RC 881
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 ULTRAFILTRATION
Low
$101
Average
$1.2k
Median
$1.0k
High
$3.5k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
22 hospitals; the 90th percentile is 5.7× 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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28 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 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 2 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 3 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | Ascension Seton Smithville, TX percent of total billed charges · bothfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 6 | Ascension Seton Smithville, TX percent of total billed charges · outpatientfrom % of charges | 2 | $1.2k | $1.2k | $962 | 77% | — | $286 – $2.2k |
| 7 | Ascension Seton Bastrop, TX percent of total billed charges · bothfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 8 | Ascension Seton Bastrop, TX percent of total billed charges · outpatientfrom % of charges | 1 | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 9 | Ascension Seton Austin, TX percent of total billed charges · bothfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 10 | Ascension Seton Austin, TX percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 11 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 12 | Community Memorial Hospital Ventura, CA facility · fee schedule · outpatient | 1 | $510 | $510 | — | — | — | $510 – $510 |
| 13 | 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 | $765 | $765 | — | — | — | $765 – $765 |
| 14 | 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 | $643 | $643 | — | — | — | $643 – $643 |
| 15 | 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 |
| 16 | KARMANOS CANCER CENTER DETROIT, MI fee schedule | 1 | $376 | $376 | — | — | — | $376 – $376 |
| 17 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | MedStar Georgetown Hospital Washington, DC facility · fee schedule · outpatient | 1 | $493 | $493 | — | — | — | $493 – $493 |
| 19 | Monument Health Rapid City Hospital Inc City, SD fee schedule · outpatient | 1 | $364 | $364 | — | — | — | $364 – $364 |
| 20 | National Rehabilitation Hospital Washington, WA facility · fee schedule · outpatient | 1 | $444 | $444 | — | — | — | $444 – $444 |
| 21 | Northside Hospital, Inc. Lawrenceville, GA fee schedule · outpatient | 1 | $1.0k | $1.0k | $579 | 58% | — | $424 – $1.6k |
| 22 | Northside Hospital, Inc. Atlanta, GA fee schedule · outpatient | 1 | $1.0k | $1.0k | $579 | 58% | — | $424 – $1.6k |
| 23 | Northside Hospital, Inc. Cumming, GA fee schedule · outpatient | 1 | $1.0k | $1.0k | $579 | 58% | — | $424 – $1.6k |
| 24 | Northside Hospital, Inc. Duluth, GA fee schedule · outpatient | 1 | $1.0k | $1.0k | $579 | 58% | — | $424 – $1.6k |
| 25 | Northside Hospital, Inc. Canton, GA fee schedule · outpatient | 1 | $1.0k | $1.0k | $579 | 58% | — | $424 – $1.6k |
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