RC 989
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
UNCLASSIFIED DRUGS
Low
$26
Average
$375
Median
$258
High
$1.7k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
27 hospitals; the 90th percentile is 7.8× 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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34 hospital rates
iThe hospitals that file a Aetna 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 | Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges | 1 | $560 | $1.7k | $3.5k | 203% | 3–30 | $21 – $19.4k |
| 2 | KARMANOS CANCER CENTER DETROIT, MI percent of total billed chargesfrom % of charges | 1 | $26 | $26 | — | — | 2–20 | $26 – $26 |
| 3 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $60 | $176 | $217 | 123% | — | $6 – $1.1k |
| 4 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 1 | $25 | $391 | $840 | 215% | — | $6 – $3.4k |
| 5 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $228 | $427 | $529 | 124% | — | $0 – $7.2k |
| 6 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $80 | $127 | $154 | 121% | — | $3 – $1.5k |
| 7 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $79 | $258 | $420 | 163% | — | $0 – $4.7k |
| 8 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $306 | $477 | 156% | — | $6 – $2.1k |
| 9 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · outpatientfrom % of charges | 1 | $126 | $126 | — | — | — | $126 – $126 |
| 10 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $190 | $434 | $491 | 113% | — | $4 – $3.8k |
| 11 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 1 | $117 | $238 | $247 | 104% | — | $3 – $868 |
| 12 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 1 | $107 | $172 | $205 | 119% | — | $5 – $2.0k |
| 13 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 2 | $26 | $97 | $122 | 126% | — | $1 – $318 |
| 14 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · inpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 15 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 9 | $24 | $27 | $9 | 35% | — | $22 – $54 |
| 16 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $362 | $562 | $834 | 148% | — | $0 – $27.8k |
| 17 | MID COLUMBIA MEDICAL CENTER Dalles, OR fee schedule · outpatient | 1 | $296 | $738 | $4.5k | 606% | — | $0 – $163.8k |
| 18 | MID COLUMBIA MEDICAL CENTER Dalles, OR other · outpatient | 1 | $163 | $876 | $4.5k | 517% | — | $5 – $57.9k |
| 19 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR fee schedule · outpatient | 2 | $30 | $183 | $400 | 218% | — | $0 – $3.4k |
| 20 | Nebraska Medical Center Omaha, NE fee schedule · outpatient | 2 | $79 | $258 | $420 | 163% | — | $0 – $4.7k |
| 21 | Nebraska Medical Center Omaha, NE percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $306 | $477 | 156% | — | $6 – $2.1k |
| 22 | REEDLEY COMMUNITY HOSPITAL Reedley, CA fee schedule · outpatient | 1 | $313 | $522 | $565 | 108% | — | $0 – $3.9k |
| 23 | RIDEOUT MEMORIAL HOSPITAL Marysville, CA fee schedule · outpatient | 1 | $100 | $197 | $250 | 127% | — | $0 – $1.2k |
| 24 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA fee schedule · outpatient | 1 | $318 | $476 | $543 | 114% | — | $0 – $7.4k |
| 25 | SAN JOAQUIN COMMUNITY HOSPITAL Bakersfield, CA percent of total billed charges · outpatientfrom % of charges | 1 | $214 | $630 | $1.1k | 182% | — | $2 – $7.1k |
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