RC 684
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
Level IV
Low
$1
Average
$3.9k
Median
$2.0k
High
$325.3k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
197 hospitals; the 90th percentile is 5.6× 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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346 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 4 | $2.5k | $3.0k | $2.2k | 75% | 9–90 | $640 – $6.7k |
| 2 | WILLITS HOSPITAL INC Willits, CA percent of total billed charges · outpatientfrom % of charges | 4 | $2.3k | $2.4k | $1.5k | 62% | 9–90 | $459 – $4.8k |
| 3 | Mayo Clinic Health System Eau Claire 54703-5270 facility · percent of total billed charges · bothfrom % of charges | 5 | $3.0k | $3.2k | $1.2k | 37% | 4–40 | $640 – $4.4k |
| 4 | Allina Health Systems Shakopee, MN facility · other · outpatient | 5 | $1.4k | $1.5k | $490 | 33% | 2–20 | $645 – $2.1k |
| 5 | Allina Health Systems Owatonna, MN facility · other · outpatient | 5 | $1.4k | $1.5k | $490 | 33% | 2–20 | $645 – $2.1k |
| 6 | Allina Health Systems Cambridge, MN facility · other · outpatient | 5 | $1.4k | $1.5k | $490 | 33% | 2–20 | $645 – $2.1k |
| 7 | Allina Health Systems Faribualt, MN facility · other · outpatient | 5 | $1.4k | $1.5k | $490 | 33% | 2–20 | $645 – $2.1k |
| 8 | Allina Health Systems Buffalo, MN facility · other · outpatient | 5 | $1.4k | $1.5k | $490 | 33% | 2–20 | $645 – $2.1k |
| 9 | Mayo Clinic Health System Mankato 56001-4752 facility · fee schedule · both | 1 | $1.5k | $1.5k | — | — | 2–20 | $1.5k – $1.5k |
| 10 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 6 | $2.8k | $2.9k | $680 | 24% | 2–20 | $2.1k – $3.8k |
| 11 | EATON RAPIDS MEDICAL CENTER Eaton Rapids, MI other · outpatient | 1 | $746 | $746 | — | — | 1–10 | $746 – $746 |
| 12 | EATON RAPIDS MEDICAL CENTER Eaton Rapids, MI percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.0k | $83 | 8% | 1–10 | $884 – $1.1k |
| 13 | North Memorial Health Care Robbinsdale, MN facility · other · both | 2 | $1.4k | $1.4k | $20 | 1% | 1–10 | $1.3k – $1.4k |
| 14 | Northfield Hospital Northfield, MN other · both | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 15 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.5k | $4.5k | — | — | 1–10 | $4.5k – $4.5k |
| 16 | Vicksburg Healthcare LLC Vicksburg, MS facility · other · outpatient | 1 | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 17 | Wetzel County Hospital, Inc. New Martinsville, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.6k | $5.6k | — | — | 1–10 | $5.6k – $5.6k |
| 18 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA case rate · outpatient | 3 | $7.0k | $7.6k | $4.0k | 53% | — | $3.4k – $12.8k |
| 19 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 5 | $3.2k | $3.8k | $2.4k | 63% | — | $1.2k – $8.1k |
| 20 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 3 | $919 | $1.0k | $144 | 14% | — | $919 – $1.2k |
| 21 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 3 | $919 | $1.0k | $144 | 14% | — | $919 – $1.2k |
| 22 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 2 | $2.7k | $2.7k | $68 | 3% | — | $2.6k – $2.7k |
| 23 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $2.6k | $2.4k | $431 | 18% | — | $1.7k – $2.7k |
| 24 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $2.7k | $2.7k | $68 | 3% | — | $2.6k – $2.7k |
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