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
$218
Average
$1.8k
Median
$1.7k
High
$4.2k
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 2.2× 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
37 hospital rates
iThe hospitals that file a Wellmark 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 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 2 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $2.0k | $2.0k | $222 | 11% | — | $1.8k – $2.2k |
| 5 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 6 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | Grundy County Memorial Hospital Grundy Center, IA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $218 | $218 | — | — | — | $218 – $218 |
| 8 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · outpatient | 2 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | 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 |
| 10 | Mercy Hospital of Franciscan Sisters Inc Oelwein, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | $175 | 11% | — | $1.4k – $1.7k |
| 11 | Mercy Medical Center - Dyersville Dyersville, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.9k | $1.9k | $599 | 32% | — | $749 – $2.4k |
| 12 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | $170 | 11% | — | $1.4k – $1.7k |
| 13 | Meriter Hospital, Inc Madison, WI percent of total billed charges · inpatientfrom % of charges | 1 | $2.2k | $2.2k | $429 | 19% | — | $1.8k – $2.6k |
| 14 | Meriter Hospital, Inc Madison, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | $429 | 19% | — | $1.8k – $2.6k |
| 15 | Monument Health Network Inc Spearfish, SD other · outpatient | 1 | $4.3k | $4.2k | $339 | 8% | — | $3.8k – $4.6k |
| 16 | Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges | 2 | $2.2k | $2.3k | $1.1k | 48% | — | $1.1k – $3.7k |
| 17 | Monument Health Network Inc Sturgis, SD percent of total billed charges · outpatientfrom % of charges | 2 | $2.0k | $2.1k | $1.1k | 53% | — | $910 – $3.6k |
| 18 | Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges | 2 | $2.2k | $2.4k | $1.3k | 56% | — | $948 – $4.1k |
| 19 | Monument Health Rapid City Hospital Inc City, SD other · outpatient | 1 | $4.3k | $4.2k | $339 | 8% | — | $3.8k – $4.6k |
| 20 | 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 |
| 21 | 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 |
| 22 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | 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 |
| 24 | 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 |
| 25 | 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 |
← Payers reporting RC 684 · Snapshot 20261111T120946Z-9134e7f7