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
$344
Average
$1.7k
Median
$1.3k
High
$5.7k
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
38 hospitals; the 90th percentile is 6.5× 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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38 hospital rates
iThe hospitals that file a Medicare 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 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $1.4k | $1.4k | — | — | 14 | $1.4k – $1.4k |
| 2 | North Memorial Health Care Robbinsdale, MN facility · other · both | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 3 | Banner Fort Collins Medical Center Fort Collins, CO facility · fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 4 | Boston Medical Center South Brockton, MA other · both | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 5 | CATHOLIC HEALTH INIATIVES COLORADO Westminster, CO fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO Canon City, CO percent of total billed charges · outpatientfrom % of charges | 1 | $481 | $631 | $375 | 59% | — | $267 – $1.2k |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Lakewood, CO fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Colorado Springs, CO fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Fort Morgan, CO fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | East Morgan County Hospital Brush, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | $317 | 25% | — | $854 – $1.7k |
| 12 | Geisinger Jersey Shore Hospital Jersey Shore, PA fee schedule · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Geisinger Medical Center Muncy, PA fee schedule · outpatient | 2 | $1.4k | $1.4k | $86 | 6% | — | $1.3k – $1.5k |
| 15 | Hillsdale Hospital Hillsdale, MI fee schedule · both | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | LONGMONT UNITED HOSPITAL Longmont, CO fee schedule · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 17 | McLeod Health Dillon, SC fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | McLeod Health Cheraw, SC fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | McLeod Health Manning, SC fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | McLeod Health Florence, SC fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | McLeod Health Beach, SC fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 22 | McLeod Health Loris, SC fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 23 | McLeod Health River, SC fee schedule · both | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 24 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 25 | Mercy Hospital Ozark Ozark, AR facility · percent of total billed charges · outpatientfrom % of charges | 2 | $919 | $919 | — | — | — | $919 – $919 |
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