RC 264

Intravenous therapy supplies

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

TX/PRO/DX INJ NEW DRUG ADDON

Payers reporting RC 264

Payer pricing summary

Low

$22

Average

$597

Median

$179

High

$4.9k

Payer rate distribution

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#
1	WellCare percent of total billed charges · outpatientfrom % of charges	1	$191	$191	—	—	1–10	$191 – $191
2	Anthem fee schedule · outpatient · +1 other terms	18	$55	$52	$8	16%	—	$19 – $55
3	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	3	$283	$246	$98	40%	—	$25 – $340
4	UnitedHealthcare per diem · outpatient · +4 other terms	3	$223	$223	—	—	—	$223 – $223
5	Aetna fee schedule · outpatient · +4 other terms	2	$24	$25	$2	8%	—	$22 – $26
6	Humana fee schedule · outpatient · +2 other terms	2	$13	$13	$9	69%	—	$4 – $22
7	Ambetter other · outpatient	1	$4.9k	$4.9k	—	—	—	$4.9k – $4.9k
8	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$40	$40	—	—	—	$40 – $40
9	Cigna fee schedule · inpatient · +2 other terms	1	$25	$25	$0	1%	—	$25 – $25
10	First Health fee schedule · inpatient · +1 other terms	1	$28	$28	—	—	—	$28 – $28
11	Highmark fee schedule · both	1	$29	$29	—	—	—	$29 – $29
12	Molina fee schedule · outpatient	1	$77	$77	$3	4%	—	$74 – $80
13	MultiPlan percent of total billed charges · outpatientfrom % of charges · +1 other terms	1	$196	$196	$153	78%	—	$41 – $360
14	Superior Healthplan fee schedule · outpatient	1	$22	$22	—	—	—	$22 – $22
15	Tricare percent of total billed charges · outpatientfrom % of charges	1	$179	$179	—	—	—	$179 – $179