RC 269
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/PROPH/DG ADDL SEQ IV INF
Low
$2
Average
$267
Median
$178
High
$1.6k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
23 payers; the 90th percentile is 40.7× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Anthem facility · case rate · both · +3 other terms | 1 | $200 | $200 | — | — | 1–10 | $200 – $200 |
| 2 | UnitedHealthcare per diem · outpatient · +18 other terms | 33 | $577 | $711 | $228 | 32% | — | $74 – $964 |
| 3 | Blue Cross Blue Shield other · outpatient · +13 other terms | 9 | $126 | $125 | $3 | 3% | — | $114 – $128 |
| 4 | Aetna Better Health percent of total billed charges · outpatientfrom % of charges | 6 | $8 | $8 | $0 | 3% | — | $8 – $8 |
| 5 | Humana per diem · outpatient · +4 other terms | 4 | $215 | $762 | $466 | 61% | — | $215 – $1.4k |
| 6 | Cigna professional · fee schedule · outpatient · +8 other terms | 3 | $150 | $150 | $2 | 2% | — | $148 – $153 |
| 7 | First Health professional · fee schedule · outpatient · +6 other terms | 3 | $153 | $153 | — | — | — | $153 – $153 |
| 8 | Medicaid facility · fee schedule · outpatient | 3 | $5 | $4 | $1 | 31% | — | $3 – $5 |
| 9 | Medicare facility · fee schedule · outpatient · +2 other terms | 3 | $165 | $155 | $117 | 76% | — | $58 – $410 |
| 10 | Phcs professional · fee schedule · outpatient · +2 other terms | 3 | $156 | $156 | — | — | — | $156 – $156 |
| 11 | Wellmark facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 3 | $2 | $2 | $1 | 24% | — | $1 – $3 |
| 12 | Aetna fee schedule · outpatient · +6 other terms | 2 | $20 | $20 | $1 | 3% | — | $20 – $21 |
| 13 | Ambetter fee schedule · outpatient · +1 other terms | 2 | $40 | $40 | — | — | — | $40 – $40 |
| 14 | Beechstreet facility · percent of total billed charges · outpatientfrom % of charges | 2 | $571 | $178 | $297 | 167% | — | $43 – $1.1k |
| 15 | Carefirst percent of total billed charges · bothfrom % of charges | 2 | $24 | $24 | — | — | — | $24 – $24 |
| 16 | Clover fee schedule · outpatient | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 17 | Kaiser percent of total billed charges · bothfrom % of charges | 2 | $41 | $41 | — | — | — | $41 – $41 |
| 18 | Oscar facility · fee schedule · outpatient · +1 other terms | 2 | $170 | $170 | $122 | 72% | — | $60 – $423 |
| 19 | Tricare facility · fee schedule · outpatient · +2 other terms | 2 | $185 | $185 | $129 | 70% | — | $58 – $412 |
| 20 | WellCare fee schedule · outpatient · +1 other terms | 2 | $20 | $20 | — | — | — | $20 – $20 |
| 21 | Molina fee schedule · outpatient · +1 other terms | 1 | $77 | $77 | $3 | 4% | — | $74 – $80 |
| 22 | MultiPlan fee schedule · inpatient · +6 other terms | 1 | $25 | $25 | $9 | 36% | — | $16 – $35 |
| 23 | Optum percent of total billed charges · bothfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
← Hospitals reporting RC 269 · Snapshot 20261111T120946Z-9134e7f7