RC 126
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
ROOM AND BOARD SEMI-PRIVATE(TWO BED) - DETOXIFICATION
Chilton, WI
See all hospitals reporting RC 126 →Price type
Ascension Calumet Hospital, Inc.’s median price of $1.5k is 26% below the median hospital's median price ($2.0k), higher than 32% of the 594 hospitals reporting RC 126. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 16 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Anthem 946_anthem pathways mewi sewi 20230101 per diem · inpatient | $98.00 | $98.00 | $98.00 – $98.00 |
| 2 | Anthem 999_anthem blue connection mewi sewi 20230401 per diem · inpatient | $1,015 | $1,015 | $1,015 – $1,015 |
| 3 | Anthem 1000_anthem hmo pos mewi sewi 20230401 per diem · inpatient | $1,128 | $1,128 | $1,128 – $1,128 |
| 4 | Humana 728_humana behavioral health wvn mewi sewi 20210101 other · inpatient | $1,256 | $1,256 | $1,256 – $1,256 |
| 5 | Humana 878_humana hmo pos cawi 20221001 per diem · both | $1,384 | $1,384 | $1,384 – $1,384 |
| 6 | Humana 879_humana ppo cawi 20221001 per diem · both | $1,384 | $1,384 | $1,384 – $1,384 |
| 7 | Humana 880_humana wvn cawi 20221001 per diem · inpatient | $1,384 | $1,384 | $1,384 – $1,384 |
| 8 | Humana 935_humana behavioral health hmo ppo mewi sewi 20230301 per diem · outpatient | $1,467 | $1,467 | $1,467 – $1,467 |
| 9 | Humana 936_humana hmo pos mewi sewi 20230301 per diem · inpatient | $1,467 | $1,467 | $1,467 – $1,467 |
| 10 | Humana 961_humana ppo mewi sewi 20230301 per diem · inpatient | $1,467 | $1,467 | $1,467 – $1,467 |
| 11 | Humana 962_humana wvn mewi sewi 20230301 per diem · inpatient | $1,467 | $1,467 | $1,467 – $1,467 |
| 12 | Anthem 1001_anthem ppo mewi sewi 20230401 per diem · inpatient | $1,572 | $1,572 | $1,572 – $1,572 |
| 13 | WellCare 981_medicare advantage wellcare inpatient cawi 20230215 per diem · inpatient | $2,691 | $2,691 | $2,691 – $2,691 |
| 14 | Tricare 619_tricare outpatient cawi 20200201 per diem · both | $5,024 | $5,024 | $5,024 – $5,024 |
| 15 | Tricare 623_tricare inpatient cawi 20200201 per diem · inpatient | $5,024 | $5,024 | $5,024 – $5,024 |
| 16 | Molina 521_molina marketplace cawi 20190615 per diem · inpatient | $5,988 | $5,988 | $5,988 – $5,988 |
Last updated: Jan 1, 2026
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