RC 658
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
REV ROOM AND BOARD
Low
$108
Average
$196
Median
$225
High
$225
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4 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 | Gottlieb Memorial Hospital Melrose Park, IL facility · case rate · outpatient | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 2 | Loyola University Medical Center Maywood, IL facility · case rate · outpatient | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 3 | MacNeal Hospital Berwyn, IL facility · case rate · outpatient | 1 | $225 | $225 | — | — | — | $225 – $225 |
| 4 | WA Foote Memorial Hospital Jackson, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $108 | $108 | — | — | — | $108 – $108 |
← Payers reporting RC 658 · Snapshot 20261111T120946Z-9134e7f7