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
$0
Average
$248
Median
$55
High
$3.0k
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
173 hospitals; the 90th percentile is 98.8× 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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240 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $14 | $21 | $23 | 108% | 75–273 | $0 – $123 |
| 2 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $60 | $28 | 47% | 19–190 | $27 – $100 |
| 3 | Holy Redeemer Health System Meadowbrook, PA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $26 | $31 | $19 | 63% | 2–20 | $5 – $77 |
| 4 | John Muir Health Concord, CA percent of total billed charges · bothfrom % of charges | 3 | $174 | $319 | $262 | 82% | 1–10 | $124 – $839 |
| 5 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL percent of total billed charges · bothfrom % of charges | 1 | $82 | $265 | $499 | 188% | 1–10 | $2 – $3.4k |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $46 | $17 | 37% | — | $29 – $62 |
| 7 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 3 | $17 | $17 | $2 | 14% | — | $15 – $20 |
| 8 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · inpatientfrom % of charges | 1 | $42 | $42 | $17 | 40% | — | $25 – $59 |
| 9 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $42 | $17 | 40% | — | $25 – $59 |
| 10 | Alta Newport Hospital, LLC Tustin, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $23 | $21 | $18 | 85% | — | $3 – $57 |
| 11 | American Hospital Management Corporation Arcata, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $7 | $8 | $5 | 67% | — | $0 – $25 |
| 12 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · inpatientfrom % of charges | 1 | $36 | $57 | $53 | 92% | — | $8 – $203 |
| 13 | Aurora BayCare Medical Center Green Bay, WI percent of total billed charges · outpatientfrom % of charges | 2 | $34 | $54 | $50 | 93% | — | $8 – $203 |
| 14 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $55 | $44 | 81% | — | $8 – $144 |
| 15 | Aurora Lakeland Medical Center Elkhorn, WI percent of total billed charges · outpatientfrom % of charges | 2 | $34 | $52 | $42 | 82% | — | $8 – $144 |
| 16 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · inpatientfrom % of charges | 1 | $25 | $38 | $39 | 102% | — | $8 – $123 |
| 17 | Aurora Medical Center Bay Area Marinette, WI percent of total billed charges · outpatientfrom % of charges | 2 | $24 | $36 | $37 | 102% | — | $8 – $123 |
| 18 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $66 | $62 | 94% | — | $8 – $241 |
| 19 | Aurora Medical Center Burlington Burlington, WI percent of total billed charges · outpatientfrom % of charges | 2 | $36 | $62 | $59 | 95% | — | $8 – $241 |
| 20 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $66 | $62 | 94% | — | $8 – $241 |
| 21 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 2 | $36 | $62 | $59 | 95% | — | $8 – $241 |
| 22 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $66 | $62 | 94% | — | $8 – $241 |
| 23 | Aurora Medical Center Grafton Grafton, WI percent of total billed charges · outpatientfrom % of charges | 2 | $36 | $62 | $59 | 95% | — | $8 – $241 |
| 24 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · inpatientfrom % of charges | 1 | $38 | $68 | $62 | 92% | — | $8 – $241 |
| 25 | Aurora Medical Center Kenosha Kenosha, WI percent of total billed charges · outpatientfrom % of charges | 2 | $38 | $64 | $59 | 92% | — | $8 – $241 |
← Payers reporting RC 623 · Snapshot 20261111T120946Z-9134e7f7