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
$1
Average
$364
Median
$223
High
$1.9k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 792.8× 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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42 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | SONORA COMMUNITY HOSPITAL Sonora, CA percent of total billed charges · outpatientfrom % of charges | 4 | $459 | $1.0k | $1.3k | 122% | 6,092–27,260 | $2 – $12.0k |
| 2 | WINNESHIEK MEDICAL CENTER Decorah, IA percent of total billed charges · outpatientfrom % of charges | 1 | $38 | $154 | $365 | 238% | 65–245 | $1 – $3.9k |
| 3 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR percent of total billed charges · outpatientfrom % of charges | 1 | $46 | $104 | $180 | 174% | 1–10 | $1 – $1.0k |
| 4 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 3 | $36 | $80 | $151 | 188% | — | $3 – $764 |
| 5 | ADVENTIST HEALTH DELANO Delano, CA fee schedule · outpatient | 4 | $57 | $256 | $463 | 181% | — | $2 – $1.6k |
| 6 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $373 | $573 | $590 | 103% | — | $0 – $3.8k |
| 7 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $47 | $117 | $207 | 177% | — | $0 – $2.4k |
| 8 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 3 | $96 | $167 | $221 | 133% | — | $1 – $2.4k |
| 9 | Ascension Seton Burnet, TX per diem · inpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 10 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 3 | $389 | $839 | $1.4k | 162% | — | $0 – $67.5k |
| 11 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $119 | $190 | 159% | — | $1 – $880 |
| 12 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · case rate · outpatient | 10 | $707 | $707 | — | — | — | $707 – $707 |
| 13 | CASTLE MEDICAL CENTER Kailua, HI fee schedule · outpatient | 3 | $59 | $127 | $198 | 156% | — | $3 – $1.3k |
| 14 | Columbia St. Mary's Hospital Milwaukee, Inc. Milwaukee, WI per diem · both | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 15 | Columbia St. Mary's Hospital Ozaukee, Inc. Mequon, WI per diem · both | 1 | $223 | $223 | — | — | — | $223 – $223 |
| 16 | FAIRFIELD MEMORIAL HOSPITAL FAIRFIELD, IL percent of total billed charges · outpatientfrom % of charges | 1 | $97 | $97 | — | — | — | $97 – $97 |
| 17 | Florida Coast Medical and Surgical Center, Inc. Port St. Lucie, FL fee schedule · outpatient | 2 | $1 | $1 | $0 | 1% | — | $1 – $1 |
| 18 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 4 | $207 | $527 | $606 | 115% | — | $1 – $3.1k |
| 19 | HANFORD COMMUNITY HOSPITAL Selma, CA fee schedule · outpatient | 5 | $85 | $161 | $228 | 142% | — | $1 – $2.4k |
| 20 | HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges | 3 | $32 | $91 | $125 | 137% | — | $1 – $318 |
| 21 | INTERMOUNTAIN FRONT RANGE INC. DBA INTERMOUNTAIN HEALTH LUTHERAN HOSPITAL WHEAT RIDGE, CO facility · percent of total billed charges · outpatientfrom % of charges | 11 | $35 | $34 | $2 | 7% | — | $26 – $35 |
| 22 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 4 | $320 | $552 | $602 | 109% | — | $0 – $3.8k |
| 23 | NORTHWEST MEDICAL FOUNDATION OF TILLAMOOK Tillamook, OR fee schedule · outpatient | 1 | $33 | $269 | $568 | 211% | — | $0 – $5.0k |
| 24 | Nebraska Medical Center Omaha, NE fee schedule · outpatient | 3 | $389 | $839 | $1.4k | 162% | — | $0 – $67.5k |
| 25 | Nebraska Medical Center Omaha, NE percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $119 | $190 | 159% | — | $1 – $880 |
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