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
$22
Average
$141
Median
$151
High
$758
Each hospital's average Molina rate, under the methodology and billing class chosen below.
21 hospitals; the 90th percentile is 5.5× 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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35 hospital rates
iThe hospitals that file a Molina 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 | Tacoma General Allenmore Hospital Bremerton, WA other · outpatient | 1 | $83 | $83 | — | — | 75 | $83 – $83 |
| 2 | Good Samaritan Hospital Puyallup, WA other · outpatient | 1 | $83 | $83 | — | — | 17 | $83 – $83 |
| 3 | MultiCare Auburn Medical Center Auburn, WA other · outpatient | 1 | $83 | $83 | — | — | 1–10 | $83 – $83 |
| 4 | MultiCare Deaconess Hospital Spokane, WA other · outpatient | 1 | $22 | $22 | — | — | 1–10 | $22 – $22 |
| 5 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · inpatientfrom % of charges | 2 | $52 | $58 | $43 | 74% | — | $3 – $218 |
| 6 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 2 | $52 | $58 | $43 | 74% | — | $3 – $218 |
| 7 | Carle Eureka Hospital Eureka, IL percent of total billed charges · inpatientfrom % of charges | 2 | $52 | $58 | $43 | 74% | — | $3 – $218 |
| 8 | Carle Eureka Hospital Eureka, IL percent of total billed charges · outpatientfrom % of charges | 2 | $71 | $99 | $89 | 90% | — | $3 – $523 |
| 9 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · inpatient | 1 | $31 | $31 | $4 | 13% | — | $27 – $35 |
| 10 | ENUMCLAW REGIONAL HOSPITAL ASSOCIATION Enumclaw, WA fee schedule · outpatient | 3 | $22 | $25 | $8 | 34% | — | $17 – $41 |
| 11 | Hoopeston Community Memorial Hospital Hoopeston, IL percent of total billed charges · inpatientfrom % of charges | 2 | $237 | $237 | — | — | — | $237 – $237 |
| 12 | Hoopeston Community Memorial Hospital Hoopeston, IL percent of total billed charges · outpatientfrom % of charges | 2 | $201 | $201 | $36 | 18% | — | $166 – $237 |
| 13 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 1 | $20 | $28 | $12 | 41% | — | $20 – $44 |
| 14 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $103 | $151 | $123 | 82% | — | $24 – $438 |
| 15 | Marshfield Medical Center - Eau Claire Eau Claire, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $151 | $123 | 82% | — | $24 – $438 |
| 16 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $103 | $151 | $123 | 82% | — | $24 – $438 |
| 17 | Marshfield Medical Center - Ladysmith Ladysmith, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $151 | $123 | 82% | — | $24 – $438 |
| 18 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $106 | $154 | $126 | 82% | — | $24 – $450 |
| 19 | Marshfield Medical Center - Marshfield Marshfield, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $106 | $154 | $126 | 82% | — | $24 – $450 |
| 20 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $103 | $151 | $123 | 82% | — | $24 – $438 |
| 21 | Marshfield Medical Center - Minocqua Minocqua, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $151 | $123 | 82% | — | $24 – $438 |
| 22 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $103 | $151 | $123 | 82% | — | $24 – $438 |
| 23 | Marshfield Medical Center - Neillsville Neillsville, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $151 | $123 | 82% | — | $24 – $438 |
| 24 | Marshfield Medical Center - Park Falls Park Falls, WI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $103 | $151 | $123 | 82% | — | $24 – $438 |
| 25 | Marshfield Medical Center - Park Falls Park Falls, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $103 | $151 | $123 | 82% | — | $24 – $438 |
← Payers reporting RC 291 · Snapshot 20261111T120946Z-9134e7f7