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
$839
Average
$3.1k
Median
$1.4k
High
$10.3k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 9.8× 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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45 hospital rates
iThe hospitals that file a Tricare 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 | Ascension Cedar Park Park, TX percent of total billed charges · bothfrom % of charges | 1 | $5.9k | $5.9k | $1.6k | 27% | — | $3.9k – $7.9k |
| 2 | Ascension Cedar Park Park, TX percent of total billed charges · outpatientfrom % of charges | 1 | $5.9k | $5.9k | $1.6k | 27% | — | $3.9k – $7.9k |
| 3 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $10.7k | $10.3k | $1.4k | 13% | — | $8.5k – $11.7k |
| 4 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $10.7k | $10.3k | $1.4k | 13% | — | $8.5k – $11.7k |
| 5 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $10.7k | $10.3k | $1.4k | 13% | — | $8.5k – $11.7k |
| 6 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $10.7k | $10.3k | $1.4k | 13% | — | $8.5k – $11.7k |
| 7 | Ascension Seton Luling, TX percent of total billed charges · bothfrom % of charges | 1 | $9.7k | $9.0k | $1.7k | 19% | — | $6.7k – $10.7k |
| 8 | Ascension Seton Luling, TX percent of total billed charges · outpatientfrom % of charges | 1 | $9.7k | $9.0k | $1.7k | 19% | — | $6.7k – $10.7k |
| 9 | Ascension Seton Burnet, TX percent of total billed charges · bothfrom % of charges | 1 | $9.7k | $9.0k | $1.7k | 19% | — | $6.7k – $10.7k |
| 10 | Ascension Seton Burnet, TX percent of total billed charges · outpatientfrom % of charges | 1 | $9.7k | $9.0k | $1.7k | 19% | — | $6.7k – $10.7k |
| 11 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $10.7k | $10.3k | $1.4k | 13% | — | $8.5k – $11.7k |
| 12 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $10.7k | $10.3k | $1.4k | 13% | — | $8.5k – $11.7k |
| 13 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $951 | $951 | $86 | 9% | — | $865 – $1.0k |
| 14 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $924 | $924 | $84 | 9% | — | $840 – $1.0k |
| 15 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $924 | $924 | $84 | 9% | — | $840 – $1.0k |
| 16 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.2k | $1.2k | $106 | 9% | — | $1.1k – $1.3k |
| 17 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 18 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | MCLAREN CARO REGION CARO, MI fee schedule | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 20 | MCLAREN THUMB REGION AXE, MI fee schedule | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | $385 | 23% | — | $1.3k – $2.0k |
| 22 | McLeod Health Dillon, SC fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 23 | McLeod Health Dillon, SC percent of total billed charges · bothfrom % of charges | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 24 | McLeod Health Cheraw, SC fee schedule · both | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | McLeod Health Cheraw, SC percent of total billed charges · bothfrom % of charges | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
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