RC 517
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 CLINIC EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS
Low
$24
Average
$201
Median
$176
High
$494
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 10.7× 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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26 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $102 | $107 | $8 | 8% | 45–63 | $102 – $123 |
| 2 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $34 | $35 | $1 | 3% | 15–24 | $34 – $37 |
| 3 | Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | 2–20 | $33 – $33 |
| 4 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $150 | $151 | $31 | 21% | — | $117 – $185 |
| 5 | Amisub of South Carolina, Inc. Fort Mill, SC case rate · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 6 | Beaufort Memorial Hospital Beaufort, SC facility · case rate · outpatient | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 7 | Doylestown Hospital Doylestown, PA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $13 | $20 | $15 | 79% | — | $5 – $49 |
| 8 | Doylestown Hospital Doylestown, PA facility · percent of total billed charges · outpatientfrom % of charges | 4 | $16 | $25 | $21 | 81% | — | $5 – $74 |
| 9 | Gothenburg Health Gothenburg, NE fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 10 | Gothenburg Health Gothenburg, NE percent of total billed charges · outpatientfrom % of charges | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 11 | HENRY HEYWOOD MEMORIAL HOSPITAL Gardner, MA fee schedule · outpatient | 3 | $175 | $176 | $36 | 21% | — | $138 – $214 |
| 12 | Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient | 2 | $181 | $181 | — | — | — | $181 – $181 |
| 13 | Methodist Hospitals of Dallas Coppell, TX percent of total billed charges · bothfrom % of charges | 7 | $368 | $355 | $62 | 18% | — | $211 – $409 |
| 14 | Methodist Hospitals of Dallas Mansfield, TX percent of total billed charges · bothfrom % of charges | 7 | $368 | $355 | $62 | 18% | — | $211 – $409 |
| 15 | Methodist Hospitals of Dallas Celina, TX percent of total billed charges · bothfrom % of charges | 7 | $368 | $355 | $62 | 18% | — | $211 – $409 |
| 16 | Methodist Hospitals of Dallas Dallas, TX percent of total billed charges · bothfrom % of charges | 7 | $368 | $355 | $62 | 18% | — | $211 – $409 |
| 17 | Methodist Hospitals of Dallas Souhtlake, TX percent of total billed charges · bothfrom % of charges | 7 | $368 | $355 | $62 | 18% | — | $211 – $409 |
| 18 | Methodist Hospitals of Dallas Richardson, TX percent of total billed charges · bothfrom % of charges | 7 | $368 | $355 | $62 | 18% | — | $211 – $409 |
| 19 | Methodist Hospitals of Dallas Richardson, TX percent of total billed charges · bothfrom % of charges | 7 | $368 | $355 | $62 | 18% | — | $211 – $409 |
| 20 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 4 | $221 | $210 | $37 | 17% | — | $152 – $247 |
| 21 | SIERRA VISTA HOSPITAL INC Obispo, CA fee schedule · outpatient | 4 | $116 | $137 | $46 | 34% | — | $102 – $297 |
| 22 | SIERRA VISTA HOSPITAL INC Obispo, CA other · outpatient | 1 | $72 | $78 | $47 | 60% | — | $8 – $161 |
| 23 | Saint Thomas Rutherford Hospital Murfreesboro, TN percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 24 | Weirton Medical Center Inc Weirton, WV facility · other · outpatient | 2 | $494 | $494 | — | — | — | $494 – $494 |
| 25 | Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient | 2 | $284 | $284 | $131 | 46% | — | $153 – $414 |
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