RC 290
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
BUTTON, BALLOON MINIONE AMT 14FRX4.4CM
Low
$0
Average
$831
Median
$141
High
$14.5k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
166 hospitals; the 90th percentile is 32.3× 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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236 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 | Massachusetts Eye and Ear Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $619 | $564 | $457 | 81% | 43–115 | $1 – $1.5k |
| 2 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 3 | $211 | $406 | $493 | 121% | 6–60 | $26 – $1.5k |
| 3 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $30 | $41 | 139% | 2–20 | $1 – $170 |
| 4 | AHS Hillcrest Medical Center, LLC Tulsa, OK facility · percent of total billed charges · bothfrom % of charges | 2 | $48 | $48 | — | — | — | $48 – $48 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 6 | $93 | $225 | $219 | 98% | — | $10 – $631 |
| 6 | American Hospital Management Corporation Arcata, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | $3 | 56% | — | $3 – $9 |
| 7 | Banner North Colorado Medical Center Greeley, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 8 | Banner North Colorado Medical Center - Loveland Campus Loveland, CO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 9 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 6 | $111 | $167 | $162 | 97% | — | $1 – $631 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · outpatientfrom % of charges | 6 | $111 | $170 | $164 | 97% | — | $1 – $631 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · outpatientfrom % of charges | 6 | $111 | $167 | $162 | 97% | — | $1 – $631 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 6 | $111 | $167 | $162 | 97% | — | $1 – $631 |
| 13 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · inpatientfrom % of charges | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 14 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $239 | $239 | $9 | 4% | — | $230 – $248 |
| 15 | Carle Eureka Hospital Eureka, IL percent of total billed charges · inpatientfrom % of charges | 1 | $248 | $248 | — | — | — | $248 – $248 |
| 16 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 3 | $230 | $216 | $34 | 16% | — | $169 – $248 |
| 17 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $58 | $58 | $36 | 62% | — | $17 – $133 |
| 18 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 19 | Cleveland Clinic Mercy Hospital Canton, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $85 | $173 | $170 | 98% | — | $1 – $631 |
| 20 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · percent of total billed charges · outpatientfrom % of charges | 6 | $20 | $90 | $119 | 132% | — | $6 – $417 |
| 21 | Conway Regional Medical Center Conway, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $307 | $1.2k | 380% | — | $2 – $7.4k |
| 22 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $112 | $112 | $0 | 0% | — | $112 – $113 |
| 23 | Cuero Regional Hospital Cuero, TX other · inpatient | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 24 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 2 | $0 | $160 | $276 | 173% | — | $0 – $639 |
| 25 | Deaconess Health System Gibson General Hospital Princeton, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $43 | $235 | $294 | 125% | — | $11 – $651 |
← Payers reporting RC 290 · Snapshot 20261111T120946Z-9134e7f7