RC 169

Cardiac valve and cardiothoracic surgery with catheterization

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Room & Board - Other Other

Payers reporting RC 169

46 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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#
1	Aetna per diem · inpatient · +14 other terms	156	$4,897	$5,038	$1,172 – $18,040
2	Humana per diem · inpatient · +12 other terms	96	$4,155	$4,225	$983.00 – $8,373
3	Cigna per diem · inpatient · +14 other terms	87	$5,220	$4,824	$600.00 – $13,801
4	Anthem per diem · inpatient · +8 other terms	68	$3,283	$3,272	$606.19 – $26,732
5	UnitedHealthcare per diem · inpatient · +15 other terms	63	$2,925	$2,699	$600.00 – $9,472
6	Blue Cross Blue Shield per diem · inpatient · +12 other terms	61	$6,508	$4,924	$497.00 – $19,451
7	MultiPlan fee schedule · inpatient · +5 other terms	31	$3,275	$3,924	$575.12 – $12,640
8	First Health fee schedule · inpatient · +5 other terms	23	$2,573	$3,132	$509.60 – $6,957
9	Ambetter per diem · inpatient · +4 other terms	22	$2,879	$2,879	$600.00 – $6,139
10	Kaiser per diem · inpatient · +7 other terms	21	$3,100	$4,223	$627.00 – $10,126
11	Medicaid percent of total billed charges · inpatientfrom % of charges	17	$1,464	$1,437	$550.33 – $2,547
12	Molina per diem · inpatient · +8 other terms	13	$1,899	$2,130	$600.00 – $5,988
13	Phcs per diem · inpatient · +4 other terms	12	$1,899	$1,943	$600.00 – $3,100
14	Optum per diem · inpatient · +4 other terms	11	$3,647	$3,251	$2,836 – $10,319
15	Tricare per diem · inpatient · +4 other terms	11	$3,097	$3,160	$1,864 – $5,024
16	WellCare per diem · inpatient · +5 other terms	11	$2,438	$2,646	$1,172 – $6,139
17	Devoted per diem · inpatient · +4 other terms	10	$2,503	$2,908	$1,683 – $6,050
18	Caresource per diem · inpatient · +1 other terms	7	$2,567	$2,830	$1,172 – $6,139
19	Ucare facility · per diem · inpatient · +1 other terms	7	$4,031	$4,309	$2,785 – $7,158
20	Medica other · both · +5 other terms	5	$10,731	$10,716	$10,639 – $10,731
21	Regence facility · per diem · inpatient · +1 other terms	5	$4,419	$4,797	$3,411 – $6,683
22	Baylor Scott White Health Plan facility · per diem · inpatient	3	$3,329	$3,970	$2,391 – $7,486
23	Magellan fee schedule · inpatient · +5 other terms	2	$3,082	$3,082	$2,206 – $3,959
24	Medicare other · inpatient · +1 other terms	2	$12,842	$12,842	$11,157 – $14,527
25	Superior Healthplan facility · per diem · inpatient	2	$3,526	$3,526	$2,686 – $4,367

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