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
$175
Average
$607
Median
$548
High
$2.6k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
206 hospitals; the 90th percentile is 2.3× 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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248 hospital rates
iThe hospitals that file a Medicare 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 | Brigham and Women's Hospital Boston, MA other · both | 1 | $651 | $613 | $238 | 39% | 5,321–5,357 | $287 – $938 |
| 2 | Massachusetts General Hospital Boston, MA other · both | 1 | $651 | $609 | $248 | 41% | 5,056–5,083 | $287 – $938 |
| 3 | PRISMA HEALTH BAPTIST PARKRIDGE HOSPITAL COLUMBIA, SC other · both | 1 | $524 | $607 | $264 | 43% | 4,424–4,460 | $229 – $1.5k |
| 4 | PRISMA HEALTH RICHLAND HOSPITAL COLUMBIA, SC other · both | 1 | $524 | $607 | $264 | 43% | 4,424–4,460 | $229 – $1.5k |
| 5 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $493 | $549 | $115 | 21% | 3,793–3,820 | $315 – $708 |
| 6 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN other · both | 1 | $502 | $476 | $149 | 31% | 2,857–2,947 | $221 – $723 |
| 7 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $537 | $527 | $196 | 37% | 2,757–2,766 | $234 – $770 |
| 8 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $537 | $527 | $196 | 37% | 2,757–2,766 | $234 – $770 |
| 9 | Tufts Medical Center BOSTON, MA other · both | 1 | $2.5k | $2.6k | $925 | 36% | 2,369–2,423 | $903 – $4.1k |
| 10 | Martha's Vineyard Hospital Bluffs, MA percent of total billed charges · outpatientfrom % of charges | 1 | $591 | $716 | $355 | 50% | 2,258–2,285 | $282 – $1.3k |
| 11 | St. Charles Bend Bend, OR other · both | 1 | $650 | $472 | $224 | 48% | 1,649 | $124 – $650 |
| 12 | St. Charles Bend Bend, OR other · outpatient | 1 | $467 | $467 | $183 | 39% | 1,649 | $284 – $650 |
| 13 | St. Charles Redmond Redmond, OR other · both | 1 | $650 | $472 | $224 | 48% | 1,649 | $124 – $650 |
| 14 | St. Charles Redmond Redmond, OR other · outpatient | 1 | $467 | $467 | $183 | 39% | 1,649 | $284 – $650 |
| 15 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $500 | $505 | $190 | 38% | 1,644–1,680 | $218 – $718 |
| 16 | Newton Wellesley Hospital Newton, MA other · both | 1 | $651 | $641 | $250 | 39% | 1,598–1,607 | $287 – $938 |
| 17 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC other · both | 1 | $521 | $621 | $286 | 46% | 1,502–1,520 | $227 – $1.5k |
| 18 | Boston Medical Center Boston, MA other · both | 1 | $635 | $716 | $214 | 30% | 1,493–1,511 | $277 – $911 |
| 19 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $519 | $532 | $202 | 38% | 1,193–1,202 | $227 – $745 |
| 20 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $519 | $532 | $202 | 38% | 1,193–1,202 | $227 – $745 |
| 21 | PRISMA HEALTH HILLCREST HOSPITAL SIMPSONVILLE, SC other · both | 1 | $521 | $621 | $286 | 46% | 1,170–1,188 | $227 – $1.5k |
| 22 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $702 | $702 | $125 | 18% | 1,155–1,164 | $576 – $827 |
| 23 | PRISMA HEALTH OCONEE MEMORIAL HOSPITAL SENECA, SC other · both | 1 | $556 | $664 | $306 | 46% | 1,110–1,119 | $243 – $1.6k |
| 24 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $573 | $564 | $220 | 39% | 1,103–1,112 | $253 – $825 |
| 25 | Brigham and Women's Faulkner Hospital Boston, MA other · both | 1 | $651 | $618 | $247 | 40% | 997–1,015 | $287 – $938 |
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