RC 490
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 Cns Resevoir Tap
Low
$53
Average
$2.8k
Median
$3.5k
High
$5.3k
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 12.5× 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.
Filter by billing methodology
Filter by billing class
21 hospital rates
iThe hospitals that file a Carefirst 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 | RESTON HOSPITAL CENTER Reston, VA percent of total billed charges · outpatientfrom % of charges | 2 | $3.5k | $5.7k | $5.3k | 94% | 11–110 | $734 – $14.6k |
| 2 | University of Virginia Prince William Medical Center Manassas, VA fee schedule · both | 2 | $3.9k | $3.5k | $1.6k | 46% | 9–90 | $275 – $9.2k |
| 3 | University of Virginia Prince William Medical Center Manassas, VA fee schedule · outpatient | 2 | $3.9k | $4.1k | $1.4k | 34% | 4–40 | $303 – $9.2k |
| 4 | STONESPRINGS HOSPITAL CENTER Dulles, VA percent of total billed charges · outpatientfrom % of charges | 1 | $4.0k | $2.7k | $1.9k | 70% | 3–30 | $30 – $4.1k |
| 5 | University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · both | 2 | $3.9k | $3.5k | $1.6k | 46% | 1–10 | $275 – $9.2k |
| 6 | University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · outpatient | 2 | $4.4k | $4.3k | $1.4k | 32% | 1–10 | $611 – $9.2k |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $207 | $207 | — | — | — | $207 – $207 |
| 8 | Children's National Hospital Washington, DC facility · fee schedule · outpatient | 2 | $5k | $5.3k | $1.7k | 32% | — | $871 – $15k |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $596 | $585 | $18 | 3% | — | $559 – $602 |
| 10 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $1.1k | $3.5k | $4.2k | 119% | — | $727 – $11.6k |
| 11 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $1.1k | $3.5k | $4.2k | 119% | — | $727 – $11.6k |
| 12 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $2.2k | $3.5k | $3.8k | 110% | — | $727 – $11.6k |
| 13 | RESTON HOSPITAL CENTER Reston, VA case rate · outpatient | 2 | $3.5k | $4.5k | $3.2k | 71% | — | $916 – $13.4k |
| 14 | STONESPRINGS HOSPITAL CENTER Dulles, VA case rate · outpatient | 2 | $3.5k | $4.5k | $3.2k | 71% | — | $916 – $13.4k |
| 15 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 1 | $842 | $842 | — | — | — | $842 – $842 |
| 16 | Samaritan Hospital Troy, NY facility · other · both | 2 | $2.8k | $2.6k | $609 | 24% | — | $1.5k – $3.1k |
| 17 | St Josephs Hospital Health Center Syracuse, NY facility · other · both | 1 | $691 | $2.7k | $3.5k | 132% | — | $551 – $8.8k |
| 18 | St Peters Hospital Albany, NY facility · other · both | 2 | $1.9k | $2.4k | $847 | 35% | — | $1.5k – $3.6k |
| 19 | St. Agnes Healthcare, Inc. Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 20 | University of Virginia Haymarket Medical Center Haymarket, VA percent of total billed charges · bothfrom % of charges | 2 | $2.2k | $2.1k | $1.8k | 85% | — | $139 – $4.7k |
| 21 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 2 | $2.2k | $2.1k | $1.8k | 85% | — | $139 – $4.7k |
← Payers reporting RC 490 · Snapshot 20261111T120946Z-9134e7f7