RC 275
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
ICD QUADRA ASSURA CRT-D
Smithville, TX
See all hospitals reporting RC 275 →Price type
Ascension Seton’s median price of $19.4k is 130% above the median hospital's median price ($8.4k), higher than 86% of the 1,445 hospitals reporting RC 275. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 14 payers, 161 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 | Ambetter 4962_superior ambetter 20250811 other · outpatient | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 2 | Blue Cross Blue Shield 4174_blue cross chip (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $4.8k | $8.4k | $9.4k | 111% | — | $46 – $33.5k |
| 3 | Blue Cross Blue Shield 4174_blue cross chip/star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $4.8k | $8.4k | $9.4k | 111% | — | $46 – $33.5k |
| 4 | Blue Cross Blue Shield 4225_chirp blue cross star (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $4.8k | $8.4k | $9.4k | 111% | — | $46 – $33.5k |
| 5 | Blue Cross Blue Shield 5015_blue cross star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $4.8k | $8.4k | $9.4k | 111% | — | $46 – $33.5k |
| 6 | UnitedHealthcare 4259_chirp uhc star (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $4.8k | $8.4k | $9.4k | 111% | — | $46 – $33.5k |
| 7 | UnitedHealthcare 4270_chirp uhc star plus (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $4.8k | $8.4k | $9.4k | 111% | — | $46 – $33.5k |
| 8 | UnitedHealthcare 4317_uhc star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $4.8k | $8.4k | $9.4k | 111% | — | $46 – $33.5k |
| 9 | Aetna 4658_medicare advantage aetna (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $5.9k | $10.3k | $11.5k | 111% | — | $56 – $41.0k |
| 10 | Blue Cross Blue Shield 3600_blue cross chip/star kids (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $5.9k | $10.3k | $11.5k | 111% | — | $56 – $41.0k |
| 11 | Blue Cross Blue Shield 3699_chirp blue cross star (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $5.9k | $10.3k | $11.5k | 111% | — | $56 – $41.0k |
| 12 | Devoted 4920_medicare advantage devoted health smv 20250811 percent of total billed charges · inpatientfrom % of charges | $5.9k | $10.3k | $11.5k | 111% | — | $56 – $41.0k |
| 13 | Humana 4663_medicare advantage humana (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $5.9k | $10.3k | $11.5k | 111% | — | $56 – $41.0k |
| 14 | Tricare 4964_tricare smv 20280811 percent of total billed charges · outpatientfrom % of charges | $5.9k | $10.3k | $11.5k | 111% | — | $56 – $41.0k |
| 15 | UnitedHealthcare 3743_chirp uhc star (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $5.9k | $10.3k | $11.5k | 111% | — | $56 – $41.0k |
| 16 | UnitedHealthcare 3754_chirp uhc star plus (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $5.9k | $10.3k | $11.5k | 111% | — | $56 – $41.0k |
| 17 | UnitedHealthcare 4328_uhc star kids (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $5.9k | $10.3k | $11.5k | 111% | — | $56 – $41.0k |
| 18 | UnitedHealthcare 4689_medicare advantage united healthcare (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $5.9k | $10.3k | $11.5k | 111% | — | $56 – $41.0k |
| 19 | WellCare 4690_medicare advantage wellcare (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $5.9k | $10.3k | $11.5k | 111% | — | $56 – $41.0k |
| 20 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $7.5k | $13.1k | $14.6k | 111% | — | $71 – $52.2k |
| 21 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 percent of total billed charges · outpatientfrom % of charges | $7.5k | $13.1k | $14.6k | 111% | — | $71 – $52.2k |
| 22 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $7.5k | $13.1k | $14.6k | 111% | — | $71 – $52.2k |
| 23 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $7.5k | $13.1k | $14.6k | 111% | — | $71 – $52.2k |
| 24 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $7.5k | $13.1k | $14.6k | 111% | — | $71 – $52.2k |
| 25 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $7.5k | $13.1k | $14.6k | 111% | — | $71 – $52.2k |
Last updated: Jan 1, 2026
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