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
$15
Average
$150
Median
$83
High
$881
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 11.3× 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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42 hospital rates
iThe hospitals that file a Tricare 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 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $63 | $91 | $66 | 72% | 44–287 | $5 – $489 |
| 2 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $71 | $147 | $141 | 96% | 3–30 | $37 – $509 |
| 3 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | 1–10 | $52 – $52 |
| 4 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $83 | $83 | — | — | 1–10 | $83 – $83 |
| 5 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $83 | $83 | — | — | 1–10 | $83 – $83 |
| 6 | Mercy Hospital Rogers dba Mercy Hospital Northwest Arkansas Rogers, AR facility · other · outpatient | 1 | $80 | $80 | — | — | 1–10 | $80 – $80 |
| 7 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · bothfrom % of charges | 1 | $19 | $34 | $50 | 149% | — | $12 – $300 |
| 8 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $34 | $50 | 149% | — | $12 – $300 |
| 9 | Calhoun Liberty Hospital Association Inc Blountstown, FL percent of total billed charges · bothfrom % of charges | 1 | $8 | $15 | $12 | 77% | — | $5 – $53 |
| 10 | Columbia Lutheran Charities Astoria, OR professional · fee schedule · both | 1 | $62 | $87 | $117 | 134% | — | $7 – $1.0k |
| 11 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO fee schedule · outpatient | 1 | $94 | $83 | $35 | 42% | — | $25 – $117 |
| 12 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO other · outpatient | 1 | $185 | $275 | $288 | 105% | — | $18 – $2.3k |
| 13 | Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 14 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 1 | $37 | $50 | $33 | 65% | — | $18 – $95 |
| 15 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges | 1 | $73 | $103 | $81 | 79% | — | $18 – $317 |
| 16 | Kaweah Health Medical Center Visalia, CA facility · fee schedule · outpatient | 1 | $307 | $866 | $1.8k | 205% | — | $14 – $22.6k |
| 17 | Kaweah Health Mental Health Hospital Visalia, CA facility · fee schedule · outpatient | 1 | $116 | $307 | $819 | 266% | — | $15 – $10.2k |
| 18 | Mayo Clinic Health System Cannon Falls 55009-5003 facility · percent of total billed charges · bothfrom % of charges | 1 | $616 | $616 | $88 | 14% | — | $528 – $704 |
| 19 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 20 | Mercy Hospital Carthage Carthage, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $98 | $84 | $21 | 25% | — | $55 – $100 |
| 21 | Mercy Hospital Healdton Inc Healdton, OK facility · fee schedule · outpatient | 2 | $35 | $35 | — | — | — | $35 – $35 |
| 22 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · other · outpatient | 1 | $103 | $103 | — | — | — | $103 – $103 |
| 23 | Mercy Hospital Kingfisher, Inc Kingfisher, OK facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 24 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $33 | $30 | 91% | — | $5 – $119 |
| 25 | Mercy Hospital Pittsburg Inc Pittsburg, KS facility · other · outpatient | 1 | $102 | $102 | — | — | — | $102 – $102 |
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