RC 261
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.
Generation details were not recorded for this description.
Original text from hospital filings
TX/PRO/DX INJ NEW DRUG ADDON
39 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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Filter by billing class
| # | |||||
|---|---|---|---|---|---|
| 1 | Anthem fee schedule · outpatient · +8 other terms | 23 | $155.24 | $164.17 | $86.97 – $310.93 |
| 2 | UnitedHealthcare fee schedule · outpatient · +18 other terms | 10 | $200.26 | $194.97 | $72.83 – $310.93 |
| 3 | First Health percent of total billed charges · bothfrom % of charges · +3 other terms | 8 | $1,455 | $3,334 | $784.01 – $14,582 |
| 4 | Aetna case rate · inpatient · +15 other terms | 7 | $1,428 | $1,448 | $1,428 – $1,499 |
| 5 | Humana case rate · inpatient · +14 other terms | 7 | $1,428 | $1,452 | $1,428 – $1,499 |
| 6 | Oscar facility · percent of total billed charges · outpatientfrom % of charges | 7 | $249.05 | $174.50 | $11.90 – $281.05 |
| 7 | Bcbs Nj facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms | 6 | $219.75 | $226.87 | $205.10 – $401.41 |
| 8 | Bcbs Pa facility · percent of total billed charges · outpatientfrom % of charges | 6 | $351.39 | $394.81 | $140.64 – $956.64 |
| 9 | Blue Cross Blue Shield fee schedule · outpatient · +17 other terms | 6 | $783.37 | $753.39 | $58.73 – $1,026 |
| 10 | Cigna per diem · inpatient · +12 other terms | 6 | $1,428 | $1,447 | $1,428 – $1,499 |
| 11 | Aetna Better Health fee schedule · outpatient · +1 other terms | 5 | $310.93 | $310.93 | $310.93 – $310.93 |
| 12 | Ambetter per diem · inpatient · +3 other terms | 5 | $1,428 | $1,442 | $1,428 – $1,499 |
| 13 | Medica per diem · inpatient | 5 | $1,428 | $1,442 | $1,428 – $1,499 |
| 14 | WellCare fee schedule · outpatient · +6 other terms | 5 | $310.93 | $310.93 | $310.93 – $310.93 |
| 15 | Bcbs Id fee schedule · outpatient · +2 other terms | 4 | $686.33 | $683.90 | $541.00 – $856.00 |
| 16 | Bcbs Ok per diem · inpatient | 3 | $1,428 | $1,460 | $1,428 – $1,499 |
| 17 | Bcbs Tx facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $56.92 | $86.95 | $39.86 – $162.67 |
| 18 | Highmark facility · fee schedule · outpatient · +2 other terms | 3 | $421.83 | $473.27 | $36.80 – $1,287 |
| 19 | Molina fee schedule · outpatient · +4 other terms | 3 | $76.80 | $76.13 | $58.73 – $92.19 |
| 20 | Regence fee schedule · outpatient · +2 other terms | 3 | $1,009 | $1,009 | $974.82 – $1,026 |
| 21 | Amerihealth Caritas facility · fee schedule · outpatient | 2 | $123.25 | $123.25 | $36.30 – $216.94 |
| 22 | Caresource fee schedule · outpatient · +2 other terms | 2 | $87.84 | $87.84 | $86.97 – $89.58 |
| 23 | Devoted case rate · inpatient · +2 other terms | 2 | $1,428 | $1,428 | $1,428 – $1,428 |
| 24 | Healthcare Highways percent of total billed charges · inpatientfrom % of charges | 2 | $1,098 | $1,098 | $1,071 – $1,124 |
| 25 | Tricare case rate · inpatient · +3 other terms | 2 | $1,428 | $1,428 | $1,428 – $1,428 |
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