RC 350
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
HC N-INVAS EST C FFR AUGMNT SW ALYS CTA I&R PHY/QH
Chilton, WI
See all hospitals reporting RC 350 →Price type
Ascension Calumet Hospital, Inc.’s median price of $951 is 38% above the median hospital's median price ($688), higher than 69% of the 1,920 hospitals reporting RC 350. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 27 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Cigna 1004_cigna 20230701 percent of total billed charges · outpatientfrom % of charges | $117.76 | $117.76 | $117.76 – $117.76 |
| 2 | Anthem 946_anthem pathways mewi sewi 20230101 other · outpatient | $231.00 | $231.00 | $231.00 – $231.00 |
| 3 | Anthem 999_anthem blue connection mewi sewi 20230401 other · outpatient | $699.00 | $699.00 | $699.00 – $699.00 |
| 4 | WellCare 984_medicare advantage wellcare outpatient cawi 20220701 percent of total billed charges · outpatientfrom % of charges | $823.68 | $757.79 | $56.32 – $1,327 |
| 5 | Anthem 1000_anthem hmo pos mewi sewi 20230401 other · outpatient | $776.00 | $776.00 | $776.00 – $776.00 |
| 6 | Tricare 619_tricare outpatient cawi 20200201 percent of total billed charges · outpatientfrom % of charges | $861.12 | $792.24 | $58.88 – $1,388 |
| 7 | Tricare 623_tricare inpatient cawi 20200201 percent of total billed charges · bothfrom % of charges | $861.12 | $792.24 | $58.88 – $1,388 |
| 8 | Molina 521_molina marketplace cawi 20190615 percent of total billed charges · outpatientfrom % of charges | $898.56 | $826.68 | $61.44 – $1,448 |
| 9 | Anthem 1001_anthem ppo mewi sewi 20230401 other · outpatient | $979.00 | $979.00 | $979.00 – $979.00 |
| 10 | Humana 936_humana hmo pos mewi sewi 20230301 percent of total billed charges · outpatientfrom % of charges | $1,310 | $1,206 | $89.60 – $2,112 |
| 11 | Humana 961_humana ppo mewi sewi 20230301 percent of total billed charges · outpatientfrom % of charges | $1,310 | $1,206 | $89.60 – $2,112 |
| 12 | Humana 962_humana wvn mewi sewi 20230301 percent of total billed charges · outpatientfrom % of charges | $1,310 | $1,206 | $89.60 – $2,112 |
| 13 | Cigna 1004_cigna 20230701 case rate · outpatient | $1,229 | $1,229 | $1,229 – $1,229 |
| 14 | Anthem 960_anthem pathways cawi 20230101 percent of total billed charges · outpatientfrom % of charges | $1,348 | $1,240 | $92.16 – $2,172 |
| 15 | Anthem 902_anthem blue connection cawi 20230101 percent of total billed charges · outpatientfrom % of charges | $1,460 | $1,343 | $99.84 – $2,353 |
| 16 | Aetna 472_aetna mewi sewi 20180701 percent of total billed charges · outpatientfrom % of charges | $1,554 | $1,429 | $106.24 – $2,504 |
| 17 | Aetna 473_aetna cawi 20170701 percent of total billed charges · outpatientfrom % of charges | $1,554 | $1,429 | $106.24 – $2,504 |
| 18 | Humana 879_humana ppo cawi 20221001 percent of total billed charges · outpatientfrom % of charges | $1,591 | $1,464 | $108.80 – $2,564 |
| 19 | Anthem 903_anthem hmo pos cawi 20230101 percent of total billed charges · outpatientfrom % of charges | $1,629 | $1,498 | $111.36 – $2,625 |
| 20 | Anthem 904_anthem ppo cawi 20230101 percent of total billed charges · outpatientfrom % of charges | $1,629 | $1,498 | $111.36 – $2,625 |
| 21 | Humana 728_humana behavioral health wvn mewi sewi 20210101 percent of total billed charges · bothfrom % of charges | $1,685 | $1,550 | $115.20 – $2,715 |
| 22 | Humana 878_humana hmo pos cawi 20221001 percent of total billed charges · outpatientfrom % of charges | $1,685 | $1,550 | $115.20 – $2,715 |
| 23 | Humana 880_humana wvn cawi 20221001 percent of total billed charges · outpatientfrom % of charges | $1,685 | $1,550 | $115.20 – $2,715 |
| 24 | Humana 935_humana behavioral health hmo ppo mewi sewi 20230301 percent of total billed charges · bothfrom % of charges | $1,685 | $1,550 | $115.20 – $2,715 |
| 25 | UnitedHealthcare 123_united health care ppo cawi 20130101 percent of total billed charges · outpatientfrom % of charges | $1,685 | $1,550 | $115.20 – $2,715 |
Last updated: Jan 1, 2026
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