RC 964
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
ADMINISTRATION ANESTHESIA - PERINEUM,Not Medical Necessity without ABN, Monitored anesthesia care
Low
$8
Average
$2.3k
Median
$301
High
$22.9k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
51 hospitals; the 90th percentile is 208.9× 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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80 hospital rates
iThe hospitals that file a Anthem 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 | Lafayette County Darlington, WI professional · other · both | 2 | $598 | $631 | $238 | 38% | 53–305 | $319 – $1.2k |
| 2 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $206 | $319 | 155% | 2–20 | $13 – $1.5k |
| 3 | Acadia Hospital Bangor, ME professional · percent of total billed charges · outpatientfrom % of charges | 2 | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Banner Lassen Medical Center Susanville, CA facility · fee schedule · outpatient | 1 | $139 | $191 | $188 | 98% | — | $26 – $630 |
| 5 | Banner Lassen Medical Center Susanville, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $62 | $35 | 57% | — | $16 – $181 |
| 6 | Bath Community Hospital Hot Springs, VA fee schedule · both | 1 | $20 | $25 | $20 | 80% | — | $20 – $123 |
| 7 | Bath Community Hospital Hot Springs, VA other · both | 1 | $458 | $458 | $238 | 52% | — | $220 – $696 |
| 8 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · inpatientfrom % of charges | 2 | $224 | $224 | — | — | — | $224 – $224 |
| 9 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $224 | $224 | — | — | — | $224 – $224 |
| 10 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO percent of total billed charges · outpatientfrom % of charges | 2 | $76 | $130 | $115 | 88% | — | $60 – $664 |
| 11 | EDGERTON HOSPITAL AND HEALTH SERVICES EDGERTON, WI case rate · both | 1 | $74 | $74 | — | — | — | $74 – $74 |
| 12 | EDGERTON HOSPITAL AND HEALTH SERVICES EDGERTON, WI fee schedule · both | 1 | $94 | $94 | $17 | 18% | — | $76 – $111 |
| 13 | East Morgan County Hospital Brush, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $83 | $102 | $66 | 65% | — | $32 – $752 |
| 14 | East Morgan County Hospital Brush, CO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $90 | $84 | $63 | 75% | — | $18 – $819 |
| 15 | Eastern Maine Medical Center Bangor, ME professional · percent of total billed charges · inpatientfrom % of charges | 2 | $7 | $100 | $290 | 290% | — | $7 – $2.1k |
| 16 | Eastern Maine Medical Center Bangor, ME professional · percent of total billed charges · outpatientfrom % of charges | 2 | $7 | $100 | $290 | 290% | — | $7 – $2.1k |
| 17 | HOULTON REGIONAL HOSPITAL HOULTON, ME fee schedule · outpatient | 1 | $136 | $136 | $42 | 31% | — | $94 – $178 |
| 18 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · outpatient | 1 | $13.3k | $14.7k | $5.2k | 36% | — | $9.2k – $21.8k |
| 19 | Lafayette County Darlington, WI professional · fee schedule · both | 1 | $68 | $79 | $39 | 49% | — | $40 – $151 |
| 20 | MARK TWAIN MEDICAL CENTER San Andreas, CA fee schedule · inpatient | 2 | $116 | $138 | $72 | 52% | — | $58 – $260 |
| 21 | MARK TWAIN MEDICAL CENTER San Andreas, CA fee schedule · outpatient | 4 | $90 | $112 | $75 | 66% | — | $28 – $294 |
| 22 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · inpatientfrom % of charges | 2 | $240 | $240 | — | — | — | $240 – $240 |
| 23 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $255 | $255 | — | — | — | $255 – $255 |
| 24 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 1 | $435 | $434 | $275 | 64% | — | $149 – $716 |
| 25 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 1 | $430 | $437 | $281 | 64% | — | $148 – $740 |
← Payers reporting RC 964 · Snapshot 20261111T120946Z-9134e7f7