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
$3
Average
$301
Median
$195
High
$3.6k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
66 hospitals; the 90th percentile is 9.9× 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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117 hospital rates
iThe hospitals that file a Medica 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 | Spooner Health System, Inc Spooner, WI professional · fee schedule · outpatient | 1 | $2 | $3 | $3 | 99% | 77–140 | $1 – $10 |
| 2 | Brookings Health System Brookings, SD fee schedule · outpatient | 2 | $101 | $122 | $64 | 52% | 43–430 | $15 – $327 |
| 3 | Amery Hospital Amery, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $431 | $401 | $281 | 70% | 1–10 | $15 – $1.0k |
| 4 | Hudson Hospital Hudson, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $134 | $158 | $113 | 71% | 1–10 | $12 – $422 |
| 5 | Lakeview Hospital Stillwater, MN facility · percent of total billed charges · bothfrom % of charges | 2 | $240 | $247 | $79 | 32% | 1–10 | $156 – $351 |
| 6 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 8 | $175 | $406 | $276 | 68% | 1–10 | $83 – $756 |
| 7 | Mayo Clinic Health System Sparta, WI facility · percent of total billed charges · bothfrom % of charges | 11 | $178 | $163 | $45 | 28% | 1–10 | $51 – $210 |
| 8 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE professional · other · both | 1 | $446 | $446 | — | — | 1–10 | $446 – $446 |
| 9 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 4 | $5 | $74 | $137 | 186% | — | $4 – $678 |
| 10 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 5 | $5 | $69 | $129 | 188% | — | $3 – $678 |
| 11 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 4 | $5 | $74 | $137 | 186% | — | $4 – $678 |
| 12 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 5 | $5 | $66 | $127 | 193% | — | $2 – $678 |
| 13 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 4 | $5 | $74 | $137 | 186% | — | $4 – $678 |
| 14 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 5 | $5 | $65 | $126 | 195% | — | $2 – $678 |
| 15 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 4 | $5 | $74 | $137 | 186% | — | $4 – $678 |
| 16 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 5 | $5 | $67 | $128 | 191% | — | $2 – $678 |
| 17 | Amery Hospital Amery, WI facility · fee schedule · both | 1 | $74 | $76 | $31 | 41% | — | $10 – $130 |
| 18 | Amery Hospital Amery, WI facility · other · both | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 19 | Astera Health Wadena, MN fee schedule · inpatient | 2 | $45 | $45 | $23 | 51% | — | $6 – $103 |
| 20 | Astera Health Wadena, MN fee schedule · outpatient | 5 | $58 | $68 | $44 | 65% | — | $6 – $220 |
| 21 | Astera Health Wadena, MN per diem · inpatient | 1 | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 22 | Astera Health Wadena, MN percent of total billed charges · inpatientfrom % of charges | 2 | $2.3k | $11.6k | $16.1k | 139% | — | $29 – $86.8k |
| 23 | Astera Health Wadena, MN percent of total billed charges · outpatientfrom % of charges | 5 | $478 | $5.8k | $8.3k | 143% | — | $40 – $30.2k |
| 24 | Banner Community Hospital Torrington, WY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $104 | $105 | $79 | 75% | — | $18 – $624 |
| 25 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $105 | $91 | $71 | 78% | — | $18 – $951 |
← Payers reporting RC 964 · Snapshot 20261111T120946Z-9134e7f7