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
$108
Average
$470
Median
$477
High
$640
Each hospital's average Cigna Healthspring rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 2.4× 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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70 hospital rates
iThe hospitals that file a Cigna Healthspring 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 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL other · outpatient | 1 | $222 | $222 | $130 | 59% | 52 | $91 – $352 |
| 2 | University of Virginia Culpeper Medical Center Culpeper, VA other · both | 1 | $565 | $585 | $171 | 29% | 1–10 | $247 – $811 |
| 3 | University of Virginia Culpeper Medical Center Culpeper, VA other · outpatient | 1 | $565 | $512 | $119 | 23% | 1–10 | $247 – $565 |
| 4 | University of Virginia Haymarket Medical Center Haymarket, VA other · both | 1 | $565 | $585 | $171 | 29% | 1–10 | $247 – $811 |
| 5 | University of Virginia Medical Center Charlottesville, VA other · both | 1 | $548 | $568 | $166 | 29% | 1–10 | $239 – $786 |
| 6 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 1 | $548 | $445 | $146 | 33% | 1–10 | $239 – $548 |
| 7 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $502 | $493 | $174 | 35% | — | $219 – $720 |
| 8 | Atrium Health Hospitals Inc Kings Mountain, NC fee schedule · outpatient | 1 | $541 | $471 | $273 | 58% | — | $22 – $779 |
| 9 | Atrium Health Hospitals Inc Lincolnton, NC fee schedule · outpatient | 1 | $540 | $471 | $273 | 58% | — | $22 – $778 |
| 10 | Atrium Health Hospitals Inc Wadesboro, NC fee schedule · outpatient | 1 | $548 | $477 | $277 | 58% | — | $22 – $789 |
| 11 | CHI ST. LUKE'S HEALTH BAYLOR COLLEGE OF MEDICINE MEDICAL CENTER Houston, TX case rate · outpatient | 2 | $673 | $606 | $214 | 35% | — | $242 – $799 |
| 12 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $548 | $477 | $277 | 58% | — | $22 – $789 |
| 13 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $576 | $501 | $292 | 58% | — | $22 – $830 |
| 14 | Carolinas Medical Center Davidson, NC percent of total billed charges · outpatientfrom % of charges | 1 | $363 | $424 | $256 | 60% | — | $90 – $1.1k |
| 15 | Carolinas Medical Center Charlotte, NC fee schedule · outpatient | 1 | $548 | $477 | $277 | 58% | — | $22 – $789 |
| 16 | Columbus Regional Healthcare System, Inc Whiteville, NC fee schedule · outpatient | 1 | $540 | $353 | $226 | 64% | — | $22 – $540 |
| 17 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $526 | $455 | $157 | 35% | — | $36 – $526 |
| 18 | Crestview Hospital Corporation Crestview, FL facility · fee schedule · outpatient | 1 | $561 | $547 | $178 | 33% | — | $245 – $806 |
| 19 | Foley Hospital Company LLC Foley, AL facility · fee schedule · outpatient | 1 | $520 | $542 | $173 | 32% | — | $227 – $746 |
| 20 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $403 | $406 | $176 | 43% | — | $215 – $706 |
| 21 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $589 | $574 | $187 | 33% | — | $257 – $845 |
| 22 | HMA Santa Rosa Medical Center LLC Milton, FL facility · fee schedule · outpatient | 1 | $561 | $549 | $163 | 30% | — | $245 – $806 |
| 23 | Holy Redeemer Health System Meadowbrook, PA facility · case rate · outpatient | 1 | $581 | $446 | $189 | 42% | — | $10 – $581 |
| 24 | Jackson HMA LLC Jackson, MS facility · fee schedule · outpatient | 1 | $495 | $495 | — | — | — | $495 – $495 |
| 25 | Kemper CAH, Inc. DeKalb, MS other · outpatient | 1 | $564 | $564 | $451 | 80% | — | $113 – $1.0k |
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