RC 528
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
FREE-STANDING CLINIC VISIT: RHC-FQHC PRACTITIONER TO OTHER NON RHC-FQHC SITE
Low
$57
Average
$137
Median
$164
High
$164
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 2.9× 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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12 hospital rates
iThe hospitals that file a Cigna 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 | Ascension Via Christi Hospital St. Teresa, Inc. Wichita, KS per diem · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 2 | Ascension Via Christi Hospitals Wichita, Inc. Wichita, KS per diem · outpatient | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 3 | Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS per diem · outpatient | 2 | $57 | $57 | — | — | — | $57 – $57 |
| 4 | CLAIBORNE MEDICAL CENTER Tazewell, TN other · outpatient | 5 | $179 | $164 | $20 | 12% | — | $130 – $179 |
| 5 | CUMBERLAND MEDICAL CENTER, INC. Crossville, TN other · outpatient | 5 | $179 | $164 | $20 | 12% | — | $130 – $179 |
| 6 | FORT LOUDOUN MEDICAL CENTER Lenoir City, TN other · outpatient | 5 | $179 | $164 | $20 | 12% | — | $130 – $179 |
| 7 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN other · outpatient | 5 | $179 | $164 | $20 | 12% | — | $130 – $179 |
| 8 | LECONTE MEDICAL CENTER Sevierville, TN other · outpatient | 5 | $179 | $164 | $20 | 12% | — | $130 – $179 |
| 9 | METHODIST MEDICAL CENTER OF OAK RIDGE Oak Ridge, TN other · outpatient | 5 | $179 | $164 | $20 | 12% | — | $130 – $179 |
| 10 | MORRISTOWN HAMBLEN HOSPITAL ASSOCIATION Morristown, TN other · outpatient | 5 | $179 | $164 | $20 | 12% | — | $130 – $179 |
| 11 | PARKWEST MEDICAL CENTER Knoxville, TN other · outpatient | 5 | $179 | $164 | $20 | 12% | — | $130 – $179 |
| 12 | ROANE COUNTY MEDICAL CENTER Harriman, TN other · outpatient | 5 | $179 | $164 | $20 | 12% | — | $130 – $179 |
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