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
$31
Average
$1.3k
Median
$202
High
$7.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
30 hospitals; the 90th percentile is 90.0× 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
35 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 | Covenant Medical Center Inc Saginaw, MI professional · other · both | 1 | $55 | $62 | $28 | 45% | 468–1,044 | $23 – $144 |
| 2 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE professional · other · both | 1 | $391 | $458 | $198 | 43% | 272–461 | $86 – $1.0k |
| 3 | Kirby Medical Center Monticello, IL professional · other · both | 1 | $153 | $164 | $45 | 27% | 10–100 | $113 – $242 |
| 4 | Morrison Community Hospital District Morrison, IL professional · fee schedule · both | 2 | $52 | $64 | $73 | 115% | 4–40 | $4 – $358 |
| 5 | Banner Ogallala Community Hospital Ogallala, NE facility · percent of total billed charges · outpatientfrom % of charges | 1 | $54 | $64 | $41 | 65% | — | $20 – $489 |
| 6 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $379 | $346 | $112 | 32% | — | $186 – $568 |
| 7 | Columbia Lutheran Charities Astoria, OR professional · fee schedule · both | 2 | $57 | $108 | $105 | 98% | — | $8 – $448 |
| 8 | Columbia Lutheran Charities Astoria, OR professional · percent of total billed charges · bothfrom % of charges | 1 | $11 | $19 | $61 | 318% | — | $11 – $646 |
| 9 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL other · outpatient | 1 | $32 | $178 | $227 | 127% | — | $16 – $871 |
| 10 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 3 | $76 | $67 | $33 | 49% | — | $23 – $102 |
| 11 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · case rate · both | 1 | $290 | $391 | $242 | 62% | — | $75 – $771 |
| 12 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 2 | $75 | $99 | $97 | 98% | — | $23 – $496 |
| 13 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · other · outpatient | 1 | $2.7k | $2.9k | $974 | 34% | — | $1.8k – $4.1k |
| 14 | Humboldt County Memorial Hospital Humboldt, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $666 | $827 | $673 | 81% | — | $25 – $2.9k |
| 15 | Kirby Medical Center Monticello, IL professional · percent of total billed charges · bothfrom % of charges | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 16 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $43 | $48 | $24 | 50% | — | $26 – $103 |
| 17 | Mercy Medical Center - New Hampton New Hampton, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $347 | $389 | $141 | 36% | — | $204 – $763 |
| 18 | Mount Carmel Dublin Dublin, OH facility · other · outpatient | 1 | $3.4k | $7.0k | $8.6k | 123% | — | $923 – $30.6k |
| 19 | Mount Carmel East Reynoldsburg, OH facility · other · outpatient | 1 | $2.8k | $7.4k | $10.4k | 141% | — | $905 – $42.9k |
| 20 | Mount Carmel Grove City Grove City, OH facility · other · outpatient | 1 | $5.6k | $5.3k | $3.3k | 63% | — | $883 – $12.5k |
| 21 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · other · outpatient | 1 | $7.2k | $7.4k | $4.6k | 62% | — | $403 – $12.7k |
| 22 | Mount Carmel St Ann's Lewis Center, OH facility · other · outpatient | 1 | $3.2k | $4.5k | $3.8k | 84% | — | $900 – $12.7k |
| 23 | North Canyon Medical Center Inc. Gooding, ID facility · fee schedule · outpatient | 1 | $82 | $129 | $109 | 85% | — | $6 – $323 |
| 24 | OCHSNER BAYOU LLC Raceland, LA fee schedule · outpatient | 1 | $534 | $522 | $128 | 25% | — | $165 – $2.4k |
| 25 | OCHSNER BAYOU LLC Raceland, LA other · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
← Payers reporting RC 964 · Snapshot 20261111T120946Z-9134e7f7