RC 750
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
HB Perq Replacement Gtube Not Req Revj Gstrst Trc
Low
$1
Average
$1.9k
Median
$1.3k
High
$16.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
573 hospitals; the 90th percentile is 9.3× 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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914 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 | ST ELIZABETHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS O'Fallon, IL fee schedule · outpatient | 2 | $897 | $1.1k | $868 | 79% | 626–1,472 | $354 – $7.5k |
| 2 | ST JOHNS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Springfield, IL fee schedule · outpatient | 2 | $897 | $1.1k | $618 | 56% | 407–1,109 | $635 – $3.9k |
| 3 | Parkland Health Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 10 | $3.6k | $6.2k | $7.1k | 116% | 339–735 | $691 – $49.6k |
| 4 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $942 | $2.0k | $2.9k | 140% | 330–429 | $662 – $12.0k |
| 5 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 7 | $1.6k | $2.8k | $3.5k | 125% | 240–483 | $59 – $22.0k |
| 6 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $489 | $785 | $635 | 81% | 216–495 | $54 – $2.9k |
| 7 | ST JOSEPHS HOSPITAL HOSPITAL SISTERS THIRD ORDER OF ST FRANCIS Carlyle, IL fee schedule · outpatient | 2 | $854 | $859 | $198 | 23% | 178–961 | $479 – $1.2k |
| 8 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 2 | $3.0k | $3.8k | $2.7k | 71% | 161–350 | $537 – $16.0k |
| 9 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $1.5k | $1.9k | $1.7k | 86% | 157–319 | $101 – $10.0k |
| 10 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 2 | $6.9k | $6.9k | $269 | 4% | 148–481 | $6.6k – $7.2k |
| 11 | ST JOSEPHS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS HIGHLAND, IL fee schedule · outpatient | 1 | $2.0k | $2.0k | $122 | 6% | 135–594 | $1.9k – $2.9k |
| 12 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $748 | $809 | $373 | 46% | 105–267 | $343 – $1.7k |
| 13 | ST MARYS HOSPITAL DECATUR OF HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Chatham, IL fee schedule · outpatient | 2 | $897 | $920 | $251 | 27% | 90–900 | $354 – $1.6k |
| 14 | MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient | 1 | $489 | $760 | $743 | 98% | 87–258 | $88 – $4.3k |
| 15 | MIDSTATE MEDICAL CENTER MERIDEN, CT percent of total billed charges · outpatientfrom % of charges | 2 | $3.7k | $5.9k | $4.6k | 77% | 59–212 | $2.2k – $20.7k |
| 16 | Hshs Holy Family Hospital Inc Greenville, IL fee schedule · outpatient | 2 | $897 | $891 | $196 | 22% | 57–570 | $490 – $1.3k |
| 17 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $489 | $751 | $595 | 79% | 55–217 | $54 – $2.5k |
| 18 | ST ANTHONYS MEMORIAL HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Effingham, IL fee schedule · outpatient | 2 | $897 | $987 | $172 | 17% | 50–500 | $843 – $1.4k |
| 19 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | $556 | 26% | 47–470 | $1.3k – $3.9k |
| 20 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · other · outpatient | 2 | $2.4k | $4.1k | $3.7k | 91% | 37–109 | $936 – $15.5k |
| 21 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 1 | $489 | $762 | $569 | 75% | 33–186 | $54 – $2.5k |
| 22 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT other · outpatient | 1 | $489 | $752 | $567 | 75% | 32–194 | $54 – $2.5k |
| 23 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.3k | $179 | 8% | 30–300 | $2.1k – $2.6k |
| 24 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT fee schedule · outpatient | 2 | $5.8k | $6.2k | $1.8k | 28% | 30–192 | $4.7k – $11.3k |
| 25 | ST FRANCIS HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Litchfield, IL fee schedule · outpatient | 1 | $1.3k | $1.3k | $13 | 1% | 28–280 | $1.3k – $1.3k |
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