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
$113
Average
$1.1k
Median
$462
High
$3.2k
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
30 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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65 hospital rates
iThe hospitals that file a Medical Mutual 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 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $382 | $382 | $325 | 85% | — | $57 – $707 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $221 | $338 | $304 | 90% | — | $31 – $707 |
| 3 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $230 | $230 | $195 | 85% | — | $35 – $425 |
| 4 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $236 | $274 | $240 | 88% | — | $35 – $588 |
| 5 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $457 | $457 | $51 | 11% | — | $406 – $509 |
| 6 | Carmel AmbSurg Carmel, IN percent of total billed charges · outpatientfrom % of charges | 3 | $345 | $346 | $23 | 7% | — | $318 – $376 |
| 7 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $276 | $287 | $30 | 10% | — | $259 – $328 |
| 8 | Dupont Hospital LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $276 | $287 | $30 | 10% | — | $259 – $328 |
| 9 | Endo Surgery Center Carmel, IN percent of total billed charges · outpatientfrom % of charges | 3 | $345 | $346 | $23 | 7% | — | $318 – $376 |
| 10 | Fairfield Medical Center 401 N Ewing St facility · fee schedule · outpatient | 1 | $192 | $912 | $1.2k | 137% | — | $192 – $3.1k |
| 11 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · inpatientfrom % of charges | 2 | $297 | $1.1k | $1.5k | 134% | — | $152 – $4.3k |
| 12 | Fairfield Medical Center 401 N Ewing St facility · percent of total billed charges · outpatientfrom % of charges | 2 | $297 | $1.1k | $1.5k | 134% | — | $152 – $4.3k |
| 13 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $363 | $363 | $309 | 85% | — | $55 – $672 |
| 14 | Greenfield Area Medical Center Greenfield, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $363 | $363 | $309 | 85% | — | $55 – $672 |
| 15 | Naab Road Surgery Center Indianapolis, IN percent of total billed charges · outpatientfrom % of charges | 3 | $345 | $346 | $23 | 7% | — | $318 – $376 |
| 16 | Pike Health Services Inc Waverly, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $363 | $363 | $309 | 85% | — | $55 – $672 |
| 17 | Pike Health Services Inc Waverly, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $140 | $283 | $283 | 100% | — | $18 – $672 |
| 18 | Pomerene Hospital Millersburg, OH other · both | 1 | $306 | $449 | $280 | 62% | — | $200 – $841 |
| 19 | Pomerene Hospital Millersburg, OH percent of total billed charges · bothfrom % of charges | 1 | $152 | $474 | $447 | 94% | — | $106 – $1.3k |
| 20 | St. Joseph Health System, LLC Wayne, IN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $579 | $589 | $82 | 14% | — | $493 – $694 |
| 21 | St. Joseph Health System, LLC Wayne, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $579 | $589 | $82 | 14% | — | $493 – $694 |
| 22 | St. Joseph Hospital & Health Center, Inc. Kokomo, IN percent of total billed charges · outpatientfrom % of charges | 3 | $129 | $129 | $9 | 7% | — | $119 – $140 |
| 23 | St. Mary's Health, Inc. IN 47750; 10388 Warrick Wellness Trail Newburgh, IN percent of total billed charges · outpatientfrom % of charges | 4 | $629 | $633 | $56 | 9% | — | $561 – $712 |
| 24 | St. Vincent Anderson Regional Hospital, Inc. Anderson, IN percent of total billed charges · outpatientfrom % of charges | 4 | $115 | $113 | $8 | 7% | — | $102 – $120 |
| 25 | St. Vincent Carmel Hospital, Inc. Carmel, IN percent of total billed charges · outpatientfrom % of charges | 4 | $345 | $346 | $20 | 6% | — | $318 – $376 |
← Payers reporting RC 721 · Snapshot 20261111T120946Z-9134e7f7