RC 721
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
Pv4 Delivery Rm & Routine Sply
Low
$54
Average
$630
Median
$474
High
$8.3k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
68 hospitals; the 90th percentile is 14.5× 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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90 hospital rates
iThe hospitals that file a Medica 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 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 3 | $40 | $54 | $35 | 64% | 4–40 | $22 – $122 |
| 2 | Allen Memorial Hospital Corporation Waterloo, IA percent of total billed charges · outpatientfrom % of charges | 1 | $584 | $584 | $33 | 6% | — | $551 – $617 |
| 3 | Astera Health Wadena, MN per diem · inpatient | 3 | $3.4k | $4.0k | $792 | 20% | — | $3.4k – $5.1k |
| 4 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 2 | $11.8k | $42.8k | $61.0k | 143% | — | $167 – $147.2k |
| 5 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 5 | $705 | $798 | $672 | 84% | — | $89 – $2.4k |
| 6 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $839 | $839 | — | — | — | $839 – $839 |
| 7 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $867 | $867 | — | — | — | $867 – $867 |
| 8 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $456 | $439 | $215 | 49% | — | $123 – $883 |
| 9 | Banner Community Hospital Torrington, WY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $498 | $557 | $374 | 67% | — | $47 – $1.4k |
| 10 | Banner Fort Collins Medical Center Fort Collins, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $784 | $776 | $440 | 57% | — | $104 – $1.6k |
| 11 | Banner North Colorado Medical Center Greeley, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $784 | $776 | $440 | 57% | — | $104 – $1.6k |
| 12 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $494 | $555 | $376 | 68% | — | $46 – $1.4k |
| 13 | Banner Wyoming Medical Center Casper, WY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $646 | $698 | $462 | 66% | — | $84 – $1.7k |
| 14 | Central Iowa Hospital Corporation Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | $80 | 6% | — | $1.3k – $1.5k |
| 15 | Central Iowa Hospital Corporation West Des Moines, IA percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | $64 | 6% | — | $1.0k – $1.2k |
| 16 | Chadron Community Hospital Chadron, NE fee schedule · outpatient | 1 | $509 | $582 | $486 | 84% | — | $46 – $1.4k |
| 17 | Curators of the University of Missouri Jefferson City, MO facility · fee schedule · outpatient | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 18 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $90 | $25 | 27% | — | $73 – $125 |
| 19 | Duncan Regional Hospital Duncan, OK percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 20 | East Morgan County Hospital Brush, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $456 | $503 | $325 | 65% | — | $45 – $1.2k |
| 21 | Essentia Health Ada 201 9th St W Ada, MN facility · percent of total billed charges · inpatientfrom % of charges | 5 | $282 | $300 | $98 | 33% | — | $154 – $468 |
| 22 | Essentia Health Fosston 900 Hilligoss Blvd SE Fosston, MN facility · percent of total billed charges · inpatientfrom % of charges | 5 | $282 | $300 | $98 | 33% | — | $154 – $468 |
| 23 | Essentia Health Holy Trinity Hospital Graceville, MN facility · percent of total billed charges · inpatientfrom % of charges | 5 | $282 | $300 | $98 | 33% | — | $154 – $468 |
| 24 | Essentia Health Northern Pines 5211 Highway 110 Aurora, MN facility · percent of total billed charges · inpatientfrom % of charges | 5 | $249 | $271 | $87 | 32% | — | $154 – $425 |
| 25 | Essentia Health Sandstone 705 Lundorff Dr Sandstone, MN facility · percent of total billed charges · inpatientfrom % of charges | 5 | $249 | $271 | $87 | 32% | — | $154 – $425 |
← Payers reporting RC 721 · Snapshot 20261111T120946Z-9134e7f7