RC 997
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
Late Cancellation Fee
Low
$603
Average
$653
Median
$650
High
$708
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10 hospital rates
iThe hospitals that file a Anthem 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 | Defiance Hospital Inc Defiance, OH facility · fee schedule · outpatient | 2 | $757 | $844 | $634 | 75% | — | $114 – $2.3k |
| 2 | Defiance Hospital Inc Defiance, OH professional · fee schedule · outpatient | 2 | $475 | $493 | $172 | 35% | — | $327 – $860 |
| 3 | Fostoria Hospital Association Fostoria, OH facility · fee schedule · outpatient | 2 | $877 | $1.0k | $762 | 75% | — | $85 – $2.7k |
| 4 | Fostoria Hospital Association Fostoria, OH facility · percent of total billed charges · inpatientfrom % of charges | 2 | $307 | $667 | $702 | 105% | — | $93 – $2.3k |
| 5 | Fostoria Hospital Association Fostoria, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $104 | $227 | $238 | 105% | — | $32 – $772 |
| 6 | Fostoria Hospital Association Fostoria, OH professional · fee schedule · outpatient | 3 | $327 | $348 | $195 | 56% | — | $68 – $748 |
| 7 | Memorial Hospital Fremont, OH facility · fee schedule · outpatient | 3 | $554 | $840 | $848 | 101% | — | $35 – $3.0k |
| 8 | Memorial Hospital Fremont, OH professional · fee schedule · outpatient | 3 | $341 | $335 | $178 | 53% | — | $68 – $673 |
| 9 | The Toledo Hospital Maumee, OH facility · fee schedule · outpatient | 4 | $555 | $746 | $896 | 120% | — | $29 – $3.7k |
| 10 | The Toledo Hospital Maumee, OH professional · fee schedule · outpatient | 4 | $378 | $576 | $794 | 138% | — | $68 – $3.7k |
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