RC 123
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
Room & Board - Semi-private (Two Beds) Pediatric
Low
$955
Average
$4.4k
Median
$3.3k
High
$10.7k
Each hospital's average Medica rate, under the methodology and billing class chosen below.
33 hospitals; the 90th percentile is 5.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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52 hospital rates
iThe hospitals that file a Medica rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · inpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 2 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 3 | Allina Health Systems Owatonna, MN facility · fee schedule · inpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 4 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 5 | Allina Health Systems Ulm, MN facility · fee schedule · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 6 | Allina Health Systems Ulm, MN facility · other · inpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 7 | Allina Health Systems Ulm, MN facility · per diem · inpatient | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 8 | Allina Health Systems Ulm, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · inpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 10 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 11 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 12 | Allina Health Systems River Falls, WI facility · other · inpatient | 1 | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 13 | Allina Health Systems River Falls, WI facility · per diem · inpatient | 1 | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 14 | Allina Health Systems Minneapolis, MN facility · fee schedule · inpatient | 1 | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 15 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 16 | Allina Health Systems Buffalo, MN facility · case rate · inpatient | 1 | $9.3k | $9.3k | — | — | — | $9.3k – $9.3k |
| 17 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS other · both | 1 | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 18 | Ascension Via Christi Hospital Manhattan, Inc. Manhattan, KS percent of total billed charges · outpatientfrom % of charges | 1 | $692 | $692 | — | — | — | $692 – $692 |
| 19 | Ascension Via Christi Hospital St. Teresa, Inc. Wichita, KS other · both | 1 | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 20 | Ascension Via Christi Hospitals Wichita, Inc. Wichita, KS other · both | 2 | $10.7k | $10.7k | $46 | 0% | — | $10.6k – $10.7k |
| 21 | Ascension Via Christi Rehabilitation Hospital, Inc. Wichita, KS other · both | 1 | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 22 | CARRINGTON HEALTH CENTER Carrington, ND fee schedule · inpatient | 1 | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 23 | CARRINGTON HEALTH CENTER Carrington, ND per diem · inpatient | 1 | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 24 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $3.9k | $4.6k | $1.5k | 33% | — | $3.9k – $8.0k |
| 25 | Children's Mercy Hospital Kansas City, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $3.9k | $4.6k | $1.5k | 33% | — | $3.9k – $8.0k |
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