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
$594
Average
$3.1k
Median
$2.3k
High
$13.1k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
60 hospitals; the 90th percentile is 8.8× 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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82 hospital rates
iThe hospitals that file a Molina 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 | HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · inpatientfrom % of charges | 1 | $852 | $852 | — | — | 1–10 | $852 – $852 |
| 2 | Ascension All Saints Hospital, Inc. Racine, WI percent of total billed charges · outpatientfrom % of charges | 2 | $980 | $992 | $20 | 2% | — | $980 – $1.0k |
| 3 | Ascension Calumet Hospital, Inc. Chilton, WI per diem · inpatient | 1 | $6.0k | $6.0k | — | — | — | $6.0k – $6.0k |
| 4 | Ascension SE Wisconsin Hospital, Inc. Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | Bronson LakeView Hospital Paw Paw, MI facility · per diem · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO West Valley City, UT percent of total billed charges · inpatientfrom % of charges | 1 | $688 | $688 | — | — | — | $688 – $688 |
| 7 | CATHOLIC HEALTH INITIATIVES COLORADO West Jordan, UT percent of total billed charges · inpatientfrom % of charges | 1 | $688 | $688 | — | — | — | $688 – $688 |
| 8 | CATHOLIC HEALTH INITIATIVES COLORADO Lehi, UT percent of total billed charges · inpatientfrom % of charges | 1 | $688 | $688 | — | — | — | $688 – $688 |
| 9 | CATHOLIC HEALTH INITIATIVES COLORADO Layton, UT percent of total billed charges · inpatientfrom % of charges | 1 | $688 | $688 | — | — | — | $688 – $688 |
| 10 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT percent of total billed charges · inpatientfrom % of charges | 1 | $688 | $688 | — | — | — | $688 – $688 |
| 11 | Carlsbad Medical Center LLC Carlsbad, NM facility · per diem · inpatient | 1 | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 12 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 13 | Childrens Hospital at Mission - Cerner 27700 Medical Center Rd facility · fee schedule · inpatient | 1 | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 14 | Childrens Hospital of Los Angeles Angeles, CA facility · per diem · inpatient | 1 | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 15 | Corona Regional Medical Center Corona, CA per diem · inpatient | 1 | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 16 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · inpatientfrom % of charges | 3 | $538 | $594 | $94 | 16% | — | $517 – $726 |
| 17 | Hemet Global Medical Center Hemet, CA facility · percent of total billed charges · inpatientfrom % of charges | 3 | $3.0k | $2.3k | $1.0k | 43% | — | $910 – $3.0k |
| 18 | Humboldt County Memorial Hospital Humboldt, IA facility · per diem · inpatient | 1 | $635 | $635 | — | — | — | $635 – $635 |
| 19 | Humboldt County Memorial Hospital Humboldt, IA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $635 | $635 | — | — | — | $635 – $635 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · inpatientfrom % of charges | 2 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 21 | IHC Health Services Inc., DBA Intermountain Health Cassia Regional Hospital Burley, ID facility · percent of total billed charges · outpatientfrom % of charges | 4 | $3.7k | $3.7k | $1.9k | 52% | — | $1.8k – $5.6k |
| 22 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT facility · percent of total billed charges · inpatientfrom % of charges | 3 | $5.6k | $5.5k | $168 | 3% | — | $5.3k – $5.6k |
| 23 | IHC Health Services Inc., DBA Intermountain Health Cedar City Hospital Cedar City, UT facility · percent of total billed charges · outpatientfrom % of charges | 2 | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 24 | IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital Delta, UT facility · percent of total billed charges · inpatientfrom % of charges | 3 | $5.6k | $5.5k | $168 | 3% | — | $5.3k – $5.6k |
| 25 | IHC Health Services Inc., DBA Intermountain Health Delta Community Hospital Delta, UT facility · percent of total billed charges · outpatientfrom % of charges | 4 | $3.8k | $3.8k | $1.9k | 50% | — | $1.9k – $5.6k |
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