RC 914
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
Office Visit, Established Pat
Low
$1
Average
$157
Median
$134
High
$1.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
370 hospitals; the 90th percentile is 4.2× 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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511 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 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $156 | $146 | $33 | 23% | 1,634–1,643 | $96 – $180 |
| 2 | Upstate University Hospital Syracuse, NY facility · case rate · outpatient | 2 | $213 | $463 | $619 | 134% | 341–350 | $63 – $2.2k |
| 3 | Massachusetts General Hospital Boston, MA other · both | 1 | $150 | $150 | — | — | 287–296 | $150 – $150 |
| 4 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $124 | $139 | $97 | 69% | 106–124 | $24 – $248 |
| 5 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $120 | $112 | $11 | 10% | 102–111 | $96 – $120 |
| 6 | St Luke's Magic Valley Regional Medical Center, LTD Jerome, ID other · outpatient | 2 | $42 | $48 | $9 | 18% | 79–97 | $42 – $61 |
| 7 | Brigham and Women's Hospital Boston, MA other · both | 1 | $246 | $246 | $96 | 39% | 71–80 | $150 – $343 |
| 8 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $84 | $25 | 29% | 65 | $54 – $111 |
| 9 | University of New Mexico Hospital | UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM professional · other · outpatient | 2 | $428 | $314 | $149 | 47% | 50–77 | $4 – $428 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT other · inpatient | 1 | $68 | $83 | $43 | 52% | 23–50 | $42 – $154 |
| 11 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · inpatientfrom % of charges | 1 | $260 | $264 | $47 | 18% | 14–32 | $201 – $333 |
| 12 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $62 | $18 | 29% | 13 | $42 – $102 |
| 13 | West Virginia University Hospitals, Inc. Morgantown, WV professional · other · outpatient | 2 | $171 | $126 | $57 | 45% | 9–90 | $20 – $171 |
| 14 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT percent of total billed charges · inpatientfrom % of charges | 1 | $260 | $264 | $47 | 18% | 2–20 | $201 – $333 |
| 15 | St Luke's Regional Medical Center, LTD Mountain Home, ID other · outpatient | 1 | $42 | $42 | — | — | 2–20 | $42 – $42 |
| 16 | Methodist Hospitals of Dallas Richardson, TX other · both | 1 | $259 | $259 | — | — | 1–10 | $259 – $259 |
| 17 | Methodist Hospitals of Dallas Richardson, TX other · both | 1 | $259 | $259 | — | — | 1–10 | $259 – $259 |
| 18 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA other · outpatient | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 19 | Salem Hospital Salem, MA other · both | 1 | $153 | $153 | — | — | 1–10 | $153 – $153 |
| 20 | St Luke's McCall, LTD McCall, ID percent of total billed charges · bothfrom % of charges | 2 | $270 | $208 | $93 | 45% | 1–10 | $69 – $276 |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $104 | $102 | $28 | 28% | — | $52 – $160 |
| 22 | ARH Mary Breckinridge Health Services, Inc Barbourville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $41 | $10 | 24% | — | $29 – $54 |
| 23 | ARH Mary Breckinridge Health Services, Inc Hayden, KY percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $41 | $6 | 15% | — | $35 – $47 |
| 24 | ARH Mary Breckinridge Health Services, Inc Martin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $48 | $12 | 24% | — | $35 – $63 |
| 25 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 2 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
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