RC 540
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
A0427
Low
$2
Average
$2.0k
Median
$1.1k
High
$22.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
56 payers; the 90th percentile is 8.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mi facility · fee schedule · both · +3 other terms | 1 | $287 | $287 | $114 | 40% | 178–214 | $9 – $409 |
| 2 | Aetna other · inpatient · +21 other terms | 54 | $10 | $35 | $158 | 456% | 89–269 | $1 – $1.4k |
| 3 | Humana fee schedule · outpatient · +18 other terms | 27 | $528 | $535 | $904 | 169% | 6–60 | $1 – $6.7k |
| 4 | Caresource fee schedule · outpatient · +8 other terms | 14 | $784 | $753 | $1.3k | 174% | 5–50 | $1 – $6.5k |
| 5 | Cigna fee schedule · outpatient · +19 other terms | 27 | $1.3k | $3.8k | $6.7k | 175% | 2–20 | $2 – $28.7k |
| 6 | Bcbs Mt fee schedule · outpatient | 1 | $1.0k | $1.0k | $964 | 94% | 2–20 | $6 – $3.2k |
| 7 | Bcbs Tx facility · fee schedule · both · +1 other terms | 1 | $272 | $272 | $261 | 96% | 2–20 | $11 – $533 |
| 8 | UnitedHealthcare case rate · outpatient · +24 other terms | 186 | $583 | $914 | $864 | 95% | — | $285 – $5.6k |
| 9 | Blue Cross Blue Shield facility · fee schedule · outpatient · +17 other terms | 23 | $432 | $507 | $711 | 140% | — | $1 – $4.2k |
| 10 | MultiPlan fee schedule · outpatient · +12 other terms | 23 | $9.0k | $8.7k | $11.2k | 128% | — | $1 – $37.0k |
| 11 | Anthem fee schedule · outpatient · +16 other terms | 14 | $96 | $3.5k | $6.2k | 176% | — | $6 – $20.8k |
| 12 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 12 | $2 | $2 | $0 | 26% | — | $1 – $2 |
| 13 | WellCare fee schedule · outpatient · +12 other terms | 12 | $533 | $525 | $904 | 172% | — | $1 – $4.4k |
| 14 | Clover facility · percent of total billed charges · outpatientfrom % of charges | 10 | $257 | $259 | $287 | 111% | — | $0 – $928 |
| 15 | Wellmark fee schedule · outpatient · +6 other terms | 9 | $649 | $1.1k | $2.2k | 194% | — | $8 – $9.5k |
| 16 | Devoted facility · fee schedule · outpatient · +6 other terms | 8 | $364 | $432 | $395 | 91% | — | $7 – $1.4k |
| 17 | Tricare facility · fee schedule · outpatient · +11 other terms | 8 | $311 | $864 | $1.4k | 159% | — | $3 – $6.2k |
| 18 | Ambetter fee schedule · outpatient · +9 other terms | 6 | $862 | $862 | $1.5k | 173% | — | $15 – $7.1k |
| 19 | Medica fee schedule · outpatient · +10 other terms | 6 | $845 | $824 | $656 | 80% | — | $1 – $2.8k |
| 20 | Medicare fee schedule · both · +9 other terms | 6 | $575 | $577 | $338 | 59% | — | $0 – $1.1k |
| 21 | Optum per diem · both · +8 other terms | 6 | $789 | $783 | $15 | 2% | — | $750 – $789 |
| 22 | Amerihealth Caritas fee schedule · both · +7 other terms | 5 | $391 | $435 | $286 | 66% | — | $2 – $1.2k |
| 23 | Healthpartners facility · fee schedule · both · +5 other terms | 5 | $109 | $761 | $941 | 124% | — | $2 – $3.7k |
| 24 | Highmark fee schedule · both · +10 other terms | 5 | $589 | $769 | $733 | 95% | — | $0 – $3.4k |
| 25 | Kaiser fee schedule · both · +9 other terms | 5 | $140 | $427 | $858 | 201% | — | $0 – $4.5k |
← Hospitals reporting RC 540 · Snapshot 20261111T120946Z-9134e7f7