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
$19
Average
$93
Median
$76
High
$165
Each hospital's average Medicare rate, under the methodology and billing class chosen below.
5 hospitals; the 90th percentile is 6.1× 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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6 hospital rates
iThe hospitals that file a Medicare 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 · other · both | 2 | $76 | $76 | — | — | 109–118 | $76 – $76 |
| 2 | Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient | 2 | $19 | $19 | — | — | — | $19 – $19 |
| 3 | Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient | 2 | $60 | $60 | — | — | — | $60 – $60 |
| 4 | Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient | 2 | $19 | $19 | — | — | — | $19 – $19 |
| 5 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $89 | $165 | $119 | 72% | — | $58 – $410 |
| 6 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $89 | $165 | $119 | 72% | — | $58 – $410 |
← Payers reporting RC 269 · Snapshot 20261111T120946Z-9134e7f7