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
$3
Average
$309
Median
$165
High
$939
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 53.2× 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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49 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | ST HELENA HOSPITAL Vallejo, CA percent of total billed charges · outpatientfrom % of charges | 2 | $236 | $262 | $181 | 69% | 2–20 | $33 – $600 |
| 2 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · outpatientfrom % of charges | 2 | $223 | $262 | $249 | 95% | 2–20 | $19 – $1.3k |
| 3 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 7 | $54 | $79 | $167 | 211% | — | $1 – $1.6k |
| 4 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 2 | $103 | $89 | $76 | 86% | — | $2 – $286 |
| 5 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 3 | $25 | $217 | $375 | 172% | — | $5 – $1.4k |
| 6 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $495 | $775 | $1.2k | 153% | — | $0 – $73.6k |
| 7 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $114 | $153 | 135% | — | $1 – $723 |
| 8 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 4 | $49 | $140 | $252 | 180% | — | $0 – $3.9k |
| 9 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 6 | $89 | $192 | $307 | 160% | — | $1 – $5.0k |
| 10 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 3 | $148 | $165 | $23 | 14% | — | $148 – $198 |
| 11 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 3 | $148 | $165 | $23 | 14% | — | $148 – $198 |
| 12 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $368 | $771 | $1.1k | 137% | — | $0 – $11.4k |
| 13 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $197 | $635 | $1.6k | 254% | — | $3 – $33.8k |
| 14 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · outpatientfrom % of charges | 2 | $99 | $99 | — | — | — | $99 – $99 |
| 15 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 8 | $203 | $702 | $1.7k | 236% | — | $1 – $79.4k |
| 16 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA percent of total billed charges · outpatientfrom % of charges | 2 | $58 | $119 | $123 | 104% | — | $1 – $434 |
| 17 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 6 | $114 | $231 | $332 | 144% | — | $1 – $3.8k |
| 18 | HANFORD COMMUNITY HOSPITAL Selma, CA percent of total billed charges · outpatientfrom % of charges | 2 | $59 | $128 | $183 | 143% | — | $3 – $921 |
| 19 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 2 | $13 | $48 | $58 | 121% | — | $1 – $130 |
| 20 | KARMANOS CANCER CENTER DETROIT, MI fee schedule | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 21 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 5 | $402 | $673 | $1.0k | 151% | — | $0 – $70.6k |
| 22 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $59 | $122 | $166 | 136% | — | $0 – $1.1k |
| 23 | MCLAREN BAY REGION CITY, MI fee schedule | 1 | $24 | $24 | $11 | 44% | — | $13 – $35 |
| 24 | MCLAREN CENTRAL MICHIGAN PLEASANT, MI fee schedule | 1 | $9 | $9 | $1 | 9% | — | $8 – $10 |
| 25 | MCLAREN FLINT FLINT, MI fee schedule | 1 | $28 | $28 | $7 | 25% | — | $21 – $35 |
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