RC 802
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
HC PERITONEAL DIALYSIS-IP NON CAPD
Low
$158
Average
$559
Median
$396
High
$3.2k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 2.4× 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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48 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 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $392 | $392 | — | — | — | $392 – $392 |
| 2 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $521 | $521 | — | — | — | $521 – $521 |
| 3 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $332 | $332 | — | — | — | $332 – $332 |
| 4 | Garfield County, a political subdivision of the State of Utah, DBA Intermountain Health Garfield Memorial Hospital Panguitch, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $279 | $279 | — | — | — | $279 – $279 |
| 5 | Hemet Global Medical Center Hemet, CA facility · fee schedule · outpatient | 1 | $695 | $906 | $486 | 54% | — | $499 – $1.7k |
| 6 | Hemet Global Medical Center Hemet, CA professional · fee schedule · outpatient | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 7 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · fee schedule · outpatient | 1 | $378 | $378 | — | — | — | $378 – $378 |
| 9 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 10 | MCLAREN BAY REGION CITY, MI fee schedule | 1 | $417 | $417 | — | — | — | $417 – $417 |
| 11 | MCLAREN CENTRAL MICHIGAN PLEASANT, MI fee schedule | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 12 | MCLAREN FLINT FLINT, MI fee schedule | 1 | $406 | $406 | — | — | — | $406 – $406 |
| 13 | MCLAREN GREATER LANSING LANSING, MI fee schedule | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 14 | MCLAREN LAPEER REGION LAPEER, MI fee schedule | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 15 | MCLAREN MACOMB CLEMENS, MI fee schedule | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 16 | MCLAREN NORTHERN MICHIGAN PETOSKEY, MI fee schedule | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 17 | MCLAREN OAKLAND PONTIAC, MI fee schedule | 1 | $375 | $375 | — | — | — | $375 – $375 |
| 18 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN other · both | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 19 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN other · both | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 20 | METHODIST NORTH HOSPITAL MEMPHIS, TN other · both | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 21 | METHODIST OLIVE BRANCH HOSPITAL OLIVE BRANCH, MS other · both | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 22 | METHODIST SOUTH HOSPITAL MEMPHIS, TN other · both | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 23 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN other · both | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 24 | Mercy Rehabilitation Hospital South Louis, MO case rate · inpatient | 1 | $1.3k | $1.3k | $87 | 7% | — | $1.2k – $1.4k |
| 25 | Mercy Rehabilitation Hospital St. Louis Chesterfield, MO case rate · inpatient | 1 | $801 | $801 | $589 | 74% | — | $212 – $1.4k |
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