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
$6
Average
$602
Median
$128
High
$21.6k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
82 hospitals; the 90th percentile is 8.6× 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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133 hospital rates
iThe hospitals that file a Anthem 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 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $745 | $684 | $545 | 80% | 3–30 | $4 – $1.6k |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $154 | $154 | $139 | 90% | — | $15 – $292 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $261 | $261 | $21 | 8% | — | $239 – $282 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $194 | $194 | $166 | 86% | — | $27 – $360 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $17 | $98 | $145 | 149% | — | $7 – $349 |
| 6 | American Hospital Management Corporation Arcata, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $6 | $6 | — | — | — | $6 – $6 |
| 7 | Ascension St. Vincent Heart Center Carmel, IN fee schedule · outpatient | 4 | $128 | $120 | $14 | 12% | — | $96 – $128 |
| 8 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $78 | $111 | $117 | 106% | — | $9 – $299 |
| 9 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · fee schedule · outpatient | 1 | $334 | $304 | $209 | 69% | — | $42 – $528 |
| 10 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $171 | $148 | $126 | 85% | — | $1 – $365 |
| 11 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $113 | $122 | 109% | — | $0 – $354 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $86 | $123 | $130 | 106% | — | $11 – $332 |
| 13 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · fee schedule · outpatient | 2 | $310 | $282 | $196 | 69% | — | $36 – $531 |
| 14 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $171 | $148 | $126 | 85% | — | $1 – $364 |
| 15 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $21 | $93 | $118 | 127% | — | $0 – $352 |
| 16 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $88 | $126 | $133 | 106% | — | $11 – $339 |
| 17 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · fee schedule · outpatient | 1 | $334 | $304 | $209 | 69% | — | $42 – $528 |
| 18 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $171 | $148 | $126 | 85% | — | $1 – $365 |
| 19 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $113 | $122 | 109% | — | $0 – $354 |
| 20 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $92 | $131 | $138 | 106% | — | $11 – $353 |
| 21 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · fee schedule · outpatient | 1 | $334 | $304 | $209 | 69% | — | $42 – $528 |
| 22 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $171 | $148 | $126 | 85% | — | $1 – $365 |
| 23 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $27 | $113 | $122 | 109% | — | $0 – $354 |
| 24 | Carmel AmbSurg Carmel, IN fee schedule · outpatient | 4 | $128 | $120 | $14 | 12% | — | $96 – $128 |
| 25 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · inpatientfrom % of charges | 2 | $65 | $65 | $40 | 62% | — | $19 – $149 |
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