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
$816
Average
$5.5k
Median
$1.8k
High
$16.1k
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
20 hospitals; the 90th percentile is 14.4× 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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22 hospital rates
iThe hospitals that file a Caresource 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 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 3 | $801 | $816 | $470 | 58% | 3–30 | $220 – $1.8k |
| 2 | BAPTIST HEALTHCARE SYSTEM INC Albany, IN other · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY other · outpatient | 1 | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 4 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY other · outpatient | 1 | $16.1k | $16.1k | — | — | — | $16.1k – $16.1k |
| 5 | BAPTIST HEALTHCARE SYSTEM INC Richmond, KY other · outpatient | 1 | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 6 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY other · outpatient | 1 | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY other · outpatient | 1 | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 8 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY other · outpatient | 1 | $14.5k | $14.5k | — | — | — | $14.5k – $14.5k |
| 9 | Marion Neighborhood Hospital White Hall, WV fee schedule · outpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | $294 | 15% | — | $1.7k – $2.3k |
| 11 | Natchez Hospital Company LLC Natchez, MS facility · other · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | Preston Memorial Hospital Kingwood, WV percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $1.6k | $161 | 10% | — | $1.5k – $1.8k |
| 13 | Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient | 2 | $1.6k | $1.6k | $288 | 18% | — | $1.3k – $1.9k |
| 14 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $860 | $860 | $95 | 11% | — | $765 – $956 |
| 15 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.3k | $1.3k | $142 | 11% | — | $1.1k – $1.4k |
| 16 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $748 | $748 | — | — | — | $748 – $748 |
| 17 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $2.8k | $2.8k | $514 | 19% | — | $2.3k – $3.3k |
| 18 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $750 | $750 | — | — | — | $750 – $750 |
| 19 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $2.9k | $2.9k | $543 | 19% | — | $2.4k – $3.5k |
| 20 | Vicksburg Healthcare LLC Vicksburg, MS facility · other · outpatient | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 21 | Weirton Medical Center Inc Weirton, WV facility · other · outpatient | 2 | $1.7k | $1.7k | $416 | 25% | — | $1.3k – $2.1k |
| 22 | Wetzel County Hospital, Inc. New Martinsville, WV facility · other · outpatient | 2 | $1.6k | $1.6k | $288 | 18% | — | $1.3k – $1.9k |
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