RC 291
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
Symphony Daily Rental W/O Kit
Low
$9
Average
$211
Median
$196
High
$627
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
30 payers; the 90th percentile is 19.5× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Molina other · outpatient · +9 other terms | 4 | $83 | $68 | $26 | 39% | 94–112 | $22 – $83 |
| 2 | Cigna other · outpatient · +10 other terms | 6 | $428 | $427 | $256 | 60% | 1–10 | $19 – $763 |
| 3 | Anthem fee schedule · outpatient · +8 other terms | 17 | $310 | $309 | $38 | 12% | — | $229 – $331 |
| 4 | Regence fee schedule · outpatient | 15 | $242 | $256 | $123 | 48% | — | $17 – $612 |
| 5 | Medcost percent of total billed charges · bothfrom % of charges · +2 other terms | 13 | $79 | $79 | $5 | 6% | — | $74 – $83 |
| 6 | Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 10 | $97 | $107 | $104 | 97% | — | $14 – $503 |
| 7 | Medica facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms | 9 | $171 | $170 | $139 | 82% | — | $26 – $502 |
| 8 | UnitedHealthcare fee schedule · outpatient · +15 other terms | 8 | $1 | $25 | $35 | 137% | — | $1 – $97 |
| 9 | Aetna fee schedule · inpatient · +11 other terms | 7 | $75 | $73 | $16 | 22% | — | $37 – $104 |
| 10 | MultiPlan fee schedule · inpatient · +8 other terms | 7 | $78 | $85 | $13 | 16% | — | $69 – $106 |
| 11 | Premera fee schedule · outpatient · +1 other terms | 7 | $47 | $46 | $13 | 28% | — | $17 – $59 |
| 12 | Phcs percent of total billed charges · outpatientfrom % of charges · +2 other terms | 6 | $601 | $582 | $286 | 49% | — | $17 – $908 |
| 13 | Blue Cross Blue Shield other · outpatient · +10 other terms | 5 | $388 | $388 | $216 | 56% | — | $37 – $805 |
| 14 | Caresource other · outpatient · +3 other terms | 5 | $104 | $119 | $60 | 51% | — | $15 – $227 |
| 15 | Oscar percent of total billed charges · outpatientfrom % of charges | 5 | $377 | $377 | $170 | 45% | — | $62 – $569 |
| 16 | Tricare fee schedule · outpatient · +3 other terms | 5 | $498 | $498 | $433 | 87% | — | $52 – $1.2k |
| 17 | Aetna Better Health percent of total billed charges · bothfrom % of charges · +2 other terms | 3 | $51 | $51 | $1 | 2% | — | $49 – $51 |
| 18 | Kaiser fee schedule · outpatient · +5 other terms | 2 | $36 | $42 | $19 | 45% | — | $16 – $71 |
| 19 | Ambetter other · outpatient · +2 other terms | 1 | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 20 | Amerihealth Caritas facility · percent of total billed charges · outpatientfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 21 | Bcbs Vt facility · percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | $4 | 10% | — | $41 – $50 |
| 22 | Devoted facility · other · outpatient · +1 other terms | 1 | $371 | $371 | — | — | — | $371 – $371 |
| 23 | Excellus facility · fee schedule · outpatient | 1 | $53 | $53 | $22 | 41% | — | $38 – $84 |
| 24 | First Health facility · other · outpatient · +5 other terms | 1 | $42 | $42 | $17 | 41% | — | $30 – $67 |
| 25 | Humana fee schedule · outpatient · +9 other terms | 1 | $20 | $20 | $3 | 13% | — | $18 – $23 |
← Hospitals reporting RC 291 · Snapshot 20261111T120946Z-9134e7f7