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
$114
Median
$170
High
$170
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3 hospital rates
iThe hospitals that file a Oscar 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 | MercyOne Genesis Silvis Medical Center Silvis, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 2 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $92 | $170 | $122 | 72% | — | $60 – $423 |
| 3 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $92 | $170 | $122 | 72% | — | $60 – $423 |
← Payers reporting RC 269 · Snapshot 20261111T120946Z-9134e7f7