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
$16
Average
$146
Median
$108
High
$668
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
119 hospitals; the 90th percentile is 6.2× 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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142 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 | Benefis Hospitals Inc Helena, MT other · outpatient | 1 | $154 | $154 | $61 | 40% | 255 | $93 – $215 |
| 2 | Salem Hospital Salem, MA other · both | 1 | $104 | $104 | — | — | 16 | $104 – $104 |
| 3 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $179 | $179 | $45 | 25% | 14 | $134 – $224 |
| 4 | Ascension Seton Luling, TX percent of total billed charges · bothfrom % of charges | 1 | $378 | $378 | — | — | — | $378 – $378 |
| 5 | Ascension Seton Luling, TX percent of total billed charges · outpatientfrom % of charges | 1 | $378 | $378 | — | — | — | $378 – $378 |
| 6 | Ascension Seton Burnet, TX percent of total billed charges · bothfrom % of charges | 1 | $378 | $378 | — | — | — | $378 – $378 |
| 7 | Ascension Seton Burnet, TX percent of total billed charges · outpatientfrom % of charges | 1 | $378 | $378 | — | — | — | $378 – $378 |
| 8 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 9 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 10 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | — | $72 – $72 |
| 11 | Baptist Memorial Hospital-Calhoun Calhoun City, MS facility · percent of total billed charges · outpatientfrom % of charges | 1 | $92 | $92 | — | — | — | $92 – $92 |
| 12 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 13 | Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 14 | Boston Medical Center Boston, MA other · both | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 15 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $134 | $134 | — | — | — | $134 – $134 |
| 16 | Chicago BH Hospital Chicago, IL facility · per diem · outpatient | 1 | $298 | $298 | $85 | 28% | — | $213 – $382 |
| 17 | Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient | 1 | $184 | $184 | — | — | — | $184 – $184 |
| 18 | Craig Hospital Englewood, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $280 | $313 | $153 | 49% | — | $131 – $632 |
| 19 | Craig Hospital Englewood, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $280 | $313 | $153 | 49% | — | $131 – $632 |
| 20 | Crossroads Regional Hosptial, LLC Alexandria, LA facility · per diem · outpatient | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 21 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $140 | $140 | — | — | — | $140 – $140 |
| 22 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $127 | $127 | — | — | — | $127 – $127 |
| 23 | FORT SANDERS REGIONAL MEDICAL CENTER Knoxville, TN fee schedule · both | 1 | $63 | $63 | $29 | 46% | — | $34 – $92 |
| 24 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 25 | 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 | $57 | $57 | — | — | — | $57 – $57 |
← Payers reporting RC 915 · Snapshot 20261111T120946Z-9134e7f7