RC 480
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
N-INVAS EST C FFR SW ALY CTA
Smithville, TX
See all hospitals reporting RC 480 →Price type
Ascension Seton’s median price of $1.5k is 42% above the median hospital's median price ($1.1k), higher than 60% of the 1,924 hospitals reporting RC 480. 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, 150 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 | Oscar 4511_oscar health plan 20251001 percent of total billed charges · outpatientfrom % of charges | $73.71 | $73.32 | $0.63 – $186.59 |
| 2 | Oscar 4511_oscar health plan 20251001 per diem · outpatient | $489.00 | $489.00 | $489.00 – $489.00 |
| 3 | Blue Cross Blue Shield 4174_blue cross chip (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $267.87 | $1,083 | $0.14 – $11,275 |
| 4 | Blue Cross Blue Shield 4174_blue cross chip/star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $267.87 | $1,083 | $0.14 – $11,275 |
| 5 | Blue Cross Blue Shield 4225_chirp blue cross star (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $267.87 | $1,083 | $0.14 – $11,275 |
| 6 | Blue Cross Blue Shield 5015_blue cross star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $267.87 | $1,083 | $0.14 – $11,275 |
| 7 | UnitedHealthcare 4259_chirp uhc star (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $267.87 | $1,083 | $0.14 – $11,275 |
| 8 | UnitedHealthcare 4270_chirp uhc star plus (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $267.87 | $1,083 | $0.14 – $11,275 |
| 9 | UnitedHealthcare 4317_uhc star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $267.87 | $1,083 | $0.14 – $11,275 |
| 10 | Aetna 4658_medicare advantage aetna (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $324.88 | $1,371 | $0.17 – $13,781 |
| 11 | Devoted 4920_medicare advantage devoted health smv 20250811 percent of total billed charges · inpatientfrom % of charges | $324.88 | $1,371 | $0.17 – $13,781 |
| 12 | Humana 4663_medicare advantage humana (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $324.88 | $1,371 | $0.17 – $13,781 |
| 13 | Tricare 4964_tricare smv 20280811 percent of total billed charges · outpatientfrom % of charges | $324.88 | $1,371 | $0.17 – $13,781 |
| 14 | UnitedHealthcare 4689_medicare advantage united healthcare (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $324.88 | $1,371 | $0.17 – $13,781 |
| 15 | WellCare 4690_medicare advantage wellcare (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $324.88 | $1,371 | $0.17 – $13,781 |
| 16 | Blue Cross Blue Shield 3600_blue cross chip/star kids (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $392.59 | $1,590 | $0.17 – $13,781 |
| 17 | Blue Cross Blue Shield 3699_chirp blue cross star (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $392.59 | $1,590 | $0.17 – $13,781 |
| 18 | UnitedHealthcare 3743_chirp uhc star (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $392.59 | $1,590 | $0.17 – $13,781 |
| 19 | UnitedHealthcare 3754_chirp uhc star plus (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $392.59 | $1,590 | $0.17 – $13,781 |
| 20 | UnitedHealthcare 4328_uhc star kids (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $392.59 | $1,590 | $0.17 – $13,781 |
| 21 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $416.69 | $1,684 | $0.21 – $17,539 |
| 22 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $416.69 | $1,684 | $0.21 – $17,539 |
| 23 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $416.69 | $1,684 | $0.21 – $17,539 |
| 24 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $416.69 | $1,684 | $0.21 – $17,539 |
| 25 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $416.69 | $1,684 | $0.21 – $17,539 |
Last updated: Jan 1, 2026
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