RC 840
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
Dialysis procedure including 1 evaluation
Low
$76
Average
$142
Median
$104
High
$240
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
18 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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20 hospital rates
iThe hospitals that file a Medicaid 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 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 2 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 3 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $129 | $129 | $26 | 20% | — | $104 – $155 |
| 4 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 5 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 6 | Mercy Hospital Ardmore Inc Ardmore, OK facility · fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 7 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $219 | $219 | $144 | 66% | — | $76 – $363 |
| 8 | Mercy Hospital Fort Smith Smith, AR facility · fee schedule · outpatient | 2 | $219 | $219 | $144 | 66% | — | $76 – $363 |
| 9 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · fee schedule · outpatient | 2 | $219 | $219 | $144 | 66% | — | $76 – $363 |
| 10 | Mercy Hospital Oklahoma City Inc City, OK facility · fee schedule · outpatient | 1 | $76 | $76 | — | — | — | $76 – $76 |
| 11 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · fee schedule · outpatient | 2 | $219 | $219 | $144 | 66% | — | $76 – $363 |
| 12 | Mercy Hospital South Louis, MO facility · fee schedule · outpatient | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 13 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $117 | — | — | — | $117 – $117 |
| 14 | REEDLEY COMMUNITY HOSPITAL Reedley, CA fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 15 | RIDEOUT MEMORIAL HOSPITAL Marysville, CA fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 16 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $129 | $129 | $26 | 20% | — | $104 – $155 |
| 17 | SONORA COMMUNITY HOSPITAL Sonora, CA fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 18 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · fee schedule · outpatient | 1 | $363 | $363 | — | — | — | $363 – $363 |
| 19 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 20 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
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