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
$100
Average
$890
Median
$839
High
$2.6k
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
85 hospitals; the 90th percentile is 3.0× 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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130 hospital rates
iThe hospitals that file a Healthpartners 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 | Regions Hospital St. Paul, MN facility · case rate · both | 1 | $994 | $855 | $241 | 28% | 428–437 | $438 – $994 |
| 2 | Lakeview Hospital Stillwater, MN facility · case rate · both | 1 | $1.0k | $901 | $173 | 19% | 95 | $656 – $1.0k |
| 3 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 2 | $448 | $569 | $602 | 106% | 56–74 | $99 – $2.4k |
| 4 | Westfields Hospital New Richmond, WI facility · case rate · both | 1 | $980 | $980 | $380 | 39% | 45–72 | $600 – $1.4k |
| 5 | Amery Hospital Amery, WI facility · case rate · both | 1 | $1.6k | $1.2k | $428 | 35% | 31 | $689 – $1.6k |
| 6 | Northfield Hospital Northfield, MN percent of total billed charges · bothfrom % of charges | 1 | $636 | $662 | $419 | 63% | 30–75 | $186 – $1.7k |
| 7 | Boulder Community Health Lafayette, CO facility · other · outpatient | 1 | $2.6k | $2.6k | $102 | 4% | 17–26 | $2.5k – $2.7k |
| 8 | Mayo Clinic Rochester, MN facility · percent of total billed charges · bothfrom % of charges | 4 | $1.9k | $3.0k | $2.3k | 76% | 17 | $433 – $6.4k |
| 9 | Olivia Hospital Olivia, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $575 | $719 | $528 | 73% | 17 | $127 – $1.8k |
| 10 | Mayo Clinic Arizona Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 3 | $1.9k | $2.0k | $963 | 49% | 6–60 | $544 – $4.6k |
| 11 | Hutchinson Hospital Hutchinson, MN facility · percent of total billed charges · bothfrom % of charges | 1 | $208 | $409 | $399 | 97% | 4–40 | $134 – $1.2k |
| 12 | Methodist Hospital St. Louis Park, MN facility · case rate · both | 1 | $656 | $665 | $307 | 46% | 4–40 | $259 – $1.0k |
| 13 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $592 | $1.1k | $1.1k | 99% | 3–30 | $159 – $3.5k |
| 14 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $592 | $1.1k | $1.1k | 99% | 3–30 | $159 – $3.5k |
| 15 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $592 | $1.1k | $1.1k | 99% | 3–30 | $159 – $3.5k |
| 16 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $592 | $1.1k | $1.1k | 99% | 3–30 | $159 – $3.5k |
| 17 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 2 | $233 | $441 | $492 | 112% | 3–30 | $68 – $2.0k |
| 18 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $625 | $704 | $455 | 65% | 2–20 | $250 – $1.3k |
| 19 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 2 | $233 | $441 | $492 | 112% | 2–20 | $68 – $2.0k |
| 20 | Boulder Community Health Lafayette, CO professional · other · both | 1 | $2.5k | $2.5k | — | — | 1–10 | $2.5k – $2.5k |
| 21 | Hudson Hospital Hudson, WI facility · case rate · both | 1 | $1.0k | $824 | $267 | 32% | 1–10 | $446 – $1.0k |
| 22 | AHS Cushing Hospital, LLC Cushing, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $797 | $857 | $394 | 46% | — | $428 – $1.9k |
| 23 | AHS Henryetta Hospital, LLC Henryetta, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $623 | $968 | $604 | 62% | — | $305 – $2.0k |
| 24 | AHS Pryor Hospital, LLC Pryor, OK facility · percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.4k | $774 | 57% | — | $225 – $2.9k |
| 25 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $739 | $739 | $49 | 7% | — | $690 – $788 |
← Payers reporting RC 483 · Snapshot 20261111T120946Z-9134e7f7