RC 729
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
EST OB CHECK LVL4
Low
$23
Average
$1.8k
Median
$1.3k
High
$6.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
38 hospitals; the 90th percentile is 39.4× 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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46 hospital rates
iThe hospitals that file a Molina 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 | The University of Texas Medical Branch Webster, TX percent of total billed charges · bothfrom % of charges | 1 | $600 | $600 | $216 | 36% | 1–10 | $384 – $816 |
| 2 | Ascension Providence Waco, TX percent of total billed charges · bothfrom % of charges | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 3 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Bronson LakeView Hospital Paw Paw, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | $22 | 29% | — | $54 – $98 |
| 5 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 6 | Henry Ford Health System West Bloomfield, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 7 | Henry Ford Health System Plymouth, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 8 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $84 | — | — | — | $84 – $84 |
| 9 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 10 | Methodist Hospitals of Dallas Coppell, TX percent of total billed charges · bothfrom % of charges | 1 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 11 | Methodist Hospitals of Dallas Mansfield, TX percent of total billed charges · bothfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | Methodist Hospitals of Dallas Midlothian, TX percent of total billed charges · bothfrom % of charges | 1 | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 13 | Methodist Hospitals of Dallas Dallas, TX percent of total billed charges · bothfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 14 | Methodist Hospitals of Dallas Souhtlake, TX percent of total billed charges · bothfrom % of charges | 1 | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 15 | Methodist Hospitals of Dallas Richardson, TX percent of total billed charges · bothfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 16 | Methodist Hospitals of Dallas Richardson, TX percent of total billed charges · bothfrom % of charges | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 17 | Nebraska Medical Center Omaha, NE percent of total billed charges · outpatientfrom % of charges | 2 | $23 | $23 | — | — | — | $23 – $23 |
| 18 | Pella Regional Health Center Pella, IA percent of total billed charges · outpatientfrom % of charges | 1 | $354 | $354 | — | — | — | $354 – $354 |
| 19 | San Bernardino County Redlands, CA facility · case rate · outpatient | 2 | $280 | $280 | $20 | 7% | — | $260 – $299 |
| 20 | Texas Children's Hospital The Woodlands, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $356 | $356 | $0 | 0% | — | $356 – $356 |
| 21 | Texas Children's Hospital - Austin Austin, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $356 | $356 | $0 | 0% | — | $356 – $356 |
| 22 | Texas Health Arlington Memorial Hospital Arlington, TX case rate · outpatient | 1 | $325 | $325 | $112 | 34% | — | $214 – $437 |
| 23 | Texas Health Arlington Memorial Hospital Arlington, TX fee schedule · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 24 | Texas Health Arlington Memorial Hospital Arlington, TX percent of total billed charges · outpatientfrom % of charges | 1 | $990 | $990 | — | — | — | $990 – $990 |
| 25 | Texas Health Harris Methodist Hospital HurstEulessBedford Bedford, TX case rate · outpatient | 1 | $325 | $325 | $112 | 34% | — | $214 – $437 |
← Payers reporting RC 729 · Snapshot 20261111T120946Z-9134e7f7