RC 481
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
Conversion of stomach tube to stomach-to-small bowel tube using fluoroscopic guidance with contrast
Ukiah, CA
See all hospitals reporting RC 481 →Price type
Ukiah Adventist Hospital’s median price of $3.4k is 50% below the median hospital's median price ($6.8k), higher than 18% of the 1,639 hospitals reporting RC 481. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 21 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 | Kaiser kaiser medi-cal fee schedule · outpatient | $142 | $312 | $315 | 101% | — | $72 – $921 |
| 2 | Medicaid medi-cal fee schedule · outpatient | $142 | $312 | $315 | 101% | — | $72 – $921 |
| 3 | Blue Cross Blue Shield blue shield mcr adv percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 4 | Blue Cross Blue Shield tricare blue shield-all plans percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | Kaiser kaiser mcr adv percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Blue Cross Blue Shield blue shield mcr adv other · outpatient | $2.2k | $1.7k | $1.4k | 84% | — | $40 – $4.3k |
| 8 | Blue Cross Blue Shield tricare blue shield-all plans other · outpatient | $2.2k | $1.7k | $1.4k | 84% | — | $40 – $4.3k |
| 9 | Kaiser kaiser mcr adv other · outpatient | $2.2k | $1.7k | $1.4k | 84% | — | $40 – $4.3k |
| 10 | UnitedHealthcare uhc mcr adv other · outpatient | $2.2k | $1.7k | $1.4k | 84% | — | $40 – $4.3k |
| 11 | Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges | $2.5k | $1.8k | $1.1k | 63% | — | $48 – $3.0k |
| 12 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $2.5k | $1.8k | $1.2k | 63% | — | $48 – $3.0k |
| 13 | Aetna aetna-all plans percent of total billed charges · outpatientfrom % of charges | $4.3k | $3.2k | $2.0k | 63% | — | $83 – $5.2k |
| 14 | Cigna cigna-all plans percent of total billed charges · outpatientfrom % of charges | $5.0k | $3.7k | $2.3k | 63% | — | $98 – $6.1k |
| 15 | UnitedHealthcare uhc jll csp 1/1/25 percent of total billed charges · outpatientfrom % of charges | $5.1k | $3.8k | $2.4k | 63% | 1–10 | $99 – $6.2k |
| 16 | Kaiser kaiser-all other plans percent of total billed charges · outpatientfrom % of charges | $5.2k | $3.8k | $2.4k | 63% | 1–10 | $100 – $6.3k |
| 17 | MultiPlan phcs multiplan-all plans percent of total billed charges · outpatientfrom % of charges | $5.2k | $3.8k | $2.4k | 63% | — | $100 – $6.3k |
| 18 | UnitedHealthcare uhc all payer-all other plans percent of total billed charges · outpatientfrom % of charges | $5.4k | $4.0k | $2.5k | 63% | 1–10 | $104 – $6.6k |
| 19 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $4.6k | $5.4k | $1.5k | 28% | — | $2.2k – $8.3k |
| 20 | Blue Cross Blue Shield blue cross non-mcs case rate · outpatient | $5.3k | $6.1k | $1.8k | 29% | — | $2.5k – $9.4k |
| 21 | Blue Cross Blue Shield blue cross mcs-all other plans case rate · outpatient | $6.3k | $7.3k | $2.2k | 30% | — | $2.5k – $11.3k |
Last updated: May 24, 2026
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