RC 450
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 ER G TUBE REPLACEMENT
Chilton, WI
See all hospitals reporting RC 450 →Price type
Ascension Calumet Hospital, Inc.’s median price of $497 is 16% below the median hospital's median price ($592), higher than 36% of the 1,975 hospitals reporting RC 450. 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, 35 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 | Humana 936_humana hmo pos mewi sewi 20230301 percent of total billed charges · outpatientfrom % of charges | $125.30 | $116.12 | $27.30 – $164.50 |
| 2 | Humana 961_humana ppo mewi sewi 20230301 percent of total billed charges · outpatientfrom % of charges | $125.30 | $116.12 | $27.30 – $164.50 |
| 3 | Humana 962_humana wvn mewi sewi 20230301 percent of total billed charges · outpatientfrom % of charges | $125.30 | $116.12 | $27.30 – $164.50 |
| 4 | Humana 880_humana wvn cawi 20221001 percent of total billed charges · outpatientfrom % of charges | $161.10 | $149.30 | $35.10 – $211.50 |
| 5 | Humana 728_humana behavioral health wvn mewi sewi 20210101 per diem · outpatient | $273.00 | $273.00 | $273.00 – $273.00 |
| 6 | Humana 878_humana hmo pos cawi 20221001 per diem · both | $287.00 | $287.00 | $287.00 – $287.00 |
| 7 | Humana 879_humana ppo cawi 20221001 per diem · both | $287.00 | $287.00 | $287.00 – $287.00 |
| 8 | Humana 880_humana wvn cawi 20221001 per diem · outpatient | $287.00 | $287.00 | $287.00 – $287.00 |
| 9 | Humana 935_humana behavioral health hmo ppo mewi sewi 20230301 per diem · outpatient | $305.00 | $305.00 | $305.00 – $305.00 |
| 10 | Humana 936_humana hmo pos mewi sewi 20230301 per diem · outpatient | $305.00 | $305.00 | $305.00 – $305.00 |
| 11 | Humana 961_humana ppo mewi sewi 20230301 per diem · outpatient | $305.00 | $305.00 | $305.00 – $305.00 |
| 12 | Humana 962_humana wvn mewi sewi 20230301 per diem · outpatient | $305.00 | $305.00 | $305.00 – $305.00 |
| 13 | UnitedHealthcare 985_united health care pos mewi sewi 20230401 case rate · outpatient | $444.00 | $444.00 | $444.00 – $444.00 |
| 14 | Anthem 946_anthem pathways mewi sewi 20230101 percent of total billed charges · outpatientfrom % of charges | $306.18 | $562.02 | $16.38 – $3,242 |
| 15 | WellCare 984_medicare advantage wellcare outpatient cawi 20220701 percent of total billed charges · outpatientfrom % of charges | $320.76 | $578.35 | $17.16 – $3,397 |
| 16 | Tricare 619_tricare outpatient cawi 20200201 percent of total billed charges · outpatientfrom % of charges | $335.34 | $604.64 | $17.94 – $3,551 |
| 17 | Tricare 623_tricare inpatient cawi 20200201 percent of total billed charges · bothfrom % of charges | $335.34 | $604.64 | $17.94 – $3,551 |
| 18 | Molina 521_molina marketplace cawi 20190615 percent of total billed charges · outpatientfrom % of charges | $349.92 | $630.93 | $18.72 – $3,706 |
| 19 | Anthem 999_anthem blue connection mewi sewi 20230401 percent of total billed charges · outpatientfrom % of charges | $393.66 | $722.59 | $21.06 – $4,169 |
| 20 | Anthem 1000_anthem hmo pos mewi sewi 20230401 percent of total billed charges · outpatientfrom % of charges | $437.40 | $802.88 | $23.40 – $4,632 |
| 21 | Anthem 960_anthem pathways cawi 20230101 percent of total billed charges · outpatientfrom % of charges | $524.88 | $946.40 | $28.08 – $5,558 |
| 22 | Anthem 1001_anthem ppo mewi sewi 20230401 percent of total billed charges · outpatientfrom % of charges | $554.04 | $1,017 | $29.64 – $5,867 |
| 23 | Anthem 902_anthem blue connection cawi 20230101 percent of total billed charges · outpatientfrom % of charges | $568.62 | $1,025 | $30.42 – $6,022 |
| 24 | Aetna 472_aetna mewi sewi 20180701 percent of total billed charges · outpatientfrom % of charges | $605.07 | $1,091 | $32.37 – $6,408 |
| 25 | Aetna 473_aetna cawi 20170701 percent of total billed charges · outpatientfrom % of charges | $605.07 | $1,091 | $32.37 – $6,408 |
Last updated: Jan 1, 2026
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