RC 990
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
COMMUNITY SCREEN PROFILE
Low
$1
Average
$87
Median
$43
High
$688
Each hospital's average Caresource rate, under the methodology and billing class chosen below.
59 hospitals; the 90th percentile is 19.3× 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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74 hospital rates
iThe hospitals that file a Caresource 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 | TRINITY HOSPITAL HOLDING COMPANY St.Clairsville, OH fee schedule · outpatient | 2 | $12 | $12 | $1 | 7% | 1–10 | $11 – $13 |
| 2 | Ascension St. Vincent Heart Center Carmel, IN percent of total billed charges · outpatientfrom % of charges | 2 | $213 | $213 | — | — | — | $213 – $213 |
| 3 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $154 | $292 | $309 | 106% | — | $15 – $835 |
| 4 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 5 | Brunswick Community Hospital, LLC Bolivia, NC fee schedule · outpatient | 1 | $22 | $22 | $7 | 30% | — | $16 – $29 |
| 6 | Carmel AmbSurg Carmel, IN percent of total billed charges · outpatientfrom % of charges | 2 | $60 | $218 | $333 | 153% | — | $15 – $1.2k |
| 7 | Defiance Hospital Inc Defiance, OH facility · fee schedule · outpatient | 1 | $24 | $53 | $84 | 158% | — | $8 – $301 |
| 8 | Defiance Hospital Inc Defiance, OH professional · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 9 | Diley Ridge Medical Center Canal Winchester, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $42 | $71 | $76 | 107% | — | $6 – $219 |
| 10 | Endo Surgery Center Carmel, IN percent of total billed charges · outpatientfrom % of charges | 2 | $60 | $218 | $333 | 153% | — | $15 – $1.2k |
| 11 | Forsyth Memorial Hospital, Inc. Clemmons, NC fee schedule · outpatient | 1 | $19 | $19 | $6 | 30% | — | $13 – $24 |
| 12 | Forsyth Memorial Hospital, Inc. Winston-Salem, NC fee schedule · outpatient | 1 | $24 | $25 | $8 | 31% | — | $16 – $35 |
| 13 | Fostoria Hospital Association Fostoria, OH facility · fee schedule · outpatient | 1 | $55 | $78 | $69 | 88% | — | $28 – $214 |
| 14 | Fostoria Hospital Association Fostoria, OH professional · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 15 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 1 | $17 | $17 | $1 | 6% | — | $16 – $18 |
| 16 | Medical Park Hospital LLC Winston-Salem, NC fee schedule · outpatient | 1 | $19 | $19 | $6 | 30% | — | $13 – $24 |
| 17 | Memorial Hospital Fremont, OH professional · fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 18 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $25 | $47 | $70 | 148% | — | $3 – $315 |
| 19 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $27 | $30 | $17 | 56% | — | $12 – $58 |
| 20 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $52 | $67 | $82 | 123% | — | $4 – $327 |
| 21 | Mount Carmel East Reynoldsburg, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $42 | $65 | $59 | 90% | — | $6 – $219 |
| 22 | Mount Carmel Grove City Grove City, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $46 | $70 | $60 | 85% | — | $6 – $219 |
| 23 | Mount Carmel New Albany Surgical Hospital New Albany, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $39 | $58 | $58 | 99% | — | $6 – $219 |
| 24 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 2 | $50 | $77 | $64 | 83% | — | $6 – $219 |
| 25 | Naab Road Surgery Center Indianapolis, IN percent of total billed charges · outpatientfrom % of charges | 2 | $60 | $218 | $333 | 153% | — | $15 – $1.2k |
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