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
$0
Average
$4.7k
Median
$3.8k
High
$28.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
625 hospitals; the 90th percentile is 30.0× 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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1,022 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Memorial Hospital for Cancer and Allied Diseases New York, NY fee schedule · outpatient | 1 | $8.6k | $9.6k | $3.3k | 34% | 2,366–4,472 | $828 – $24.0k |
| 2 | Memorial Hospital for Cancer and Allied Diseases Hauppauge, NY fee schedule · outpatient | 1 | $8.6k | $9.6k | $3.3k | 34% | 2,366–4,472 | $828 – $24.0k |
| 3 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $2.5k | $3.3k | $3.0k | 89% | 2,149–3,022 | $2 – $26.9k |
| 4 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 3 | $744 | $1.7k | $2.4k | 141% | 1,058–2,588 | $0 – $34.0k |
| 5 | University of Virginia Medical Center Charlottesville, VA other · both | 4 | $4.9k | $7.9k | $7.7k | 99% | 732–2,595 | $163 – $58.1k |
| 6 | Methodist Hospital St. Louis Park, MN facility · other · both | 2 | $3.3k | $4.6k | $2.7k | 60% | 449–1,061 | $226 – $21.7k |
| 7 | Memorial Hospital for Cancer and Allied Diseases Montvale, NJ fee schedule · outpatient | 1 | $7.9k | $8.8k | $3.0k | 34% | 409–1,156 | $766 – $22.1k |
| 8 | Memorial Hospital for Cancer and Allied Diseases Middletown, NJ fee schedule · outpatient | 1 | $7.9k | $8.8k | $3.0k | 34% | 409–1,156 | $766 – $22.1k |
| 9 | University of Virginia Prince William Medical Center Manassas, VA other · both | 2 | $6.7k | $8.5k | $7.9k | 92% | 289–460 | $168 – $62.1k |
| 10 | Methodist Hospital St. Louis Park, MN facility · fee schedule · both | 2 | $5.3k | $5.8k | $4.6k | 78% | 215–539 | $49 – $73.3k |
| 11 | University of Virginia Prince William Medical Center Manassas, VA fee schedule · both | 5 | $2.4k | $3.4k | $2.6k | 77% | 181–343 | $43 – $9.2k |
| 12 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 4 | $9.8k | $12.0k | $9.3k | 77% | 150–1,266 | $134 – $124.8k |
| 13 | University of Virginia Culpeper Medical Center Culpeper, VA other · both | 2 | $6.9k | $8.7k | $8.2k | 93% | 149–455 | $168 – $64.0k |
| 14 | University of Virginia Haymarket Medical Center Haymarket, VA other · both | 2 | $6.0k | $7.8k | $7.1k | 91% | 107–251 | $168 – $56.1k |
| 15 | Stony Brook University Hospital Stony Brook, NY facility · other · outpatient | 2 | $4.0k | $4.4k | $4.2k | 95% | 86–860 | $26 – $55.0k |
| 16 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 3 | $4.1k | $4.6k | $4.1k | 89% | 80–188 | $0 – $24.6k |
| 17 | Saint Luke’s South Hospital, Inc Leawood, KS case rate · both | 3 | $5.9k | $6.4k | $1.1k | 17% | 67–670 | $2.1k – $7.9k |
| 18 | Highland District Hospital Hillsboro, OH percent of total billed charges · outpatientfrom % of charges | 2 | $340 | $741 | $1.2k | 159% | 63–459 | $16 – $9.3k |
| 19 | Baystate Medical Center Springfield, MA percent of total billed charges · bothfrom % of charges | 1 | $569 | $487 | $264 | 54% | 53–296 | $43 – $1.2k |
| 20 | St. Lukes Hospital of Kansas City City, KS case rate · both | 2 | $6.5k | $5.0k | $2.1k | 41% | 45–450 | $2.8k – $9.9k |
| 21 | Saint Luke’s North Hospital Smithville, MO case rate · both | 3 | $7.6k | $7.7k | $442 | 6% | 43–259 | $4.8k – $7.9k |
| 22 | Saint Luke’s North Hospital City, KS case rate · both | 3 | $7.6k | $7.7k | $442 | 6% | 43–259 | $4.8k – $7.9k |
| 23 | University of Virginia Culpeper Medical Center Culpeper, VA other · outpatient | 2 | $10.8k | $12.3k | $9.9k | 80% | 33–177 | $421 – $64.0k |
| 24 | Pemiscot Memorial Health System Hayti, MO fee schedule · outpatient | 3 | $201 | $430 | $553 | 128% | 30–120 | $59 – $2.9k |
| 25 | University of Virginia Prince William Medical Center Manassas, VA percent of total billed charges · bothfrom % of charges | 3 | $2.2k | $2.8k | $2.9k | 103% | 27–108 | $23 – $31.5k |
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