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
$1.7k
Average
$3.4k
Median
$3.1k
High
$5.0k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 2.5× 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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26 hospital rates
iThe hospitals that file a Premera 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 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA case rate · outpatient | 1 | $5.8k | $5.8k | — | — | — | $5.8k – $5.8k |
| 2 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 1 | $2.2k | $1.8k | $840 | 47% | — | $614 – $2.5k |
| 3 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA case rate · outpatient | 3 | $3.2k | $3.1k | $1.2k | 40% | — | $1.5k – $4.6k |
| 4 | FRANCISCAN HEALTH SYSTEM Tacoma, WA case rate · outpatient | 3 | $3.2k | $3.1k | $1.2k | 40% | — | $1.5k – $4.6k |
| 5 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $5.1k | $4.6k | $1.5k | 33% | — | $2.2k – $6.3k |
| 6 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · inpatientfrom % of charges | 4 | $4.6k | $4.7k | $1.0k | 22% | — | $3.4k – $6.2k |
| 7 | HARRISON MEDICAL CENTER Silverdale, WA case rate · outpatient | 3 | $5.4k | $4.3k | $1.9k | 45% | — | $1.6k – $5.9k |
| 8 | HIGHLINE MEDICAL CENTER Burien, WA case rate · outpatient | 3 | $3.7k | $3.1k | $1.1k | 37% | — | $1.5k – $4.2k |
| 9 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $5.1k | $4.6k | $1.5k | 33% | — | $2.2k – $6.3k |
| 10 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · inpatientfrom % of charges | 4 | $5.3k | $5.2k | $1.1k | 21% | — | $3.9k – $7.2k |
| 11 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | $282 | 15% | — | $1.6k – $2.2k |
| 12 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $5.1k | $4.6k | $1.5k | 33% | — | $2.2k – $6.3k |
| 13 | MultiCare Auburn Medical Center Auburn, WA percent of total billed charges · inpatientfrom % of charges | 4 | $4.6k | $4.7k | $1.0k | 22% | — | $3.4k – $6.2k |
| 14 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $3.6k | $3.2k | $624 | 19% | — | $2.2k – $3.6k |
| 15 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $5.1k | $4.6k | $1.5k | 33% | — | $2.2k – $6.3k |
| 16 | MultiCare Covington Medical Center Covington, WA percent of total billed charges · inpatientfrom % of charges | 4 | $4.6k | $4.7k | $1.0k | 22% | — | $3.4k – $6.2k |
| 17 | SAINT CLARE HOSPITAL Lakewood, WA case rate · outpatient | 3 | $3.2k | $3.1k | $1.2k | 40% | — | $1.5k – $4.6k |
| 18 | ST FRANCIS COMMUNITY HOSPITAL Federal Way, WA case rate · outpatient | 3 | $3.2k | $3.1k | $1.3k | 41% | — | $1.5k – $4.6k |
| 19 | Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | $190 | 11% | — | $1.5k – $1.9k |
| 20 | Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $3.6k | $3.6k | $397 | 11% | — | $3.2k – $4.0k |
| 21 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 22 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | $360 | 19% | — | $1.6k – $2.3k |
| 23 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · fee schedule · both | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 24 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | $345 | 19% | — | $1.5k – $2.2k |
| 25 | Tacoma General Allenmore Hospital Bremerton, WA fee schedule · outpatient | 4 | $5.1k | $4.7k | $1.5k | 33% | — | $2.2k – $6.3k |
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