RC 943
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
PREV MED COUNSEL&RISK FACTOR REDJ GRP SPX 60 MIN
Low
$1
Average
$128
Median
$122
High
$1.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
479 hospitals; the 90th percentile is 4.9× 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.
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672 hospital rates
iThe hospitals that file a Molina 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 | St. Joseph Medical Center Bellingham, WA facility · other · outpatient | 2 | $161 | $100 | $74 | 74% | 495 | $8 – $161 |
| 2 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $57 | $86 | $58 | 67% | 218 | $8 – $153 |
| 3 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $53 | $53 | — | — | 117 | $53 – $53 |
| 4 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $99 | $101 | $13 | 13% | 86–95 | $83 – $118 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · other · both | 1 | $123 | $123 | — | — | 83 | $123 – $123 |
| 6 | St Mary Mercy Livonia Livonia, MI facility · other · both | 3 | $126 | $121 | $40 | 33% | 83–92 | $71 – $167 |
| 7 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 1 | $25 | $25 | $5 | 20% | 69 | $20 – $30 |
| 8 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 1 | $25 | $25 | $5 | 20% | 69 | $20 – $30 |
| 9 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS fee schedule · outpatient | 2 | $118 | $118 | $22 | 18% | 62 | $96 – $139 |
| 10 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 2 | $155 | $155 | $56 | 36% | 60 | $99 – $211 |
| 11 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $53 | $53 | — | — | 56 | $53 – $53 |
| 12 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · other · both | 3 | $126 | $132 | $35 | 26% | 56 | $73 – $168 |
| 13 | PRISMA HEALTH GREER MEMORIAL HOSPITAL GREER, SC fee schedule · both | 1 | $20 | $20 | $4 | 20% | 54 | $16 – $24 |
| 14 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $9 | $9 | 105% | 50–59 | $1 – $38 |
| 15 | Mercy Health Services-Iowa Corp. Mason City, IA facility · other · both | 1 | $126 | $126 | — | — | 48 | $126 – $126 |
| 16 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · other · both | 2 | $235 | $235 | $94 | 40% | 48 | $141 – $328 |
| 17 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 2 | $78 | $96 | $59 | 62% | 41 | $27 – $165 |
| 18 | Central Washington Health Services Association Wenatchee, WA other · outpatient | 2 | $265 | $265 | $92 | 35% | 40 | $173 – $357 |
| 19 | Massachusetts General Hospital Boston, MA other · both | 1 | $147 | $147 | — | — | 40 | $147 – $147 |
| 20 | Wetzel County Hospital, Inc. New Martinsville, WV facility · other · outpatient | 2 | $132 | $110 | $38 | 35% | 36 | $43 – $132 |
| 21 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 1 | $104 | $104 | — | — | 33 | $104 – $104 |
| 22 | MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient | 1 | $53 | $53 | — | — | 31 | $53 – $53 |
| 23 | PRISMA HEALTH TUOMEY HOSPITAL SUMTER, SC other · both | 1 | $127 | $127 | — | — | 30 | $127 – $127 |
| 24 | SVMC HOLDINGS INC D/B/A ST VINCENT�S MEDICAL CENTER BRIDGEPORT, CT other · outpatient | 1 | $53 | $53 | — | — | 29 | $53 – $53 |
| 25 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 2 | $249 | $249 | $10 | 4% | 26–35 | $239 – $258 |
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