RC 264
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
TX/PRO/DX INJ NEW DRUG ADDON
Low
$6
Average
$77
Median
$29
High
$193
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
6 hospitals; the 90th percentile is 11.7× 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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8 hospital rates
iThe hospitals that file a Aetna 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 | HOULTON REGIONAL HOSPITAL HOULTON, ME percent of total billed charges · outpatientfrom % of charges | 1 | $193 | $193 | — | — | — | $193 – $193 |
| 2 | Hendricks Regional Health Brownsburg, IN percent of total billed charges · outpatientfrom % of charges | 1 | $168 | $181 | $142 | 78% | — | $37 – $353 |
| 3 | Ochiltree General Hospital Perryton, TX fee schedule · outpatient | 1 | $22 | $22 | — | — | — | $22 – $22 |
| 4 | Ochiltree General Hospital Perryton, TX percent of total billed charges · outpatientfrom % of charges | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 5 | ST. CLAIR MEMORIAL HOSPITAL PITTSBURGH, PA fee schedule · both | 1 | $29 | $29 | — | — | — | $29 – $29 |
| 6 | Samaritan Medical Center Watertown, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 7 | YAVAPAI COMMUNITY HOSPITAL ASSOCIATION Prescott Valley, AZ fee schedule · inpatient | 2 | $26 | $26 | — | — | — | $26 – $26 |
| 8 | YAVAPAI COMMUNITY HOSPITAL ASSOCIATION Prescott Valley, AZ fee schedule · outpatient | 2 | $26 | $26 | — | — | — | $26 – $26 |
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