RC 915
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 HLTH BHV IVNTJ GRP 1ST 30
Low
$28
Average
$102
Median
$72
High
$319
Each hospital's average Premera rate, under the methodology and billing class chosen below.
16 hospitals; the 90th percentile is 4.0× 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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17 hospital rates
iThe 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Samaritan Hospital Troy, NY facility · other · both | 1 | $22 | $24 | $3 | 12% | 12 | $22 – $28 |
| 2 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 3 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $64 | $64 | $5 | 8% | — | $59 – $69 |
| 5 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 6 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $319 | $319 | — | — | — | $319 – $319 |
| 7 | MultiCare Yakima Valley Memorial Hospital Association Union Gap, WA fee schedule · outpatient | 3 | $298 | $291 | $10 | 3% | — | $277 – $298 |
| 8 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $155 | $155 | $41 | 27% | — | $114 – $196 |
| 9 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 5 | $102 | $100 | $17 | 17% | — | $81 – $125 |
| 10 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $73 | $71 | $3 | 5% | — | $67 – $74 |
| 11 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | $4 | 5% | — | $69 – $76 |
| 12 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $70 | $70 | $4 | 5% | — | $66 – $73 |
| 13 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $70 | $70 | $4 | 5% | — | $66 – $73 |
| 14 | St Josephs Hospital Health Center Syracuse, NY facility · other · both | 1 | $102 | $102 | — | — | — | $102 – $102 |
| 15 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 16 | St Peters Hospital Albany, NY facility · other · both | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 17 | Virginia Mason Medical Center Seattle, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $63 | $10 | 16% | — | $46 – $73 |
← Payers reporting RC 915 · Snapshot 20261111T120946Z-9134e7f7