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
$101
Average
$850
Median
$597
High
$4.8k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
255 hospitals; the 90th percentile is 4.5× 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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310 hospital rates
iThe hospitals that file a Optum 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 | Vanderbilt Clarksville Hospital Clarksville, TN other · outpatient | 1 | $554 | $497 | $188 | 38% | 201–219 | $244 – $799 |
| 2 | Methodist Hospitals of Dallas Dallas, TX other · both | 1 | $582 | $597 | $188 | 32% | 91 | $254 – $835 |
| 3 | Appalachian Regional Healthcare, Inc. Hazard, KY other · outpatient | 1 | $446 | $444 | $153 | 34% | 85–121 | $196 – $642 |
| 4 | DIGNITY HEALTH Phoenix, AZ fee schedule · outpatient | 3 | $643 | $794 | $419 | 53% | 82–109 | $110 – $1.7k |
| 5 | Boston Children's Hospital Boston, MA case rate · both | 1 | $1.3k | $1.3k | — | — | 69 | $1.3k – $1.3k |
| 6 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · inpatient | 1 | $542 | $542 | — | — | 63 | $542 – $542 |
| 7 | Jennie Stuart Medical Center Hopkinsville, KY facility · other · outpatient | 1 | $542 | $542 | — | — | 63 | $542 – $542 |
| 8 | ARH Tug Valley Health Services, Inc. Prestonsburg, KY other · outpatient | 1 | $409 | $403 | $129 | 32% | 44–71 | $180 – $590 |
| 9 | HealthEast St John's Hospital Maplewood, MN other · inpatient | 1 | $542 | $582 | $157 | 27% | 37–55 | $363 – $781 |
| 10 | HealthEast St John's Hospital Maplewood, MN other · outpatient | 1 | $542 | $582 | $157 | 27% | 37–55 | $363 – $781 |
| 11 | Fairview Health Services Princeton, MN other · inpatient | 1 | $555 | $596 | $219 | 37% | 36–90 | $245 – $799 |
| 12 | Fairview Health Services Princeton, MN other · outpatient | 1 | $555 | $596 | $219 | 37% | 36–90 | $245 – $799 |
| 13 | Appalachian Regional Healthcare, Inc. Beckley, WV other · outpatient | 1 | $473 | $436 | $149 | 34% | 34–43 | $208 – $681 |
| 14 | Fairview Health Services Minneapolis, MN other · inpatient | 3 | $677 | $744 | $223 | 30% | 33–177 | $546 – $1.1k |
| 15 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $1.9k | $1.7k | $890 | 53% | 31–67 | $39 – $2.7k |
| 16 | Mayo Clinic Health System Eau Claire 54703-5270 facility · other · both | 1 | $406 | $406 | $159 | 39% | 30–39 | $247 – $566 |
| 17 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · outpatientfrom % of charges | 2 | $995 | $1.1k | $1.2k | 106% | 26–260 | $8 – $4.0k |
| 18 | Appalachian Regional Healthcare, Inc. Middlesboro, KY other · outpatient | 1 | $376 | $341 | $129 | 38% | 25–34 | $166 – $542 |
| 19 | University of North Carolina Hospitals at Chapel Hill Butner, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $614 | $712 | $556 | 78% | 24–51 | $107 – $2.8k |
| 20 | Tufts Medical Center BOSTON, MA other · both | 1 | $2.6k | $2.6k | $1.2k | 47% | 22–40 | $1.1k – $4.1k |
| 21 | Fairview Health Services Edina, MN other · inpatient | 1 | $555 | $646 | $118 | 18% | 19–55 | $555 – $799 |
| 22 | Fairview Health Services Edina, MN other · outpatient | 1 | $555 | $646 | $118 | 18% | 19–55 | $555 – $799 |
| 23 | Appalachian Regional Healthcare, Inc. Williamson, KY other · outpatient | 1 | $317 | $308 | $112 | 37% | 16–34 | $140 – $457 |
| 24 | MACON COMMUNITY HOSPITAL LAFAYETTE, TN percent of total billed charges · outpatientfrom % of charges | 1 | $636 | $636 | — | — | 14 | $636 – $636 |
| 25 | Appalachian Regional Healthcare, Inc. Whitesburg, KY other · outpatient | 1 | $291 | $268 | $91 | 34% | 11 | $128 – $420 |
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