RC 803
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, CAPD-IP
Low
$85
Average
$430
Median
$396
High
$2.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
60 hospitals; the 90th percentile is 2.3× 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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70 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 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY other · outpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 2 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $436 | $436 | $11 | 2% | — | $425 – $446 |
| 3 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $436 | $436 | $11 | 2% | — | $425 – $446 |
| 4 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $436 | $436 | $11 | 2% | — | $425 – $446 |
| 5 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $436 | $436 | $11 | 2% | — | $425 – $446 |
| 6 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $436 | $436 | $11 | 2% | — | $425 – $446 |
| 7 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $436 | $436 | $11 | 2% | — | $425 – $446 |
| 8 | Ascension Seton Smithville, TX percent of total billed charges · bothfrom % of charges | 1 | $573 | $573 | $77 | 13% | — | $496 – $650 |
| 9 | Ascension Seton Smithville, TX percent of total billed charges · outpatientfrom % of charges | 2 | $290 | $324 | $256 | 79% | — | $64 – $650 |
| 10 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $573 | $573 | $77 | 13% | — | $496 – $650 |
| 11 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $573 | $573 | $77 | 13% | — | $496 – $650 |
| 12 | Ascension Seton Bastrop, TX percent of total billed charges · bothfrom % of charges | 1 | $471 | $505 | $88 | 17% | — | $425 – $650 |
| 13 | Ascension Seton Bastrop, TX percent of total billed charges · outpatientfrom % of charges | 1 | $471 | $505 | $88 | 17% | — | $425 – $650 |
| 14 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $436 | $436 | $11 | 2% | — | $425 – $446 |
| 15 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $436 | $436 | $11 | 2% | — | $425 – $446 |
| 16 | Ascension Seton Rock, TX percent of total billed charges · bothfrom % of charges | 1 | $471 | $505 | $88 | 17% | — | $425 – $650 |
| 17 | Ascension Seton Rock, TX percent of total billed charges · outpatientfrom % of charges | 1 | $471 | $505 | $88 | 17% | — | $425 – $650 |
| 18 | Community Memorial Hospital Ventura, CA facility · fee schedule · outpatient | 1 | $510 | $510 | — | — | — | $510 – $510 |
| 19 | EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA other · outpatient | 1 | $392 | $392 | — | — | — | $392 – $392 |
| 20 | 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 | $424 | $424 | — | — | — | $424 – $424 |
| 21 | 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 | $356 | $356 | — | — | — | $356 – $356 |
| 22 | HOSPITAL SERVICE DISTRICT NO. 1 OF THE PARISH OF ST. CHARLES, STATE OF LOUISIANA LULING, LA other · outpatient | 1 | $262 | $262 | $109 | 42% | — | $153 – $371 |
| 23 | 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 |
| 24 | LAFAYETTE GENERAL MEDICAL CENTER INC Lafayette, LA other · outpatient | 1 | $387 | $387 | — | — | — | $387 – $387 |
| 25 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN other · both | 1 | $396 | $396 | — | — | — | $396 – $396 |
← Payers reporting RC 803 · Snapshot 20261111T120946Z-9134e7f7