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
$311
Median
$72
High
$1.0k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 61.1× 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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36 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 | Eskenazi Health Indianapolis, IN facility · percent of total billed charges · bothfrom % of charges | 1 | $73 | $73 | — | — | 22 | $73 – $73 |
| 2 | EATON RAPIDS MEDICAL CENTER Eaton Rapids, MI percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | — | — | 19–28 | $72 – $72 |
| 3 | Eskenazi Health Indianapolis, IN facility · fee schedule · both | 1 | $76 | $76 | — | — | 1–10 | $76 – $76 |
| 4 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 5 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 6 | CAPE CORAL HOSPITAL CAPE CORAL, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | East Alabama Medical Center OPELIKA, AL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | East Alabama Medical Center OPELIKA, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $751 | $751 | — | — | — | $751 – $751 |
| 9 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 10 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $122 | $122 | — | — | — | $122 – $122 |
| 11 | GULF COAST MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | HEALTHPARK MEDICAL CENTER FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | Inspira Health Center Bridgeton Bridgeton, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | $11 | 67% | — | $6 – $28 |
| 14 | Inspira Health Center Woodbury Woodbury, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | $11 | 67% | — | $6 – $28 |
| 15 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | $11 | 67% | — | $6 – $28 |
| 16 | Inspira Medical Center Mannington Salem, NJ percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $17 | $11 | 67% | — | $6 – $28 |
| 17 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $20 | $20 | $1 | 3% | — | $20 – $21 |
| 18 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 19 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $20 | $20 | $1 | 3% | — | $20 – $21 |
| 20 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 21 | LEE MEMORIAL HOSPITAL FORT MYERS, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 22 | Marshall Medical Center Placerville, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $335 | $335 | — | — | — | $335 – $335 |
| 23 | Marshall Medical Center Placerville, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $349 | $349 | $13 | 4% | — | $335 – $362 |
| 24 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 25 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · outpatientfrom % of charges | 3 | $514 | $592 | $335 | 57% | — | $217 – $1.4k |
← Payers reporting RC 269 · Snapshot 20261111T120946Z-9134e7f7