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
$7
Average
$364
Median
$153
High
$7.8k
Each hospital's average First Health rate, under the methodology and billing class chosen below.
75 hospitals; the 90th percentile is 5.7× 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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114 hospital rates
iThe hospitals that file a First Health 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 | Cheshire Medical Center Keene, NH professional · percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | $45 | 62% | — | $21 – $166 |
| 2 | Childrens Hospital of Orange County - Profit Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 3 | Covenant Medical Center Inc Waterloo, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $112 | $112 | $0 | 0% | — | $112 – $113 |
| 4 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Deaconess Health System Gibson General Hospital Princeton, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $43 | $235 | $294 | 125% | — | $11 – $651 |
| 6 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Deaconess Health System Henderson Hospital Henderson, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $43 | $235 | $294 | 125% | — | $11 – $651 |
| 8 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Deaconess Health System Union County Hospital Morganfield, KY professional · percent of total billed charges · bothfrom % of charges | 1 | $43 | $235 | $294 | 125% | — | $11 – $651 |
| 10 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $43 | $235 | $294 | 125% | — | $11 – $651 |
| 12 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Deaconess Hospital, Inc Newburgh, IN professional · percent of total billed charges · bothfrom % of charges | 1 | $43 | $235 | $294 | 125% | — | $11 – $651 |
| 14 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · percent of total billed charges · bothfrom % of charges | 1 | $751 | $605 | $374 | 62% | — | $23 – $1.1k |
| 15 | EATON RAPIDS MEDICAL CENTER Eaton Rapids, MI percent of total billed charges · outpatientfrom % of charges | 1 | $53 | $53 | $33 | 61% | — | $10 – $123 |
| 16 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $16 | $38 | $52 | 139% | — | $1 – $215 |
| 17 | GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges | 1 | $233 | $290 | $203 | 70% | — | $80 – $612 |
| 18 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · inpatientfrom % of charges | 1 | $310 | $270 | $119 | 44% | — | $51 – $383 |
| 19 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $310 | $270 | $119 | 44% | — | $51 – $383 |
| 20 | Hudson Hospital Hudson, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $82 | $82 | — | — | — | $82 – $82 |
| 21 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $389 | $389 | — | — | — | $389 – $389 |
| 22 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital City, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $460 | $460 | — | — | — | $460 – $460 |
| 23 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · percent of total billed charges · inpatientfrom % of charges | 1 | $389 | $389 | — | — | — | $389 – $389 |
| 24 | IHC Health Services Inc., DBA Intermountain Primary Children's Hospital Lehi, UT facility · percent of total billed charges · outpatientfrom % of charges | 1 | $460 | $460 | — | — | — | $460 – $460 |
| 25 | Kalkaska Memorial Health Center Kalkaska, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $158 | $380 | $366 | 96% | — | $60 – $896 |
← Payers reporting RC 290 · Snapshot 20261111T120946Z-9134e7f7