recording
Low
$16
Average
$104
Median
$111
High
$205
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 13.2× 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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13 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 | Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient | 2 | $72 | $88 | $41 | 47% | — | $55 – $157 |
| 2 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 2 | $59 | $55 | $42 | 76% | — | $9 – $144 |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN per diem · both | 2 | $205 | $205 | $19 | 9% | — | $186 – $224 |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN per diem · both | 16 | $186 | $195 | $16 | 8% | — | $186 – $224 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN per diem · both | 2 | $205 | $205 | $19 | 9% | — | $186 – $224 |
| 6 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $111 | $111 | — | — | — | $111 – $111 |
| 7 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $16 | $5 | 31% | — | $11 – $26 |
| 8 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $16 | $5 | 31% | — | $11 – $26 |
| 9 | Mercy Hospitals East Communities dba Mercy Hospital Washington Washington, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $14 | $16 | $5 | 31% | — | $11 – $26 |
| 10 | North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient | 1 | $111 | $111 | — | — | — | $111 – $111 |
| 11 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · fee schedule · outpatient | 1 | $133 | $133 | — | — | — | $133 – $133 |
| 12 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $132 | $132 | — | — | — | $132 – $132 |
| 13 | Stephens County Hospital Toccoa, GA percent of total billed charges · outpatientfrom % of charges | 1 | $24 | $60 | $54 | 90% | — | $20 – $136 |
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