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
$4
Average
$1.6k
Median
$1.3k
High
$11.5k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
384 hospitals; the 90th percentile is 10.5× 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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512 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 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 3 | $168 | $167 | $2 | 1% | 4,455–4,473 | $163 – $168 |
| 2 | Samaritan Medical Center Watertown, NY facility · other · outpatient | 1 | $163 | $163 | — | — | 1,603 | $163 – $163 |
| 3 | Sanford USD Medical Center Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 2 | $596 | $586 | $287 | 49% | 360–414 | $192 – $1.2k |
| 4 | The University of Texas Medical Branch Webster, TX percent of total billed charges · bothfrom % of charges | 3 | $542 | $676 | $569 | 84% | 156 | $255 – $1.8k |
| 5 | Sanford Bemidji Medical Center Bemidji, MN percent of total billed charges · outpatientfrom % of charges | 2 | $212 | $808 | $2.6k | 320% | 25–79 | $75 – $12.3k |
| 6 | Sanford Aberdeen Medical Center Aberdeen, SD percent of total billed charges · outpatientfrom % of charges | 1 | $220 | $690 | $2.0k | 284% | 8–80 | $97 – $9.0k |
| 7 | Sanford Worthington Medical Center Worthington, MN percent of total billed charges · outpatientfrom % of charges | 1 | $590 | $634 | $346 | 55% | 4–40 | $175 – $1.2k |
| 8 | Samaritan Medical Center Watertown, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $456 | $456 | $178 | 39% | 2–20 | $278 – $635 |
| 9 | Sanford Sheldon Medical Center Sheldon, IA percent of total billed charges · outpatientfrom % of charges | 2 | $212 | $212 | $97 | 46% | 2–20 | $114 – $309 |
| 10 | AGH LAVEEN LLC Phoenix, AZ case rate · outpatient | 3 | $1.8k | $1.8k | $219 | 12% | — | $1.5k – $2.0k |
| 11 | AGH MESA LLC Mesa, AZ case rate · outpatient | 3 | $1.8k | $1.8k | $219 | 12% | — | $1.5k – $2.0k |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $973 | $972 | $400 | 41% | — | $480 – $1.5k |
| 13 | Alexian Brothers Behavioral Health Hospital Estates, IL per diem · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 14 | Alexian Brothers Medical Center Village, IL per diem · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 15 | Ascension Calumet Hospital, Inc. Chilton, WI per diem · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Ascension NE Wisconsin, Inc. Appleton, WI per diem · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Ascension NE Wisconsin, Inc. Oshkosh, WI per diem · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Ascension Providence Waco, TX percent of total billed charges · bothfrom % of charges | 3 | $140 | $140 | — | — | — | $140 – $140 |
| 19 | Ascension Providence Waco, TX percent of total billed charges · outpatientfrom % of charges | 1 | $827 | $827 | — | — | — | $827 – $827 |
| 20 | Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI per diem · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 21 | Ascension SE Wisconsin Hospital, Inc. Franklin, WI per diem · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Ascension SE Wisconsin Hospital, Inc. Brookfield, WI per diem · outpatient | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 23 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 6 | $502 | $502 | $201 | 40% | — | $301 – $703 |
| 24 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 26 | $3.0k | $2.8k | $1.5k | 53% | — | $301 – $5.0k |
| 25 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 6 | $668 | $681 | $138 | 20% | — | $502 – $885 |
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