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
$20
Average
$1.1k
Median
$846
High
$9.4k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
331 hospitals; the 90th percentile is 2.9× 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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414 hospital rates
iThe hospitals that file a Ambetter 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 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $965 | $1.1k | $486 | 43% | 232–268 | $421 – $2.8k |
| 2 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $965 | $1.1k | $486 | 43% | 232–268 | $421 – $2.8k |
| 3 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $953 | $1.1k | $493 | 46% | 176–239 | $416 – $2.7k |
| 4 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $953 | $1.1k | $493 | 46% | 176–239 | $416 – $2.7k |
| 5 | Arkansas Childrens Hospital Little Rock, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $334 | $401 | 120% | 137–236 | $16 – $1.2k |
| 6 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $618 | $758 | $639 | 84% | 87–105 | $200 – $3.0k |
| 7 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $454 | $453 | $65 | 14% | 80–98 | $365 – $536 |
| 8 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC other · both | 1 | $958 | $1.1k | $526 | 46% | 60–78 | $418 – $2.8k |
| 9 | Mercy Hospital Ardmore Inc Ardmore, OK facility · other · outpatient | 1 | $760 | $766 | $289 | 38% | 51–69 | $332 – $1.1k |
| 10 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both | 1 | $1.0k | $1.2k | $562 | 46% | 50–68 | $447 – $2.9k |
| 11 | Columbus Regional Hospital Columbus, IN other · both | 1 | $574 | $467 | $151 | 32% | 45–108 | $253 – $574 |
| 12 | PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE, SC other · both | 1 | $958 | $1.1k | $526 | 46% | 36–45 | $418 – $2.8k |
| 13 | PRISMA HEALTH BLOUNT MEMORIAL HOSPITAL MARYVILLE, TN other · both | 1 | $804 | $959 | $442 | 46% | 31–58 | $351 – $2.3k |
| 14 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $741 | $726 | $285 | 39% | 27–63 | $324 – $1.1k |
| 15 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $741 | $726 | $285 | 39% | 27–63 | $324 – $1.1k |
| 16 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $940 | $1.1k | $501 | 45% | 21–30 | $410 – $2.7k |
| 17 | Central Washington Health Services Association Wenatchee, WA percent of total billed charges · bothfrom % of charges | 1 | $1.4k | $1.4k | $1.2k | 85% | 20–92 | $105 – $5.1k |
| 18 | Quitman Hospital, LLC Quitman, TX facility · percent of total billed charges · bothfrom % of charges | 1 | $264 | $328 | $249 | 76% | 18–45 | $117 – $938 |
| 19 | Hutchinson Regional Medical Center, Inc. Hutchinson, KS facility · fee schedule · both | 1 | $1.1k | $970 | $323 | 33% | 17–170 | $479 – $1.6k |
| 20 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $1.7k | $825 | 48% | 16–34 | $373 – $2.4k |
| 21 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.6k | $666 | 42% | 16–52 | $605 – $2.6k |
| 22 | Navicent Health Baldwin Inc Milledgeville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $375 | $423 | $267 | 63% | 16 | $105 – $827 |
| 23 | Mercy Hospital Oklahoma City Inc City, OK facility · other · outpatient | 1 | $695 | $732 | $249 | 34% | 14 | $304 – $997 |
| 24 | Arkansas Childrens Northwest Springdale, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $97 | $93 | 96% | 10–100 | $16 – $325 |
| 25 | Methodist Hospitals of Dallas Coppell, TX other · both | 1 | $940 | $814 | $226 | 28% | 6–60 | $411 – $940 |
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