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
$0
Average
$664
Median
$391
High
$12.1k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
305 hospitals; the 90th percentile is 16.9× 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.
Filter by billing methodology
Filter by billing class
385 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 | Mercy Hospital Lebanon dba Mercy Hospital Lebanon Rolla, MO facility · other · outpatient | 1 | $904 | $659 | $346 | 53% | 380–398 | $39 – $904 |
| 2 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $131 | $296 | $301 | 101% | 330–474 | $37 – $844 |
| 3 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $131 | $307 | $303 | 99% | 330–474 | $37 – $844 |
| 4 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $195 | $322 | $305 | 95% | 86–131 | $34 – $775 |
| 5 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $180 | $977 | $2.1k | 211% | 79–133 | $27 – $8.3k |
| 6 | St. Charles Prineville Prineville, OR percent of total billed charges · bothfrom % of charges | 1 | $369 | $332 | $215 | 65% | 69 | $17 – $682 |
| 7 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $201 | $857 | $1.7k | 193% | 38–92 | $27 – $8.4k |
| 8 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $214 | $649 | $991 | 153% | 36–45 | $29 – $5.3k |
| 9 | NEMOURS CHILDREN'S HOSPITAL STE 100 LAKE MARY, FL other · outpatient | 1 | $143 | $227 | $202 | 89% | 29–65 | $107 – $1.0k |
| 10 | NEMOURS CHILDREN'S HOSPITAL Philadelphia, PA case rate · outpatient | 1 | $208 | $289 | $275 | 95% | 28–73 | $26 – $1.1k |
| 11 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $198 | $545 | $862 | 158% | 27–63 | $34 – $4.6k |
| 12 | Wentworth Douglass Hospital Dover, NH other · both | 1 | $210 | $210 | — | — | 19 | $210 – $210 |
| 13 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $648 | $648 | — | — | 12 | $648 – $648 |
| 14 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $541 | $541 | — | — | 11 | $541 – $541 |
| 15 | St. Charles Madras Madras, OR percent of total billed charges · bothfrom % of charges | 1 | $377 | $340 | $220 | 65% | 11 | $17 – $697 |
| 16 | Massachusetts Eye and Ear Boston, MA other · both | 1 | $169 | $382 | $427 | 112% | 10–100 | $71 – $1.2k |
| 17 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $325 | $514 | $409 | 80% | 7–70 | $24 – $1.2k |
| 18 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $596 | $635 | $479 | 75% | 7–70 | $29 – $1.4k |
| 19 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $205 | $824 | $2.1k | 249% | 6–60 | $35 – $10.1k |
| 20 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $205 | $824 | $2.1k | 249% | 6–60 | $35 – $10.1k |
| 21 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $803 | $773 | $611 | 79% | 4–40 | $26 – $2.0k |
| 22 | Lowell General Hospital Lowell, MA other · both | 1 | $647 | $591 | $80 | 13% | 3–30 | $478 – $647 |
| 23 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $713 | $750 | $418 | 56% | 3–30 | $51 – $1.5k |
| 24 | Tufts Medical Center BOSTON, MA other · both | 1 | $339 | $430 | $354 | 82% | 3–30 | $50 – $902 |
| 25 | MELROSEWAKEFIELD HEALTHCARE Medford, MA other · both | 1 | $543 | $543 | — | — | 2–20 | $543 – $543 |
← Payers reporting RC 920 · Snapshot 20261111T120946Z-9134e7f7