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
$7
Average
$185
Median
$27
High
$596
Each hospital's average Molina rate, under the methodology and billing class chosen below.
15 hospitals; the 90th percentile is 21.6× 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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19 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 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA percent of total billed charges · outpatientfrom % of charges | 2 | $105 | $199 | $253 | 127% | 50–212 | $12 – $1.4k |
| 2 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $311 | $601 | $1.0k | 171% | — | $0 – $69.5k |
| 3 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 2 | $158 | $530 | $1.4k | 263% | — | $1 – $30.4k |
| 4 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 3 | $119 | $373 | $491 | 132% | — | $1 – $2.8k |
| 5 | KARMANOS CANCER CENTER DETROIT, MI fee schedule | 2 | $7 | $7 | $2 | 28% | — | $5 – $9 |
| 6 | MCLAREN BAY REGION CITY, MI fee schedule | 2 | $42 | $41 | $29 | 71% | — | $5 – $88 |
| 7 | MCLAREN CENTRAL MICHIGAN PLEASANT, MI fee schedule | 2 | $21 | $26 | $21 | 81% | — | $5 – $58 |
| 8 | MCLAREN FLINT FLINT, MI fee schedule | 2 | $21 | $27 | $22 | 81% | — | $5 – $59 |
| 9 | MCLAREN GREATER LANSING LANSING, MI fee schedule | 2 | $21 | $26 | $21 | 81% | — | $5 – $58 |
| 10 | MCLAREN LAPEER REGION LAPEER, MI fee schedule | 2 | $21 | $26 | $21 | 81% | — | $5 – $58 |
| 11 | MCLAREN MACOMB CLEMENS, MI fee schedule | 2 | $21 | $27 | $22 | 81% | — | $5 – $59 |
| 12 | MCLAREN NORTHERN MICHIGAN PETOSKEY, MI fee schedule | 2 | $21 | $26 | $21 | 81% | — | $5 – $58 |
| 13 | MCLAREN OAKLAND PONTIAC, MI fee schedule | 2 | $21 | $27 | $22 | 81% | — | $5 – $59 |
| 14 | MCLAREN PORT HURON HURON, MI fee schedule | 2 | $21 | $27 | $22 | 81% | — | $5 – $59 |
| 15 | MID COLUMBIA MEDICAL CENTER Dalles, OR fee schedule · outpatient | 3 | $198 | $442 | $680 | 154% | — | $1 – $16.3k |
| 16 | MID COLUMBIA MEDICAL CENTER Dalles, OR percent of total billed charges · outpatientfrom % of charges | 3 | $79 | $282 | $868 | 308% | — | $1 – $12.8k |
| 17 | Nebraska Medical Center Omaha, NE fee schedule · outpatient | 2 | $312 | $601 | $1.0k | 171% | — | $0 – $69.5k |
| 18 | Nebraska Medical Center Omaha, NE percent of total billed charges · outpatientfrom % of charges | 2 | $158 | $530 | $1.4k | 263% | — | $1 – $30.4k |
| 19 | WHITE MEMORIAL MEDICAL CENTER MONTEBELLO, CA fee schedule · outpatient | 3 | $328 | $538 | $538 | 100% | — | $1 – $5.1k |
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