RC 622
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
WIRE DOC 22260 ACS
Prices here combine facility and professional fees. See them separately →Experimental
Low
$51
Average
$1.8k
Median
$922
High
$4.9k
Filter by billing methodology
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 10 hospitals; the 90th percentile is 37.2× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Shannon Medical Center Big Spring Big Spring, TX | $107 | $107 | — | — | 1–10 | $107 – $107 |
| 2 | Shannon Medical Center San Angelo, TX | $107 | $107 | — | — | 1–10 | $107 – $107 |
| 3 | Shannon River Crest Hospital San Angelo, TX | $107 | $107 | — | — | 1–10 | $107 – $107 |
| 4 | Heritage Valley Beaver BEAVER, PA | $716 | $922 | $771 | 84% | — | $122 – $3.0k |
| 5 | St Marys Hospital Medical Center Of Green Bay Inc Hospital Sisters GREEN BAY, WI | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 6 | St Vincent Hospital Of The Hospital Sisters Of The Third Order Of St Francis Green Bay, WI | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 7 | Ascension Seton Smithville, TX | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 8 | St Nicholas Hospital Of The Hospital Sisters Of The Third Order Of St Francis SHEBOYGAN, WI | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 9 | Heritage Valley Sewickley MCKEES ROCKS, PA | $716 | $922 | $771 | 84% | — | $122 – $3.0k |
| 10 | Lancaster General Health Lancaster, PA | $44 | $51 | $24 | 47% | — | $21 – $89 |
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