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
$25
Average
$80
Median
$76
High
$216
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 3.9× 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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43 hospital rates
iThe hospitals that file a WellCare 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 | HOULTON REGIONAL HOSPITAL HOULTON, ME fee schedule · outpatient | 1 | $112 | $144 | $116 | 81% | 2,911–3,604 | $23 – $490 |
| 2 | Stephens County Hospital Toccoa, GA other · outpatient | 1 | $78 | $78 | — | — | 2–20 | $78 – $78 |
| 3 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $85 | $85 | — | — | 1–10 | $85 – $85 |
| 4 | Mercy Hospital Fort Smith Smith, AR facility · other · outpatient | 1 | $85 | $85 | — | — | 1–10 | $85 – $85 |
| 5 | Morrison Community Hospital District Morrison, IL professional · fee schedule · both | 1 | $21 | $25 | $17 | 66% | 1–10 | $17 – $122 |
| 6 | Pana Community Hospital Association Pana, IL professional · other · outpatient | 1 | $106 | $106 | — | — | 1–10 | $106 – $106 |
| 7 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $32 | $48 | 149% | — | $11 – $287 |
| 8 | Baxter County Regional Hospital, Inc. Home, AR facility · fee schedule · outpatient | 1 | $216 | $212 | $149 | 70% | — | $87 – $858 |
| 9 | Calais Community Hospital Calais, ME percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $118 | $92 | 78% | — | $3 – $411 |
| 10 | Calhoun Liberty Hospital Association Inc Blountstown, FL other · both | 1 | $15 | $29 | $23 | 79% | — | $7 – $102 |
| 11 | Chatham Hospital Siler City, NC facility · percent of total billed charges · outpatientfrom % of charges | 2 | $200 | $216 | $158 | 73% | — | $54 – $410 |
| 12 | Coffee Regional Medical Center, Inc Douglas, GA facility · fee schedule · outpatient | 1 | $101 | $101 | — | — | — | $101 – $101 |
| 13 | Coffee Regional Medical Center, Inc Douglas, GA professional · fee schedule · outpatient | 1 | $84 | $83 | $25 | 30% | — | $44 – $119 |
| 14 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL fee schedule · both | 1 | $104 | $163 | $139 | 86% | — | $22 – $806 |
| 15 | HH HEALTH SYSTEM DEKALB REGIONAL Payne, AL percent of total billed charges · bothfrom % of charges | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 16 | Holy Name Teaneck, NJ facility · fee schedule · outpatient | 1 | $105 | $105 | — | — | — | $105 – $105 |
| 17 | Izard Regional Hospital Norfork, AR other · both | 1 | $21 | $49 | $54 | 110% | — | $10 – $519 |
| 18 | Kirby Medical Center Monticello, IL professional · fee schedule · both | 1 | $37 | $64 | $76 | 118% | — | $3 – $381 |
| 19 | Mercy Hospital Aurora Aurora, MO facility · fee schedule · outpatient | 1 | $61 | $61 | — | — | — | $61 – $61 |
| 20 | Mercy Hospital Berryville Berryville, AR facility · fee schedule · outpatient | 2 | $60 | $60 | — | — | — | $60 – $60 |
| 21 | Mercy Hospital Carthage Carthage, MO facility · fee schedule · outpatient | 1 | $101 | $99 | $5 | 5% | — | $92 – $104 |
| 22 | Mercy Hospital Healdton Inc Healdton, OK facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 23 | Mercy Hospital Joplin dba Mercy Hospital Joplin Joplin, MO facility · other · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 24 | Mercy Hospital Kingfisher, Inc Kingfisher, OK facility · fee schedule · outpatient | 1 | $35 | $35 | — | — | — | $35 – $35 |
| 25 | Mercy Hospital Lincoln Troy, MO facility · percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $37 | $34 | 91% | — | $5 – $135 |
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