RC 204
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.
Generation details were not recorded for this description.
Original text from hospital filings
ICU PSYCHIATRIC
Smithville, TX
See all hospitals reporting RC 204 →Price type
Ascension Seton’s median price of $2.5k is 5% below the median hospital's median price ($2.6k), higher than 47% of the 453 hospitals reporting RC 204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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 | Aetna 3435_aetna sha aisd (chi,dcn) 20240701 per diem · inpatient | $895 | $895 | — | — | — | $895 – $895 |
| 2 | Aetna 4483_aetna aco ppo/hmo (chi,dcn) 20250801 per diem · inpatient | $982 | $982 | — | — | — | $982 – $982 |
| 3 | Aetna 4484_aetna multi-tier whole health sha (chi,dcn) 20250801 per diem · inpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | Aetna 4481_aetna hmo (chi,dcn) 20250801 per diem · inpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 5 | Aetna 4482_aetna ppo (chi,dcn) 20250801 per diem · inpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | Aetna 4658_medicare advantage aetna (smv) 20250811 other · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 7 | Devoted 4920_medicare advantage devoted health smv 20250811 other · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | Humana 4663_medicare advantage humana (smv) 20250811 other · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | WellCare 4690_medicare advantage wellcare (smv) 20250811 other · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | UnitedHealthcare 625_united healthcare student resource 20020401 per diem · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | UnitedHealthcare 4689_medicare advantage united healthcare (smv) 20250811 other · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | Humana 415_humana exchange (chi,dcn) 20160101 per diem · both | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 13 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 per diem · inpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 14 | Superior Healthplan 3515_chirp superior star (smv) inpatient 20240901 per diem · inpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 15 | Superior Healthplan 3620_superior star foster inpatient 20240901 per diem · inpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 16 | Superior Healthplan 3621_superior star foster (chi,dcn) inpatient 20240901 per diem · inpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 17 | Superior Healthplan 4188_superior star foster outpatient 20241201 per diem · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 18 | Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 per diem · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 19 | Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 per diem · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 20 | Superior Healthplan 4247_chirp superior star (smv) outpatient 20241201 per diem · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 21 | Superior Healthplan 4375_chirp superior star plus (chi,dcn) inpatient 20240901 per diem · inpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 22 | Superior Healthplan 4381_chirp superior star plus (smv) inpatient 20240901 per diem · inpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 23 | Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 per diem · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 24 | Superior Healthplan 4401_chirp superior star plus (smv) outpatient 20241201 per diem · both | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 25 | Superior Healthplan 4884_superior star kids inpatient 20240901 per diem · inpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
Last updated: Jan 1, 2026
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