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
$5
Average
$67
Median
$53
High
$274
Each hospital's average Carefirst rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 2.9× 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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12 hospital rates
iThe hospitals that file a Carefirst 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 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 2 | $221 | $274 | $193 | 70% | — | $74 – $612 |
| 2 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 3 | $57 | $56 | $2 | 3% | — | $54 – $58 |
| 3 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | $0 | 0% | — | $72 – $72 |
| 4 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 5 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 6 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 7 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 2 | $5 | $5 | — | — | — | $5 – $5 |
| 8 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $55 | $55 | $0 | 0% | — | $54 – $55 |
| 9 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $41 | $41 | $6 | 15% | — | $35 – $47 |
| 10 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 11 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $47 | $47 | $0 | 0% | — | $47 – $47 |
| 12 | The Mercy Hospital Inc Springfield, MA facility · percent of total billed charges · bothfrom % of charges | 1 | $70 | $70 | — | — | — | $70 – $70 |
← Payers reporting RC 290 · Snapshot 20261111T120946Z-9134e7f7