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
$2.7k
Median
$47
High
$11.9k
Each hospital's average Premera rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 259.7× 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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26 hospital rates
iThe hospitals that file a Premera 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 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 2 | $3.6k | $5.1k | $4.8k | 94% | — | $145 – $11.5k |
| 2 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · outpatient | 2 | $9.8k | $9.8k | $1.7k | 18% | — | $8.0k – $11.5k |
| 3 | FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · outpatient | 2 | $9.8k | $9.8k | $1.7k | 18% | — | $8.0k – $11.5k |
| 4 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 4 | $42 | $42 | — | — | — | $42 – $42 |
| 5 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 2 | $11.0k | $11.0k | $479 | 4% | — | $10.5k – $11.5k |
| 6 | HIGHLINE MEDICAL CENTER Burien, WA fee schedule · outpatient | 2 | $11.9k | $11.9k | $575 | 5% | — | $11.3k – $12.5k |
| 7 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 8 | Mary Bridge Children's Hospital Tacoma, WA percent of total billed charges · outpatientfrom % of charges | 4 | $42 | $42 | — | — | — | $42 – $42 |
| 9 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $72 | $72 | $0 | 0% | — | $72 – $72 |
| 10 | MultiCare Auburn Medical Center Auburn, WA percent of total billed charges · outpatientfrom % of charges | 4 | $42 | $42 | — | — | — | $42 – $42 |
| 11 | MultiCare Capital Medical Center Lacey, WA percent of total billed charges · outpatientfrom % of charges | 4 | $42 | $42 | — | — | — | $42 – $42 |
| 12 | MultiCare Covington Medical Center Covington, WA percent of total billed charges · outpatientfrom % of charges | 4 | $42 | $42 | — | — | — | $42 – $42 |
| 13 | MultiCare Deaconess Hospital Spokane, WA percent of total billed charges · outpatientfrom % of charges | 4 | $39 | $39 | — | — | — | $39 – $39 |
| 14 | MultiCare Valley Hospital Spokane Valley, WA percent of total billed charges · outpatientfrom % of charges | 4 | $39 | $39 | — | — | — | $39 – $39 |
| 15 | SAINT CLARE HOSPITAL Lakewood, WA fee schedule · outpatient | 2 | $9.8k | $9.8k | $1.7k | 18% | — | $8.0k – $11.5k |
| 16 | ST FRANCIS COMMUNITY HOSPITAL Federal Way, WA fee schedule · outpatient | 2 | $9.8k | $9.8k | $1.7k | 18% | — | $8.0k – $11.5k |
| 17 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · fee schedule · both | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 18 | Saint Alphonsus Medical Center - Nampa Nampa, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 19 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $37 | $37 | — | — | — | $37 – $37 |
| 20 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $5 | $5 | — | — | — | $5 – $5 |
| 21 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $55 | $55 | $0 | 0% | — | $54 – $55 |
| 22 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $41 | $41 | $6 | 15% | — | $35 – $47 |
| 23 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 24 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $47 | $47 | $0 | 0% | — | $47 – $47 |
| 25 | Tacoma General Allenmore Hospital Bremerton, WA percent of total billed charges · outpatientfrom % of charges | 4 | $42 | $42 | — | — | — | $42 – $42 |
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