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
$95
Average
$1.4k
Median
$1.3k
High
$7.2k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
51 hospitals; the 90th percentile is 4.1× 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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83 hospital rates
iThe hospitals that file a Carefirst 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 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $78 | $119 | $79 | 67% | 61–133 | $17 – $228 |
| 2 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA percent of total billed charges · outpatientfrom % of charges | 1 | $2.4k | $2.3k | $890 | 39% | 12–21 | $962 – $3.4k |
| 3 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $2.0k | $2.1k | $663 | 32% | 2–20 | $858 – $2.8k |
| 4 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $2.0k | $2.1k | $631 | 30% | 2–20 | $858 – $2.8k |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $558 | $612 | $194 | 32% | 1–10 | $244 – $801 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $558 | $3.5k | $6.8k | 192% | 1–10 | $8 – $18.7k |
| 7 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $121 | $261 | $333 | 127% | 1–10 | $13 – $1.0k |
| 8 | Saint Marys Hospital Waterbury, CT facility · other · both | 1 | $1.9k | $1.9k | $624 | 32% | 1–10 | $848 – $2.8k |
| 9 | Catholic Health Initiatives-Iowa Corp West Des Moines, IA facility · fee schedule · both | 1 | $558 | $520 | $195 | 38% | — | $244 – $801 |
| 10 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $680 | $654 | $159 | 24% | — | $356 – $801 |
| 11 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 1 | $558 | $558 | — | — | — | $558 – $558 |
| 12 | Diley Ridge Medical Center Canal Winchester, OH facility · other · both | 1 | $2.0k | $1.9k | $623 | 33% | — | $858 – $2.8k |
| 13 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $89 | $95 | $60 | 63% | — | $13 – $173 |
| 14 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 15 | Inova Alexandria Hospital Alexandria, VA fee schedule · both | 2 | $1.1k | $1.4k | $1.2k | 86% | — | $169 – $5.0k |
| 16 | Inova Alexandria Hospital Alexandria, VA other · both | 2 | $268 | $450 | $316 | 70% | — | $184 – $918 |
| 17 | Inova Fair Oaks Hospital Fairfax, VA fee schedule · both | 2 | $1.1k | $1.4k | $1.2k | 86% | — | $169 – $5.0k |
| 18 | Inova Fair Oaks Hospital Fairfax, VA other · both | 2 | $268 | $450 | $316 | 70% | — | $184 – $918 |
| 19 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 2 | $1.1k | $1.4k | $1.2k | 86% | — | $169 – $5.0k |
| 20 | Inova Fairfax Hospital Falls Church, VA other · both | 2 | $268 | $450 | $316 | 70% | — | $184 – $918 |
| 21 | Inova Loudoun Hospital Leesburg, VA fee schedule · both | 2 | $1.1k | $1.4k | $1.2k | 86% | — | $169 – $5.0k |
| 22 | Inova Loudoun Hospital Leesburg, VA other · both | 2 | $268 | $450 | $316 | 70% | — | $184 – $918 |
| 23 | Inova Mount Vernon Hospital Alexandria, VA fee schedule · both | 2 | $1.1k | $1.4k | $1.2k | 86% | — | $169 – $5.0k |
| 24 | Inova Mount Vernon Hospital Alexandria, VA other · both | 2 | $268 | $450 | $316 | 70% | — | $184 – $918 |
| 25 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $617 | $718 | $315 | 44% | — | $275 – $1.2k |
← Payers reporting RC 483 · Snapshot 20261111T120946Z-9134e7f7