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
$554
Median
$337
High
$5.7k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
145 hospitals; the 90th percentile is 13.3× 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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179 hospital rates
iThe hospitals that file a Medicaid 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 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN per diem · both | 16 | $789 | $824 | $66 | 8% | 316–352 | $789 – $946 |
| 2 | Tufts Medical Center BOSTON, MA other · both | 1 | $2.5k | $2.1k | $1.0k | 47% | 315–351 | $292 – $3.5k |
| 3 | Lowell General Hospital Lowell, MA other · both | 1 | $1.8k | $1.6k | $426 | 27% | 148–175 | $854 – $1.8k |
| 4 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN per diem · both | 2 | $946 | $903 | $70 | 8% | 125–152 | $789 – $946 |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN per diem · both | 2 | $946 | $894 | $74 | 8% | 71–107 | $789 – $946 |
| 6 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN per diem · both | 2 | $946 | $898 | $73 | 8% | 65–119 | $789 – $946 |
| 7 | North Memorial Health Care Robbinsdale, MN facility · other · both | 1 | $470 | $526 | $148 | 28% | 48–93 | $218 – $691 |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN per diem · both | 1 | $789 | $789 | — | — | 43–52 | $789 – $789 |
| 9 | MELROSEWAKEFIELD HEALTHCARE Medford, MA other · both | 1 | $1.5k | $1.3k | $320 | 25% | 40–58 | $841 – $1.5k |
| 10 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN per diem · both | 14 | $789 | $831 | $70 | 8% | 28–127 | $789 – $946 |
| 11 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN per diem · both | 14 | $789 | $830 | $69 | 8% | 21–39 | $789 – $946 |
| 12 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $2.4k | $2.2k | $1.2k | 54% | 21–75 | $292 – $5.3k |
| 13 | Stephens County Hospital Toccoa, GA percent of total billed charges · outpatientfrom % of charges | 1 | $289 | $339 | $70 | 21% | 15 | $289 – $438 |
| 14 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN per diem · both | 2 | $946 | $903 | $70 | 8% | 5–50 | $789 – $946 |
| 15 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 1 | $1.7k | $1.7k | — | — | 2–20 | $1.7k – $1.7k |
| 16 | FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN per diem · both | 2 | $946 | $903 | $70 | 8% | 2–20 | $789 – $946 |
| 17 | Maple Grove Hospital Corporation Grove, MN facility · other · both | 1 | $470 | $526 | $148 | 28% | 2–20 | $218 – $691 |
| 18 | Bullhead City Hospital Corporation City, AZ facility · other · outpatient | 2 | $296 | $344 | $158 | 46% | 1–10 | $110 – $672 |
| 19 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT other · inpatient | 1 | $447 | $447 | — | — | 1–10 | $447 – $447 |
| 20 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $68 | $99 | $94 | 95% | 1–10 | $9 – $240 |
| 21 | Eskenazi Health Indianapolis, IN facility · per diem · both | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 22 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN per diem · both | 2 | $946 | $894 | $74 | 8% | 1–10 | $789 – $946 |
| 23 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA fee schedule · outpatient | 1 | $423 | $423 | $415 | 98% | 1–10 | $8 – $838 |
| 24 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $215 | $220 | $106 | 48% | 1–10 | $63 – $362 |
| 25 | Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.4k | $907 | 67% | 1–10 | $31 – $3.6k |
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