RC 920
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
Fetal non-stress test
Low
$1
Average
$468
Median
$283
High
$3.0k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
165 hospitals; the 90th percentile is 28.6× 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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201 hospital rates
iThe hospitals that file a Medicaid 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 | Tufts Medical Center BOSTON, MA other · both | 1 | $367 | $701 | $730 | 104% | 518–626 | $53 – $3.0k |
| 2 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 3 | $381 | $547 | $287 | 53% | 130–139 | $381 – $1.0k |
| 3 | Tufts Medical Center BOSTON, MA percent of total billed charges · bothfrom % of charges | 1 | $381 | $627 | $743 | 119% | 68–122 | $20 – $4.5k |
| 4 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $71 | $90 | $104 | 115% | 54–117 | $7 – $500 |
| 5 | Mercy Hospital Springfield Ozark, MO facility · fee schedule · outpatient | 3 | $109 | $216 | $332 | 153% | 51 | $9 – $2.1k |
| 6 | Mercy Hospital Springfield Springfield, MO facility · fee schedule · outpatient | 3 | $109 | $216 | $332 | 153% | 51 | $9 – $2.1k |
| 7 | Allina Health Systems Ulm, MN facility · other · outpatient | 1 | $660 | $1.4k | $1.2k | 84% | 48–66 | $47 – $3.3k |
| 8 | Lowell General Hospital Lowell, MA other · both | 1 | $647 | $591 | $80 | 13% | 41–50 | $478 – $647 |
| 9 | MELROSEWAKEFIELD HEALTHCARE Medford, MA other · both | 1 | $543 | $543 | — | — | 31 | $543 – $543 |
| 10 | Maple Grove Hospital Corporation Grove, MN facility · other · both | 1 | $166 | $166 | — | — | 18 | $166 – $166 |
| 11 | Mercy Hospital Aurora Aurora, MO facility · fee schedule · outpatient | 2 | $187 | $412 | $444 | 108% | 13 | $12 – $1.2k |
| 12 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN per diem · outpatient | 2 | $175 | $175 | $16 | 9% | 12–21 | $159 – $191 |
| 13 | Hospital Service District #1, Parish of Terrebonne, State of Louisiana dba Terrebonne General Health System Houma, LA facility · other · outpatient | 1 | $103 | $169 | $137 | 81% | 5–50 | $70 – $459 |
| 14 | Mercy Perry Perryville, MO facility · fee schedule · outpatient | 1 | $410 | $547 | $467 | 85% | 2–20 | $47 – $1.2k |
| 15 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $337 | $305 | $221 | 73% | 2–20 | $12 – $692 |
| 16 | Southeast Hospital dba Mercy Hospital Southeast Girardeau, MO facility · fee schedule · outpatient | 1 | $152 | $346 | $336 | 97% | 2–20 | $32 – $867 |
| 17 | Spaulding Rehabilitation Hospital Boston Charlestown, MA percent of total billed charges · outpatientfrom % of charges | 1 | $215 | $215 | $29 | 13% | 2–20 | $186 – $244 |
| 18 | Beebe Medical Center Inc. Lewes, DE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $478 | $478 | — | — | 1–10 | $478 – $478 |
| 19 | North Memorial Health Care Robbinsdale, MN facility · other · both | 1 | $166 | $166 | — | — | 1–10 | $166 – $166 |
| 20 | Northwest Hospital LLC Tucson, AZ facility · other · outpatient | 1 | $122 | $319 | $268 | 84% | 1–10 | $66 – $660 |
| 21 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $138 | $427 | $486 | 114% | — | $35 – $1.4k |
| 22 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $86 | $86 | $29 | 33% | — | $57 – $114 |
| 23 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 24 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $220 | $267 | $186 | 70% | — | $47 – $596 |
| 25 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 1 | $191 | $240 | $157 | 65% | — | $56 – $731 |
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