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
$135
Average
$1.6k
Median
$1.1k
High
$3.5k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
14 hospitals; the 90th percentile is 21.1× 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
14 hospital rates
iThe hospitals that file a Wellmark 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 | Pella Regional Health Center Pella, IA other · outpatient | 2 | $977 | $1.2k | $848 | 72% | 420–1,851 | $79 – $3.3k |
| 2 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 2 | $207 | $207 | — | — | — | $207 – $207 |
| 3 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $259 | $1.0k | $1.3k | 132% | — | $207 – $3.3k |
| 4 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $596 | $596 | — | — | — | $596 – $596 |
| 5 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $259 | $1.0k | $1.3k | 132% | — | $207 – $3.3k |
| 6 | Mount Carmel East Reynoldsburg, OH facility · other · both | 1 | $1.1k | $3.5k | $4.2k | 119% | — | $727 – $11.6k |
| 7 | Mount Carmel Grove City Grove City, OH facility · other · both | 1 | $1.1k | $3.5k | $4.2k | 119% | — | $727 – $11.6k |
| 8 | Mount Carmel St Ann's Lewis Center, OH facility · other · both | 1 | $2.2k | $3.5k | $3.8k | 110% | — | $727 – $11.6k |
| 9 | Saint Francis Hospital and Medical Center Hartford, CT facility · other · both | 1 | $842 | $842 | — | — | — | $842 – $842 |
| 10 | Samaritan Hospital Troy, NY facility · other · both | 3 | $1.9k | $1.8k | $960 | 52% | — | $581 – $3.1k |
| 11 | Sanford Tracy Hospital Tracy, MN percent of total billed charges · outpatientfrom % of charges | 1 | $135 | $135 | $5 | 4% | — | $130 – $140 |
| 12 | Sanford Westbrook Hospital Westbrook, MN percent of total billed charges · outpatientfrom % of charges | 1 | $148 | $148 | $6 | 4% | — | $142 – $153 |
| 13 | St Josephs Hospital Health Center Syracuse, NY facility · other · both | 1 | $691 | $2.7k | $3.5k | 132% | — | $551 – $8.8k |
| 14 | St Peters Hospital Albany, NY facility · other · both | 3 | $1.9k | $2.5k | $1.0k | 41% | — | $1.5k – $4.7k |
← Payers reporting RC 490 · Snapshot 20261111T120946Z-9134e7f7