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
$22
Average
$315
Median
$154
High
$1.1k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 19.9× 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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19 hospital rates
iThe hospitals that file a First Health 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 | EATON RAPIDS MEDICAL CENTER Eaton Rapids, MI percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $76 | — | — | 2–20 | $76 – $76 |
| 2 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 3 | Berkshire Medical Center Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 4 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 5 | East Alabama Medical Center OPELIKA, AL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | East Alabama Medical Center OPELIKA, AL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 8 | Fairview Hospital Great Barrington, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 9 | Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 10 | Marshall Medical Center Placerville, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $592 | $592 | — | — | — | $592 – $592 |
| 11 | Marshall Medical Center Placerville, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $592 | $592 | — | — | — | $592 – $592 |
| 12 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · inpatientfrom % of charges | 1 | $546 | $580 | $321 | 55% | — | $230 – $1.2k |
| 13 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $546 | $580 | $321 | 55% | — | $230 – $1.2k |
| 14 | North Adams Regional Hospital North Adams, MA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $156 | $156 | — | — | — | $156 – $156 |
| 15 | North Adams Regional Hospital North Adams, MA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 16 | North Adams Regional Hospital North Adams, MA professional · fee schedule · outpatient | 1 | $153 | $153 | — | — | — | $153 – $153 |
| 17 | PMC HOSPITAL, LLC Pasadena, TX fee schedule · inpatient | 1 | $22 | $22 | $8 | 36% | — | $14 – $30 |
| 18 | PMC HOSPITAL, LLC Pasadena, TX fee schedule · outpatient | 1 | $22 | $22 | $8 | 36% | — | $14 – $30 |
| 19 | University of Virginia Medical Center Charlottesville, VA percent of total billed charges · bothfrom % of charges | 1 | $38 | $38 | — | — | — | $38 – $38 |
← Payers reporting RC 269 · Snapshot 20261111T120946Z-9134e7f7