RC 762
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 OBSERVATION CARVE-OUT NUCLEAR MED REV CODE 340,
Chilton, WI
See all hospitals reporting RC 762 →Price type
Ascension Calumet Hospital, Inc.’s median price of $52 is 69% below the median hospital's median price ($170), higher than 12% of the 1,949 hospitals reporting RC 762. 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, 39 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 | Anthem 946_anthem pathways mewi sewi 20230101 percent of total billed charges · outpatientfrom % of charges | $26.46 | $41.46 | $26.46 – $270.06 |
| 2 | WellCare 984_medicare advantage wellcare outpatient cawi 20220701 percent of total billed charges · outpatientfrom % of charges | $27.72 | $43.22 | $27.72 – $282.92 |
| 3 | Tricare 619_tricare outpatient cawi 20200201 percent of total billed charges · outpatientfrom % of charges | $31.05 | $45.64 | $28.98 – $295.78 |
| 4 | Tricare 623_tricare inpatient cawi 20200201 percent of total billed charges · bothfrom % of charges | $33.12 | $46.79 | $28.98 – $295.78 |
| 5 | Molina 521_molina marketplace cawi 20190615 percent of total billed charges · outpatientfrom % of charges | $30.24 | $47.39 | $30.24 – $308.64 |
| 6 | Anthem 999_anthem blue connection mewi sewi 20230401 percent of total billed charges · outpatientfrom % of charges | $38.88 | $54.12 | $34.02 – $347.22 |
| 7 | Anthem 1000_anthem hmo pos mewi sewi 20230401 percent of total billed charges · outpatientfrom % of charges | $37.80 | $58.93 | $37.80 – $385.80 |
| 8 | Humana 936_humana hmo pos mewi sewi 20230301 percent of total billed charges · outpatientfrom % of charges | $44.10 | $69.11 | $44.10 – $450.10 |
| 9 | Humana 961_humana ppo mewi sewi 20230301 percent of total billed charges · outpatientfrom % of charges | $44.10 | $69.11 | $44.10 – $450.10 |
| 10 | Humana 962_humana wvn mewi sewi 20230301 percent of total billed charges · outpatientfrom % of charges | $50.40 | $69.81 | $44.10 – $450.10 |
| 11 | Anthem 960_anthem pathways cawi 20230101 percent of total billed charges · outpatientfrom % of charges | $48.60 | $71.44 | $45.36 – $462.96 |
| 12 | Anthem 1001_anthem ppo mewi sewi 20230401 percent of total billed charges · outpatientfrom % of charges | $51.30 | $75.41 | $47.88 – $488.68 |
| 13 | Anthem 902_anthem blue connection cawi 20230101 percent of total billed charges · outpatientfrom % of charges | $56.16 | $77.78 | $49.14 – $501.54 |
| 14 | Aetna 473_aetna cawi 20170701 percent of total billed charges · outpatientfrom % of charges | $52.29 | $81.94 | $52.29 – $533.69 |
| 15 | Aetna 472_aetna mewi sewi 20180701 percent of total billed charges · outpatientfrom % of charges | $59.76 | $83.18 | $52.29 – $533.69 |
| 16 | Humana 879_humana ppo cawi 20221001 percent of total billed charges · outpatientfrom % of charges | $53.55 | $83.91 | $53.55 – $546.55 |
| 17 | Anthem 904_anthem ppo cawi 20230101 percent of total billed charges · outpatientfrom % of charges | $62.64 | $86.76 | $54.81 – $559.41 |
| 18 | Humana 880_humana wvn cawi 20221001 percent of total billed charges · outpatientfrom % of charges | $56.70 | $87.05 | $56.70 – $578.70 |
| 19 | Anthem 903_anthem hmo pos cawi 20230101 percent of total billed charges · outpatientfrom % of charges | $62.64 | $87.19 | $54.81 – $559.41 |
| 20 | UnitedHealthcare 123_united health care ppo cawi 20130101 percent of total billed charges · outpatientfrom % of charges | $56.70 | $87.95 | $56.70 – $578.70 |
| 21 | Humana 935_humana behavioral health hmo ppo mewi sewi 20230301 percent of total billed charges · bothfrom % of charges | $60.75 | $89.30 | $56.70 – $578.70 |
| 22 | Humana 878_humana hmo pos cawi 20221001 percent of total billed charges · outpatientfrom % of charges | $64.80 | $89.75 | $56.70 – $578.70 |
| 23 | Humana 728_humana behavioral health wvn mewi sewi 20210101 percent of total billed charges · bothfrom % of charges | $64.80 | $90.20 | $56.70 – $578.70 |
| 24 | Cigna 1004_cigna 20230701 percent of total billed charges · outpatientfrom % of charges | $62.10 | $91.28 | $57.96 – $591.56 |
| 25 | UnitedHealthcare 1003_united health care pos cawi 20230401 percent of total billed charges · outpatientfrom % of charges | $65.52 | $91.66 | $57.33 – $585.13 |
Last updated: Jan 1, 2026
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