RC 430
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
RMVL DEVITAL TIS 20 CM OR LESS
Smithville, TX
See all hospitals reporting RC 430 →Price type
Ascension Seton’s median price of $80 is 21% below the median hospital's median price ($102), higher than 31% of the 1,910 hospitals reporting RC 430. 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, 165 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 | Blue Cross Blue Shield 4174_blue cross chip (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $17 | $19 | $11 | 59% | — | $2 – $52 |
| 2 | Blue Cross Blue Shield 4174_blue cross chip/star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $17 | $19 | $11 | 59% | — | $2 – $52 |
| 3 | Blue Cross Blue Shield 4225_chirp blue cross star (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $17 | $19 | $11 | 59% | — | $2 – $52 |
| 4 | Blue Cross Blue Shield 5015_blue cross star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $17 | $19 | $11 | 59% | — | $2 – $52 |
| 5 | UnitedHealthcare 4259_chirp uhc star (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $17 | $19 | $11 | 59% | — | $2 – $52 |
| 6 | UnitedHealthcare 4270_chirp uhc star plus (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $17 | $19 | $11 | 59% | — | $2 – $52 |
| 7 | UnitedHealthcare 4317_uhc star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $17 | $19 | $11 | 59% | — | $2 – $52 |
| 8 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $21 | $20 | $6 | 32% | — | $11 – $26 |
| 9 | Superior Healthplan 3515_chirp superior star (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $21 | $20 | $6 | 32% | — | $11 – $26 |
| 10 | Superior Healthplan 4188_superior star foster outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $21 | $20 | $6 | 32% | — | $11 – $26 |
| 11 | Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $21 | $20 | $6 | 32% | — | $11 – $26 |
| 12 | Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $21 | $20 | $6 | 32% | — | $11 – $26 |
| 13 | Superior Healthplan 4247_chirp superior star (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $21 | $20 | $6 | 32% | — | $11 – $26 |
| 14 | Superior Healthplan 4375_chirp superior star plus (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $21 | $20 | $6 | 32% | — | $11 – $26 |
| 15 | Superior Healthplan 4381_chirp superior star plus (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $21 | $20 | $6 | 32% | — | $11 – $26 |
| 16 | Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $21 | $20 | $6 | 32% | — | $11 – $26 |
| 17 | Superior Healthplan 4401_chirp superior star plus (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $21 | $20 | $6 | 32% | — | $11 – $26 |
| 18 | Superior Healthplan 4888_superior star kids outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $21 | $20 | $6 | 32% | — | $11 – $26 |
| 19 | Superior Healthplan 4889_superior star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $21 | $20 | $6 | 32% | — | $11 – $26 |
| 20 | Oscar 4511_oscar health plan 20251001 percent of total billed charges · outpatientfrom % of charges | $22 | $20 | $7 | 32% | — | $11 – $28 |
| 21 | Aetna 4658_medicare advantage aetna (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $20 | $23 | $14 | 59% | — | $3 – $64 |
| 22 | Blue Cross Blue Shield 3600_blue cross chip/star kids (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $20 | $23 | $14 | 59% | — | $3 – $64 |
| 23 | Blue Cross Blue Shield 3699_chirp blue cross star (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $20 | $23 | $14 | 59% | — | $3 – $64 |
| 24 | Devoted 4920_medicare advantage devoted health smv 20250811 percent of total billed charges · inpatientfrom % of charges | $20 | $23 | $14 | 59% | — | $3 – $64 |
| 25 | Humana 4663_medicare advantage humana (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $20 | $23 | $14 | 59% | — | $3 – $64 |
Last updated: Jan 1, 2026
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