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
$219
Median
$203
High
$1.3k
Each hospital's average Regence rate, under the methodology and billing class chosen below.
43 hospitals; the 90th percentile is 7.2× 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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68 hospital rates
iThe hospitals that file a Regence 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 | $242 | $1.3k | $1.6k | 121% | — | $145 – $3.6k |
| 2 | FRANCISCAN HEALTH SYSTEM Gig Harbor, WA fee schedule · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 3 | FRANCISCAN HEALTH SYSTEM Tacoma, WA fee schedule · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 4 | GRITMAN MEDICAL CENTER INC Moscow, ID facility · fee schedule · both | 2 | $154 | $154 | $88 | 57% | — | $66 – $242 |
| 5 | Good Samaritan Hospital Puyallup, WA fee schedule · outpatient | 4 | $214 | $220 | $12 | 6% | — | $211 – $242 |
| 6 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 4 | $34 | $35 | $2 | 6% | — | $34 – $39 |
| 7 | HARRISON MEDICAL CENTER Silverdale, WA fee schedule · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 8 | HIGHLINE MEDICAL CENTER Burien, WA fee schedule · outpatient | 1 | $242 | $242 | — | — | — | $242 – $242 |
| 9 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 10 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $338 | $334 | $24 | 7% | — | $297 – $365 |
| 11 | IHC Health Services Inc., DBA Intermountain Health American Fork Hospital American Fork, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $339 | $334 | $28 | 8% | — | $297 – $365 |
| 12 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · percent of total billed charges · inpatientfrom % of charges | 6 | $336 | $328 | $24 | 7% | — | $297 – $365 |
| 13 | IHC Health Services Inc., DBA Intermountain Health Intermountain Medical Center Murray, UT facility · percent of total billed charges · outpatientfrom % of charges | 5 | $297 | $312 | $37 | 12% | — | $261 – $365 |
| 14 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $338 | $334 | $24 | 7% | — | $297 – $365 |
| 15 | IHC Health Services Inc., DBA Intermountain Health LDS Hospital Salt Lake City, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $339 | $334 | $28 | 8% | — | $297 – $365 |
| 16 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $338 | $334 | $24 | 7% | — | $297 – $365 |
| 17 | IHC Health Services Inc., DBA Intermountain Health Layton Hospital Layton, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $339 | $334 | $28 | 8% | — | $297 – $365 |
| 18 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $338 | $336 | $22 | 7% | — | $303 – $365 |
| 19 | IHC Health Services Inc., DBA Intermountain Health McKay-Dee Hospital Ogden, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $339 | $336 | $26 | 8% | — | $303 – $365 |
| 20 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $338 | $334 | $24 | 7% | — | $297 – $365 |
| 21 | IHC Health Services Inc., DBA Intermountain Health Orem Community Hospital Orem, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $339 | $334 | $28 | 8% | — | $297 – $365 |
| 22 | IHC Health Services Inc., DBA Intermountain Health Riverton Hospital Riverton, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $338 | $334 | $24 | 7% | — | $297 – $365 |
| 23 | IHC Health Services Inc., DBA Intermountain Health Riverton Hospital Riverton, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $339 | $334 | $28 | 8% | — | $297 – $365 |
| 24 | IHC Health Services Inc., DBA Intermountain Health Spanish Fork Hospital Spanish Fork, UT facility · percent of total billed charges · inpatientfrom % of charges | 4 | $338 | $334 | $24 | 7% | — | $297 – $365 |
| 25 | IHC Health Services Inc., DBA Intermountain Health Spanish Fork Hospital Spanish Fork, UT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $339 | $334 | $28 | 8% | — | $297 – $365 |
← Payers reporting RC 290 · Snapshot 20261111T120946Z-9134e7f7