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
$25
Average
$153
Median
$98
High
$391
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5 hospital rates
iThe hospitals that file a Cigna 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 | $391 | $391 | — | — | — | $391 – $391 |
| 2 | Hendricks Regional Health Brownsburg, IN percent of total billed charges · outpatientfrom % of charges | 1 | $156 | $156 | $121 | 78% | — | $35 – $278 |
| 3 | Ochiltree General Hospital Perryton, TX percent of total billed charges · outpatientfrom % of charges | 1 | $40 | $40 | — | — | — | $40 – $40 |
| 4 | YAVAPAI COMMUNITY HOSPITAL ASSOCIATION Prescott Valley, AZ fee schedule · inpatient | 2 | $25 | $25 | $0 | 1% | — | $25 – $25 |
| 5 | YAVAPAI COMMUNITY HOSPITAL ASSOCIATION Prescott Valley, AZ fee schedule · outpatient | 2 | $25 | $25 | $0 | 1% | — | $25 – $25 |
← Payers reporting RC 264 · Snapshot 20261111T120946Z-9134e7f7