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
$0
Average
$1.6k
Median
$1.3k
High
$9.7k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
244 hospitals; the 90th percentile is 8.9× 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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292 hospital rates
iThe hospitals that file a Tricare 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 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $1.6k | $3.2k | $3.2k | 100% | 363–552 | $15 – $17.1k |
| 2 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $1.5k | $2.6k | $2.4k | 96% | 332–521 | $16 – $16.0k |
| 3 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $2.3k | $3.7k | $3.4k | 91% | 324–567 | $15 – $17.1k |
| 4 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $1.2k | $1.9k | $1.4k | 74% | 100–244 | $129 – $6.9k |
| 5 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $1.2k | $2.0k | $1.8k | 93% | 73–154 | $212 – $10.4k |
| 6 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $1.2k | $2.0k | $1.8k | 93% | 73–154 | $212 – $10.4k |
| 7 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $1.1k | $1.4k | $1.1k | 76% | 37–109 | $116 – $5.5k |
| 8 | Massachusetts General Hospital Boston, MA other · both | 1 | $1.0k | $1.2k | $1.5k | 124% | 36–162 | $177 – $6.7k |
| 9 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient | 1 | $1.3k | $2.9k | $3.1k | 106% | 28–82 | $12 – $17.1k |
| 10 | Brigham and Women's Hospital Boston, MA other · both | 1 | $1.1k | $1.5k | $1.0k | 67% | 23–230 | $177 – $4.3k |
| 11 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $1.1k | $1.6k | $1.3k | 80% | 20–74 | $205 – $5.8k |
| 12 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $1.1k | $1.6k | $1.3k | 80% | 20–74 | $205 – $5.8k |
| 13 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN other · both | 1 | $1.3k | $1.6k | $1.2k | 74% | 19–37 | $114 – $5.1k |
| 14 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN other · outpatient | 1 | $1.7k | $2.3k | $1.6k | 71% | 19–37 | $221 – $5.2k |
| 15 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $1.1k | $1.9k | $1.8k | 96% | 10–100 | $198 – $6.5k |
| 16 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $1.2k | $2.4k | $3.2k | 132% | 8–80 | $953 – $10.9k |
| 17 | ONEIDA HEALTH ONEIDA, NY other · outpatient | 1 | $1.5k | $2.0k | $1.7k | 85% | 5–50 | $119 – $11.8k |
| 18 | Salem Hospital Salem, MA other · both | 1 | $1.1k | $1.2k | $143 | 12% | 5–50 | $1.0k – $1.3k |
| 19 | Mississippi Baptist Medical Center Jackson, MS facility · other · outpatient | 1 | $891 | $822 | $207 | 25% | 4–40 | $502 – $1.0k |
| 20 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC other · both | 1 | $873 | $1.3k | $1.3k | 98% | 4–40 | $146 – $5.5k |
| 21 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC other · both | 1 | $873 | $1.3k | $1.3k | 98% | 4–40 | $146 – $5.5k |
| 22 | Brigham and Women's Faulkner Hospital Boston, MA other · both | 1 | $1.3k | $1.4k | $371 | 26% | 3–30 | $1.1k – $1.9k |
| 23 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $873 | $721 | $423 | 59% | 3–30 | $207 – $1.4k |
| 24 | Newton Wellesley Hospital Newton, MA other · both | 1 | $1.0k | $1.1k | $142 | 13% | 3–30 | $1.0k – $1.3k |
| 25 | MELROSEWAKEFIELD HEALTHCARE Medford, MA other · both | 1 | $3.1k | $3.1k | $269 | 9% | 2–20 | $2.8k – $3.3k |
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