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
$0
Average
$2.8k
Median
$2.1k
High
$17.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
337 hospitals; the 90th percentile is 8.0× 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.
Filter by billing methodology
Filter by billing class
541 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | Mount Graham Regional Medical Center Safford, AZ percent of total billed charges · outpatientfrom % of charges | 5 | $3.1k | $9.9k | $8.3k | 84% | 32–59 | $3.1k – $20.0k |
| 2 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · percent of total billed charges · outpatientfrom % of charges | 10 | $2.7k | $2.7k | — | — | 10–100 | $2.7k – $2.7k |
| 3 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 10 | $2.7k | $2.7k | — | — | 10–100 | $2.7k – $2.7k |
| 4 | ST. MARY'S HOSPITAL & MEDICAL CENTER, INC. DBA INTERMOUNTAIN HEALTH ST. MARY'S REGIONAL HOSPITAL JUNCTION, CO facility · percent of total billed charges · outpatientfrom % of charges | 10 | $2.7k | $2.7k | — | — | 10–100 | $2.7k – $2.7k |
| 5 | GOOD SAMARITAN MEDICAL CENTER, LLC DBA LAFAYETTE, CO facility · percent of total billed charges · outpatientfrom % of charges | 9 | $2.7k | $2.7k | — | — | 9–90 | $2.7k – $2.7k |
| 6 | SAINT JOSEPH HOSPITAL, INC. DBA INTERMOUNTAIN NHEALTH SAINT JOSEPH HOSPITAL DENVER, CO facility · percent of total billed charges · outpatientfrom % of charges | 9 | $2.7k | $2.7k | — | — | 9–90 | $2.7k – $2.7k |
| 7 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $2.4k | $2.6k | $1.4k | 55% | 6–60 | $1.1k – $4.4k |
| 8 | UKIAH ADVENTIST HOSPITAL Ukiah, CA percent of total billed charges · outpatientfrom % of charges | 3 | $5.1k | $6.2k | $5.0k | 81% | 6–60 | $640 – $14.6k |
| 9 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $1.4k | $1.4k | — | — | 2–20 | $1.4k – $1.4k |
| 10 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO percent of total billed charges · outpatientfrom % of charges | 1 | $5.4k | $5.4k | $1.6k | 30% | 2–20 | $3.8k – $7.1k |
| 11 | Methodist Hospitals of Dallas Mansfield, TX other · both | 5 | $1.3k | $1.4k | $41 | 3% | 2–20 | $1.3k – $1.4k |
| 12 | Spooner Health System, Inc Spooner, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $2.1k | $2.1k | — | — | 2–20 | $2.1k – $2.1k |
| 13 | Appalachian Regional Healthcare, Inc. Whitesburg, KY percent of total billed charges · outpatientfrom % of charges | 1 | $1.9k | $1.9k | — | — | 1–10 | $1.9k – $1.9k |
| 14 | Appalachian Regional Healthcare, Inc. Middlesboro, KY other · outpatient | 1 | $907 | $907 | — | — | 1–10 | $907 – $907 |
| 15 | Appalachian Regional Healthcare, Inc. Williamson, KY other · outpatient | 1 | $765 | $765 | — | — | 1–10 | $765 – $765 |
| 16 | Appalachian Regional Healthcare, Inc. Hazard, KY percent of total billed charges · outpatientfrom % of charges | 1 | $2.0k | $2.0k | — | — | 1–10 | $2.0k – $2.0k |
| 17 | Buchanan County Health Center Independence, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.5k | $1.5k | $423 | 29% | 1–10 | $1.0k – $1.9k |
| 18 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · other · inpatient | 1 | $3.0k | $3.0k | — | — | 1–10 | $3.0k – $3.0k |
| 19 | HCA HOUSTON MAINLAND Texas City, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | 1–10 | $1.3k – $1.3k |
| 20 | HCA Houston Healthcare North Cypress CYPRESS, TX percent of total billed charges · outpatientfrom % of charges | 1 | $882 | $882 | — | — | 1–10 | $882 – $882 |
| 21 | MEMORIAL SATILLA HEALTH Waycross, GA percent of total billed charges · outpatientfrom % of charges | 1 | $774 | $774 | — | — | 1–10 | $774 – $774 |
| 22 | North Memorial Health Care Robbinsdale, MN facility · other · both | 2 | $2.3k | $2.3k | $936 | 40% | 1–10 | $1.4k – $3.3k |
| 23 | Northfield Hospital Northfield, MN other · both | 1 | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 24 | Peace Harbor Medical Center Florence, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.5k | $3.5k | — | — | 1–10 | $3.5k – $3.5k |
| 25 | Preston Memorial Hospital Kingwood, WV percent of total billed charges · outpatientfrom % of charges | 2 | $1.6k | $1.6k | $328 | 20% | 1–10 | $1.3k – $2.0k |
← Payers reporting RC 684 · Snapshot 20261111T120946Z-9134e7f7