RC 919
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.
Generation details were not recorded for this description.
Original text from hospital filings
Collateral Contact 15 Min
Low
$71
Average
$780
Median
$222
High
$2.4k
Each hospital's average Optum rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 33.5× 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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15 hospital rates
iThe hospitals that file a Optum 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 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $2.2k | $2.4k | $519 | 22% | — | $1.6k – $3.1k |
| 2 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 3 | $2.2k | $2.4k | $519 | 22% | — | $1.6k – $3.1k |
| 3 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 3 | $2.2k | $2.4k | $519 | 22% | — | $1.6k – $3.1k |
| 4 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $308 | $311 | $11 | 4% | — | $300 – $326 |
| 5 | Childrens Hospital Colorado Aurora, CO per diem · outpatient | 1 | $225 | $300 | $106 | 35% | — | $225 – $449 |
| 6 | Fairview Health Services Minneapolis, MN fee schedule · outpatient | 2 | $166 | $166 | $6 | 4% | — | $160 – $173 |
| 7 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $189 | $259 | $192 | 74% | — | $66 – $522 |
| 8 | Northwestern Medicine Kishwaukee Hospital DeKalb, IL percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | $4 | 6% | — | $67 – $75 |
| 9 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 1 | $71 | $71 | $4 | 6% | — | $67 – $75 |
| 10 | The Cleveland Clinic Foundation Brunswick, OH facility · case rate · outpatient | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 11 | The Cleveland Clinic Foundation Brunswick, OH facility · fee schedule · outpatient | 2 | $86 | $86 | — | — | — | $86 – $86 |
| 12 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $361 | $269 | $153 | 57% | — | $51 – $385 |
| 13 | The Trustees of the University of Pennsylvania D/B/A The Hospital of the University of Pennsylvania Philadelphia, PA facility · other · outpatient | 4 | $151 | $110 | $61 | 55% | — | $11 – $187 |
| 14 | Upstate University Hospital Syracuse, NY facility · case rate · outpatient | 1 | $137 | $109 | $33 | 30% | — | $69 – $137 |
| 15 | Upstate University Hospital Syracuse, NY facility · fee schedule · outpatient | 4 | $185 | $166 | $99 | 59% | — | $35 – $325 |
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