RC 483
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 Tte F-Up or Lmtd - Tte Limited W/ Contrast
Low
$35
Average
$1.3k
Median
$1.1k
High
$10.9k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1507 hospitals; the 90th percentile is 3.7× 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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2,940 hospital rates
iThe hospitals that file a Aetna 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 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 3 | $830 | $2.1k | $2.1k | 99% | 2,162–2,378 | $32 – $8.3k |
| 2 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $537 | $527 | $196 | 37% | 1,613–1,622 | $234 – $770 |
| 3 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $537 | $527 | $196 | 37% | 1,613–1,622 | $234 – $770 |
| 4 | University Of Miami Hosp & Clinics Miami, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.9k | $2.1k | $1.4k | 69% | 1,462–1,471 | $232 – $5.2k |
| 5 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 4 | $2.0k | $2.1k | $989 | 47% | 1,408–1,498 | $592 – $4.6k |
| 6 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 4 | $2.8k | $2.9k | $1.7k | 58% | 1,118–1,352 | $321 – $7.9k |
| 7 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 2 | $1.5k | $1.5k | $670 | 44% | 1,045–1,108 | $605 – $2.6k |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 3 | $814 | $1.1k | $903 | 82% | 992–1,190 | $32 – $3.9k |
| 9 | Southern Baptist Hospital of Florida, INC FL 32222; 461 Outlet Mall Blvd St. Augustine, FL facility · percent of total billed charges · outpatientfrom % of charges | 8 | $1.4k | $1.8k | $1.4k | 77% | 900–1,062 | $144 – $6.9k |
| 10 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 6 | $2.4k | $2.1k | $1.3k | 60% | 863–980 | $15 – $4.5k |
| 11 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · outpatientfrom % of charges | 4 | $1.8k | $2.1k | $963 | 46% | 809–908 | $1.0k – $3.8k |
| 12 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $880 | $1.1k | $923 | 84% | 804–876 | $53 – $4.2k |
| 13 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $781 | $992 | $877 | 88% | 800–836 | $50 – $3.9k |
| 14 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $822 | $1.0k | $705 | 68% | 796–904 | $161 – $2.8k |
| 15 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 2 | $203 | $236 | $237 | 100% | 757–784 | $3 – $552 |
| 16 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 2 | $544 | $605 | $274 | 45% | 749–803 | $238 – $1.6k |
| 17 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 2 | $544 | $605 | $274 | 45% | 749–803 | $238 – $1.6k |
| 18 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 2 | $574 | $838 | $557 | 67% | 740–974 | $240 – $2.3k |
| 19 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 4 | $1.2k | $1.4k | $955 | 70% | 690–789 | $44 – $4.5k |
| 20 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $435 | $511 | $299 | 59% | 613–640 | $192 – $1.6k |
| 21 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $976 | $891 | $450 | 51% | 613–640 | $277 – $1.5k |
| 22 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 4 | $1.6k | $1.7k | $1.2k | 74% | 592–682 | $36 – $5.7k |
| 23 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT other · outpatient | 1 | $200 | $1.7k | $3.8k | 224% | 592 | $10 – $10.9k |
| 24 | Piedmont Atlanta Atlanta, GA percent of total billed charges · bothfrom % of charges | 2 | $2.5k | $2.4k | $1.5k | 63% | 550–613 | $231 – $5.5k |
| 25 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 1 | $164 | $1.9k | $4.0k | 208% | 549 | $10 – $10.9k |
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