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
$10
Average
$3.2k
Median
$216
High
$13.7k
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
25 hospitals; the 90th percentile is 177.4× 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 WellCare 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 | Pitt County Memorial Hospital, Inc. Greenville, NC percent of total billed charges · bothfrom % of charges | 1 | $121 | $1.2k | $8.8k | 749% | 7–70 | $6 – $105.6k |
| 2 | Pitt County Memorial Hospital, Inc. Washington, NC percent of total billed charges · bothfrom % of charges | 1 | $121 | $1.2k | $8.8k | 749% | 7–70 | $6 – $105.6k |
| 3 | Arkansas Childrens Northwest Springdale, AR facility · other · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 4 | Deaconess Health System Gibson General Hospital Princeton, IN professional · fee schedule · both | 3 | $0 | $213 | $301 | 141% | — | $0 – $639 |
| 5 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 4 | $0 | $270 | $385 | 143% | — | $0 – $978 |
| 6 | Deaconess Health System Union County Hospital Morganfield, KY professional · fee schedule · both | 4 | $0 | $241 | $342 | 142% | — | $0 – $752 |
| 7 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 3 | $0 | $160 | $276 | 173% | — | $0 – $639 |
| 8 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 2 | $0 | $160 | $276 | 173% | — | $0 – $639 |
| 9 | Deaconess Illinois Crossroads Inc Mount Vernon, IL professional · fee schedule · both | 3 | $0 | $213 | $301 | 141% | — | $0 – $639 |
| 10 | Deaconess Illinois Union County Hospital Inc Anna, IL professional · fee schedule · both | 3 | $0 | $216 | $306 | 141% | — | $0 – $658 |
| 11 | Deaconess Regional Healthcare Services Illinois Inc Marion, IL professional · fee schedule · both | 3 | $0 | $216 | $306 | 141% | — | $0 – $658 |
| 12 | Duke Health Lake Norman Hospital Mooresville, NC facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 13 | Duke Health Lake Norman Hospital Mooresville, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 14 | Duplin General Hospital, Inc. Kenansville, NC percent of total billed charges · bothfrom % of charges | 1 | $476 | $8.6k | $25.6k | 299% | — | $21 – $112.1k |
| 15 | East Carolina Health Ahoskie, NC percent of total billed charges · bothfrom % of charges | 1 | $382 | $7.4k | $23.7k | 319% | — | $0 – $109.3k |
| 16 | East Carolina Health-Bertie Windsor, NC percent of total billed charges · bothfrom % of charges | 1 | $685 | $13.1k | $39.9k | 304% | — | $34 – $177.0k |
| 17 | East Carolina Health-Chowan, Inc. Edenton, NC percent of total billed charges · bothfrom % of charges | 1 | $395 | $8.8k | $28.5k | 324% | — | $0 – $133.6k |
| 18 | East Carolina Health-Heritage, Inc. Tarboro, NC percent of total billed charges · bothfrom % of charges | 1 | $291 | $5.6k | $16.9k | 304% | — | $14 – $75.2k |
| 19 | Halifax Regional Medical Center, Inc. Roanoke Rapids, NC percent of total billed charges · bothfrom % of charges | 1 | $458 | $8.2k | $24.6k | 299% | — | $21 – $107.8k |
| 20 | MaineHealth Belfast, ME percent of total billed charges · outpatientfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
| 21 | Opelousas General Main Campus Opelousas, LA facility · percent of total billed charges · bothfrom % of charges | 1 | $15 | $15 | $0 | 1% | — | $15 – $15 |
| 22 | Southeastern Regional Medical Center Lumberton, NC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 23 | Springfield Hospital Springfield, VT fee schedule · outpatient | 1 | $33 | $33 | — | — | — | $33 – $33 |
| 24 | Sweetwater Hospital Association Sweetwater, TN fee schedule · both | 1 | $162 | $162 | — | — | — | $162 – $162 |
| 25 | The Outer Banks Hospital, Inc. Nags Head, NC percent of total billed charges · bothfrom % of charges | 1 | $502 | $10.3k | $31.9k | 309% | — | $28 – $143.7k |
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