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
$1
Average
$1.5k
Median
$1.2k
High
$20.7k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
1358 hospitals; the 90th percentile is 3.5× 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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2,083 hospital rates
iThe hospitals that file a Cigna 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 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $1.8k | $1.8k | $830 | 46% | 1,348–1,384 | $544 – $3.6k |
| 2 | WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA percent of total billed charges · outpatientfrom % of charges | 2 | $778 | $965 | $783 | 81% | 1,116–1,332 | $87 – $4.4k |
| 3 | Vanderbilt University Medical Center Nashville, TN percent of total billed charges · bothfrom % of charges | 5 | $1.5k | $1.6k | $831 | 52% | 1,052–1,232 | $134 – $3.8k |
| 4 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN case rate · both | 5 | $769 | $744 | $266 | 36% | 975–1,290 | $293 – $1.3k |
| 5 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $2.2k | $2.0k | $1.1k | 56% | 826–844 | $34 – $3.6k |
| 6 | WEST PENN ALLEGHENY HEALTH SYSTEM INC PITTSBURGH, PA percent of total billed charges · outpatientfrom % of charges | 2 | $786 | $904 | $746 | 83% | 812–1,082 | $41 – $4.8k |
| 7 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $833 | $956 | $493 | 52% | 787–814 | $144 – $1.9k |
| 8 | Boulder Community Health Lafayette, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2.3k | $2.9k | $2.5k | 88% | 731–740 | $171 – $8.2k |
| 9 | WEST PENN ALLEGHENY HEALTH SYSTEM INC MONROEVILLE, PA percent of total billed charges · outpatientfrom % of charges | 1 | $758 | $838 | $421 | 50% | 723–840 | $108 – $1.7k |
| 10 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $882 | $1.1k | $760 | 66% | 661–778 | $143 – $2.9k |
| 11 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 2 | $882 | $1.2k | $789 | 67% | 616–697 | $143 – $2.9k |
| 12 | St. Lukes Hospital of Kansas City City, KS percent of total billed charges · bothfrom % of charges | 11 | $1.6k | $1.9k | $1.4k | 73% | 566–845 | $130 – $6.6k |
| 13 | University of Colorado Hospital Authority Aurora, CO percent of total billed charges · outpatientfrom % of charges | 3 | $1.4k | $1.7k | $1.1k | 64% | 536–716 | $301 – $4.3k |
| 14 | WEST PENN ALLEGHENY HEALTH SYSTEM INC WEXFORD, PA percent of total billed charges · outpatientfrom % of charges | 1 | $640 | $776 | $469 | 60% | 519–654 | $22 – $2.1k |
| 15 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $896 | $1.1k | $746 | 69% | 466–520 | $69 – $2.9k |
| 16 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $787 | $986 | $719 | 73% | 466–520 | $65 – $2.8k |
| 17 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT percent of total billed charges · outpatientfrom % of charges | 1 | $3.1k | $20.7k | $37.2k | 180% | 445–463 | $1.2k – $95.2k |
| 18 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 3 | $1.4k | $1.5k | $872 | 59% | 441–549 | $167 – $4.4k |
| 19 | Wentworth Douglass Hospital Dover, NH percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $912 | $628 | 69% | 433–451 | $111 – $1.8k |
| 20 | Southern Baptist Hospital of Florida, INC FL 32222; 461 Outlet Mall Blvd St. Augustine, FL facility · percent of total billed charges · outpatientfrom % of charges | 5 | $1.6k | $1.8k | $1.2k | 66% | 402–555 | $263 – $5.2k |
| 21 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA percent of total billed charges · outpatientfrom % of charges | 1 | $551 | $705 | $455 | 65% | 381–516 | $22 – $1.6k |
| 22 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 4 | $1.6k | $1.6k | $933 | 58% | 374–464 | $219 – $4.0k |
| 23 | UCHMHS Colorado Springs, CO percent of total billed charges · outpatientfrom % of charges | 4 | $1.6k | $1.6k | $933 | 58% | 374–464 | $219 – $4.0k |
| 24 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA percent of total billed charges · outpatientfrom % of charges | 1 | $578 | $756 | $398 | 53% | 369–504 | $98 – $1.6k |
| 25 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · outpatientfrom % of charges | 2 | $1.0k | $1.6k | $1.2k | 78% | 367–403 | $543 – $4.4k |
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