RC 831
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 Dialysis Other/Than Hemodialysis 1 Phys/Qhp Eval - Peritoneal Dialysis
Low
$268
Average
$385
Median
$396
High
$421
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
18 hospitals; the 90th percentile is 1.2× 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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20 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 | Jackson HMA LLC Jackson, MS facility · fee schedule · outpatient | 1 | $358 | $358 | — | — | — | $358 – $358 |
| 2 | La Porte Hospital Company LLC La Porte, IN facility · fee schedule · outpatient | 1 | $419 | $419 | — | — | — | $419 – $419 |
| 3 | METHODIST LEBONHEUR CHILDRENS HOSP TN 38301; 7691 POPLAR AVE. MEMPHIS, TN other · both | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 4 | METHODIST LEBONHEUR GERMANTOWN HOSP GERMANTOWN, TN other · both | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 5 | METHODIST NORTH HOSPITAL MEMPHIS, TN other · both | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 6 | METHODIST OLIVE BRANCH HOSPITAL OLIVE BRANCH, MS other · both | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 7 | METHODIST SOUTH HOSPITAL MEMPHIS, TN other · both | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 8 | METHODIST UNIVERSITY HOSPITAL MEMPHIS, TN other · both | 1 | $396 | $396 | — | — | — | $396 – $396 |
| 9 | Mercy Hospital Jefferson Imperial, MO facility · other · outpatient | 1 | $410 | $410 | — | — | — | $410 – $410 |
| 10 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $410 | $410 | — | — | — | $410 – $410 |
| 11 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $410 | $410 | — | — | — | $410 – $410 |
| 12 | Methodist Hospitals of Dallas Coppell, TX other · both | 1 | $407 | $407 | — | — | — | $407 – $407 |
| 13 | Methodist Hospitals of Dallas Celina, TX other · both | 1 | $410 | $410 | — | — | — | $410 – $410 |
| 14 | Methodist Hospitals of Dallas Souhtlake, TX other · both | 1 | $407 | $407 | — | — | — | $407 – $407 |
| 15 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL fee schedule · outpatient | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 16 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $427 | $427 | — | — | — | $427 – $427 |
| 17 | North Adams Regional Hospital North Adams, MA facility · fee schedule · outpatient | 1 | $611 | $428 | $259 | 60% | — | $62 – $611 |
| 18 | North Adams Regional Hospital North Adams, MA professional · fee schedule · outpatient | 1 | $79 | $107 | $41 | 38% | — | $79 – $165 |
| 19 | Poplar Bluff Regional Medical Center LLC Poplar Bluff, MO facility · fee schedule · outpatient | 1 | $421 | $421 | — | — | — | $421 – $421 |
| 20 | River Oaks Hospital LLC Flowood, MS facility · fee schedule · outpatient | 1 | $358 | $358 | — | — | — | $358 – $358 |
← Payers reporting RC 831 · Snapshot 20261111T120946Z-9134e7f7