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
$12
Average
$280
Median
$291
High
$631
Each hospital's average Molina rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 7.6× 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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19 hospital rates
iThe hospitals that file a Molina 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 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · outpatient | 1 | $291 | $291 | — | — | — | $291 – $291 |
| 2 | Baylor Scott & White Medical Center - Centennial Frisco, TX facility · fee schedule · outpatient | 1 | $440 | $440 | — | — | — | $440 – $440 |
| 3 | Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX facility · fee schedule · outpatient | 1 | $440 | $440 | — | — | — | $440 – $440 |
| 4 | Baylor University Medical Center Dallas, TX facility · fee schedule · outpatient | 1 | $440 | $440 | — | — | — | $440 – $440 |
| 5 | Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient | 1 | $297 | $297 | — | — | — | $297 – $297 |
| 6 | CLOVIS COMMUNITY MEDICAL CENTER Clovis, CA facility · fee schedule · inpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 7 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY other · outpatient | 2 | $259 | $259 | — | — | — | $259 – $259 |
| 8 | FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER Fresno, CA facility · fee schedule · inpatient | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 9 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $129 | $129 | $26 | 20% | — | $104 – $155 |
| 10 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA other · outpatient | 2 | $343 | $381 | $259 | 68% | — | $111 – $725 |
| 11 | Mercy Hospital South Louis, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 12 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 13 | Tri-City Medical Center Oceanside, CA facility · fee schedule · outpatient | 2 | $631 | $631 | $94 | 15% | — | $537 – $725 |
| 14 | USA Health Children's & Women's Hospital Mobile, AL facility · case rate · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 15 | USA Health Children's & Women's Hospital Mobile, AL facility · fee schedule · outpatient | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 16 | USA Health University Hospital Mobile, AL facility · case rate · outpatient | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 17 | USA Health University Hospital Mobile, AL facility · fee schedule · outpatient | 1 | $361 | $361 | — | — | — | $361 – $361 |
| 18 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 19 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA other · outpatient | 2 | $631 | $631 | $94 | 15% | — | $537 – $725 |
← Payers reporting RC 840 · Snapshot 20261111T120946Z-9134e7f7