RC 138
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
AMPUTATION NON-LOWER EXTREMITY M >=52.50 AND M <58.50
Georgetown, TX
See all hospitals reporting RC 138 →Price type
St. David's Georgetown Hospital’s median price of $26.4k is 981% above the median hospital's median price ($2.4k), higher than 94% of the 492 hospitals reporting RC 138. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 38 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 | Superior Healthplan valuehmo per diem · inpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 2 | Superior Healthplan ambetterepo per diem · inpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 3 | Superior Healthplan ambetterhmo per diem · inpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 4 | Oscar hix per diem · inpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 5 | Oscar hmo per diem · inpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 6 | UnitedHealthcare smallgroup per diem · inpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 7 | Oscar epo per diem · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | Oscar pos per diem · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | Oscar ppo per diem · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 10 | Blue Cross Blue Shield mybluehealth per diem · inpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 11 | Blue Cross Blue Shield blueadvantage per diem · inpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 12 | Blue Cross Blue Shield blueessentials per diem · inpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 13 | Blue Cross Blue Shield blueessentialsaccess per diem · inpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 14 | UnitedHealthcare narrownetworkhix per diem · inpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 15 | Blue Cross Blue Shield eposoa per diem · inpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 16 | Blue Cross Blue Shield ppo per diem · inpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 17 | UnitedHealthcare allpayerappendix per diem · inpatient | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 18 | Cigna newbusinessnetwork per diem · inpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 19 | Cigna hmo per diem · inpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 20 | Cigna openaccess per diem · inpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 21 | Cigna openaccessplus per diem · inpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 22 | Aetna narrownetwork per diem · inpatient | $3.8k | $3.7k | $86 | 2% | — | $3.5k – $3.8k |
| 23 | Cigna ppo per diem · inpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 24 | Aetna comm per diem · inpatient | $5.2k | $5.1k | $120 | 2% | — | $4.9k – $5.2k |
| 25 | Aetna meritain per diem · inpatient | $5.2k | $5.1k | $120 | 2% | — | $4.9k – $5.2k |
Last updated: Sep 1, 2026
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