RC 972
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
XR Foot Comp Min 3 Views Lt Pro Fee
Low
$5
Average
$124
Median
$52
High
$942
Each hospital's average Molina rate, under the methodology and billing class chosen below.
32 hospitals; the 90th percentile is 6.4× 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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36 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 | Nor-Lea Hospital District Lovington, NM professional · fee schedule · outpatient | 1 | $31 | $38 | $31 | 82% | 32–320 | $9 – $157 |
| 2 | Morrison Community Hospital District Morrison, IL professional · fee schedule · both | 2 | $49 | $47 | $41 | 86% | 2–20 | $17 – $331 |
| 3 | Pana Community Hospital Association Pana, IL professional · other · outpatient | 1 | $104 | $104 | $23 | 22% | 2–20 | $82 – $127 |
| 4 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $20 | $35 | $52 | 149% | — | $12 – $313 |
| 5 | Columbia Lutheran Charities Astoria, OR professional · fee schedule · both | 2 | $38 | $59 | $88 | 150% | — | $4 – $1.0k |
| 6 | Columbia Lutheran Charities Astoria, OR professional · percent of total billed charges · bothfrom % of charges | 1 | $30 | $30 | — | — | — | $30 – $30 |
| 7 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL other · outpatient | 1 | $138 | $138 | — | — | — | $138 – $138 |
| 8 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 3 | $65 | $105 | $138 | 132% | — | $7 – $1.8k |
| 9 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · case rate · both | 1 | $111 | $268 | $243 | 91% | — | $80 – $611 |
| 10 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 2 | $39 | $43 | $26 | 61% | — | $17 – $96 |
| 11 | Humboldt County Memorial Hospital Humboldt, IA professional · percent of total billed charges · outpatientfrom % of charges | 2 | $428 | $464 | $318 | 69% | — | $97 – $903 |
| 12 | Kirby Medical Center Monticello, IL professional · fee schedule · both | 2 | $64 | $103 | $122 | 119% | — | $3 – $743 |
| 13 | Kirby Medical Center Monticello, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $80 | $80 | — | — | — | $80 – $80 |
| 14 | MCLAREN BAY REGION CITY, MI fee schedule | 2 | $43 | $52 | $51 | 98% | — | $2 – $652 |
| 15 | MCLAREN CARO REGION CARO, MI fee schedule | 2 | $42 | $51 | $52 | 102% | — | $2 – $652 |
| 16 | MCLAREN CENTRAL MICHIGAN PLEASANT, MI fee schedule | 2 | $42 | $51 | $52 | 102% | — | $2 – $652 |
| 17 | MCLAREN FLINT FLINT, MI fee schedule | 2 | $43 | $52 | $51 | 98% | — | $2 – $652 |
| 18 | MCLAREN GREATER LANSING LANSING, MI fee schedule | 2 | $43 | $52 | $51 | 98% | — | $2 – $652 |
| 19 | MCLAREN LAPEER REGION LAPEER, MI fee schedule | 2 | $43 | $52 | $51 | 98% | — | $2 – $652 |
| 20 | MCLAREN MACOMB CLEMENS, MI fee schedule | 2 | $43 | $52 | $51 | 98% | — | $2 – $652 |
| 21 | MCLAREN NORTHERN MICHIGAN PETOSKEY, MI fee schedule | 2 | $43 | $52 | $51 | 98% | — | $2 – $652 |
| 22 | MCLAREN OAKLAND PONTIAC, MI fee schedule | 2 | $43 | $52 | $51 | 98% | — | $2 – $652 |
| 23 | MCLAREN PORT HURON HURON, MI fee schedule | 2 | $43 | $52 | $51 | 98% | — | $2 – $652 |
| 24 | MCLAREN THUMB REGION AXE, MI fee schedule | 2 | $42 | $51 | $52 | 102% | — | $2 – $652 |
| 25 | Mercy Hospital Jefferson Imperial, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
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