RC 489
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 CT Heart W/WO Dye Funct
Low
$29
Average
$1.1k
Median
$380
High
$6.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
39 hospitals; the 90th percentile is 21.5× 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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59 hospital rates
iThe hospitals that file a Molina 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 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · both | 1 | $380 | $380 | — | — | 2–20 | $380 – $380 |
| 2 | Massachusetts General Hospital Boston, MA other · both | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 3 | Newton Wellesley Hospital Newton, MA other · both | 1 | $1.2k | $1.2k | — | — | 1–10 | $1.2k – $1.2k |
| 4 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · both | 1 | $380 | $380 | — | — | 1–10 | $380 – $380 |
| 5 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 6 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 7 | Bartow Regional Medical Center Bartow, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $265 | $265 | $141 | 53% | — | $124 – $406 |
| 8 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 9 | Baycare Hospital Wesley Chapel Chapel, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $265 | $265 | $141 | 53% | — | $124 – $406 |
| 10 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 11 | Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX facility · fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 12 | Baylor University Medical Center Dallas, TX facility · fee schedule · outpatient | 1 | $62 | $62 | — | — | — | $62 – $62 |
| 13 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $249 | $249 | — | — | — | $249 – $249 |
| 14 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 15 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 1 | $3.3k | $2.7k | $1.1k | 41% | — | $544 – $3.6k |
| 16 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $3.3k | $2.7k | $1.1k | 41% | — | $544 – $3.6k |
| 17 | Childrens Hospital of Orange County - Profit Orange, CA facility · fee schedule · outpatient | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 18 | City of Hope National Medical Center Duarte, CA percent of total billed charges · inpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 19 | City of Hope National Medical Center Duarte, CA percent of total billed charges · outpatientfrom % of charges | 2 | $2.3k | $2.3k | $296 | 13% | — | $2.0k – $2.6k |
| 20 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL case rate · outpatient | 1 | $9k | $9k | — | — | — | $9k – $9k |
| 21 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 2 | $77 | $77 | $3 | 4% | — | $74 – $80 |
| 22 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · inpatientfrom % of charges | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 23 | Grossmont Hospital Corporation La Mesa, CA percent of total billed charges · outpatientfrom % of charges | 1 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 24 | Mease Countryside Hospital Harbor, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 25 | Mease Countryside Hospital Harbor, FL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $265 | $265 | $141 | 53% | — | $124 – $406 |
← Payers reporting RC 489 · Snapshot 20261111T120946Z-9134e7f7