RC 901
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
Electroconvulsive Therapy
The hospitals that file a Premera 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.
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13 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $1,832 | $905.62 – $2,461 |
| 2 | Mary Bridge Children's Hospital Tacoma, WA fee schedule · outpatient | 4 | $1,832 | $905.62 – $2,461 |
| 3 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $1,345 | $1,345 – $1,345 |
| 4 | MultiCare Auburn Medical Center Auburn, WA fee schedule · outpatient | 4 | $1,832 | $905.62 – $2,461 |
| 5 | MultiCare Capital Medical Center Lacey, WA fee schedule · outpatient | 4 | $1,283 | $905.62 – $1,409 |
| 6 | MultiCare Covington Medical Center Covington, WA fee schedule · outpatient | 4 | $1,832 | $905.62 – $2,461 |
| 7 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · both | 1 | $1,492 | $1,492 – $1,492 |
| 8 | St Joseph Mercy Chelsea Chelsea, MI facility · fee schedule · both | 1 | $1,192 | $1,192 – $1,192 |
| 9 | St Joseph Mercy Oakland Pontiac, MI facility · fee schedule · both | 1 | $1,259 | $1,259 – $1,259 |
| 10 | St Josephs Hospital Health Center Syracuse, NY facility · other · both | 1 | $2,340 | $2,340 – $2,340 |
| 11 | St Mary Mercy Livonia Livonia, MI facility · fee schedule · both | 1 | $908.64 | $908.64 – $908.64 |
| 12 | Tacoma General Allenmore Hospital Bremerton, WA fee schedule · outpatient | 4 | $1,843 | $905.62 – $2,461 |
| 13 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $989.40 | $989.40 – $989.40 |
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