RC 623
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 DRESSING MEPITEL T2
Low
$1
Average
$204
Median
$50
High
$1.1k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
70 hospitals; the 90th percentile is 86.0× 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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143 hospital rates
iThe hospitals that file a Anthem 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $13 | $23 | $27 | 117% | 91–577 | $0 – $195 |
| 2 | Aurora Sinai Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $29 | $48 | $44 | 92% | 4–40 | $6 – $204 |
| 3 | Aurora Medical Center Sheboygan County Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 3 | $29 | $50 | $48 | 97% | 3–30 | $6 – $242 |
| 4 | American Hospital Management Corporation Arcata, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $20 | $14 | 67% | 2–20 | $1 – $62 |
| 5 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 3 | $28 | $47 | $45 | 95% | 2–20 | $6 – $204 |
| 6 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 3 | $32 | $55 | $53 | 97% | 2–20 | $6 – $242 |
| 7 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 3 | $32 | $55 | $53 | 97% | 2–20 | $6 – $242 |
| 8 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · outpatientfrom % of charges | 3 | $32 | $55 | $53 | 97% | 2–20 | $6 – $242 |
| 9 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · outpatientfrom % of charges | 3 | $29 | $45 | $38 | 84% | 1–10 | $6 – $145 |
| 10 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 3 | $32 | $55 | $53 | 97% | 1–10 | $6 – $242 |
| 11 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 3 | $38 | $56 | $53 | 94% | 1–10 | $6 – $242 |
| 12 | Aurora Medical Center Manitowoc Two Rivers, WI percent of total billed charges · outpatientfrom % of charges | 3 | $28 | $44 | $38 | 86% | 1–10 | $6 – $145 |
| 13 | Aurora Medical Center Mount Pleasant Mount Pleasant, WI percent of total billed charges · outpatientfrom % of charges | 3 | $38 | $56 | $53 | 94% | 1–10 | $6 – $242 |
| 14 | Aurora Medical Center Summit Summit, WI percent of total billed charges · outpatientfrom % of charges | 3 | $38 | $52 | $45 | 86% | 1–10 | $6 – $204 |
| 15 | Aurora Medical Center Washington County Hartford, WI percent of total billed charges · outpatientfrom % of charges | 3 | $32 | $55 | $53 | 97% | 1–10 | $6 – $242 |
| 16 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 3 | $32 | $50 | $45 | 89% | 1–10 | $6 – $204 |
| 17 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $12 | $12 | $3 | 21% | — | $10 – $15 |
| 18 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $61 | $63 | $25 | 39% | — | $36 – $94 |
| 19 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $33 | $33 | $12 | 37% | — | $21 – $45 |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | $12 | 37% | — | $20 – $43 |
| 21 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | $2 | 14% | — | $9 – $12 |
| 22 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $8 | $9 | $7 | 80% | — | $1 – $24 |
| 23 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $36 | $34 | $29 | 86% | — | $4 – $102 |
| 24 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $36 | $57 | $53 | 92% | — | $9 – $204 |
| 25 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $55 | $45 | 81% | — | $9 – $145 |
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