RC 274
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
SACRO ILIAC ORTHOSIS SM-MED
Waco, TX
See all hospitals reporting RC 274 →Price type
Ascension Providence’s median price of $64 is 66% below the median hospital's median price ($188), higher than 18% of the 1,677 hospitals reporting RC 274. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 28 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 | UnitedHealthcare 928_uhc star outpatient 20250701 percent of total billed charges · outpatientfrom % of charges | $17 | $49 | $61 | 126% | — | $1 – $215 |
| 2 | Superior Healthplan 856_superior star plus inpatient 20240901 percent of total billed charges · bothfrom % of charges | $17 | $53 | $65 | 123% | — | $1 – $215 |
| 3 | Blue Cross Blue Shield 975_bcbs star outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $15 | $54 | $73 | 135% | — | $1 – $279 |
| 4 | Molina 891_molina chip inpatient 20240901 percent of total billed charges · bothfrom % of charges | $38 | $55 | $62 | 113% | — | $1 – $215 |
| 5 | UnitedHealthcare 929_uhc star inpatient 20250701 percent of total billed charges · bothfrom % of charges | $20 | $56 | $74 | 133% | — | $1 – $279 |
| 6 | Superior Healthplan 904_superior star outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $35 | $56 | $61 | 108% | — | $1 – $208 |
| 7 | Superior Healthplan 817_superior star inpatient 20240901 percent of total billed charges · bothfrom % of charges | $22 | $57 | $75 | 131% | — | $1 – $279 |
| 8 | UnitedHealthcare 906_uhc star plus outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $31 | $62 | $68 | 109% | — | $1 – $215 |
| 9 | Molina 908_molina chip outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $31 | $63 | $74 | 118% | — | $1 – $279 |
| 10 | UnitedHealthcare 894_uhc star kids inpatient 20240901 percent of total billed charges · bothfrom % of charges | $15 | $63 | $84 | 132% | — | $1 – $279 |
| 11 | Superior Healthplan 907_superior star plus outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $35 | $65 | $76 | 118% | — | $1 – $279 |
| 12 | Blue Cross Blue Shield 974_bcbs star inpatient 20240901 percent of total billed charges · bothfrom % of charges | $38 | $69 | $72 | 105% | — | $1 – $215 |
| 13 | UnitedHealthcare 909_uhc star kids outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $27 | $71 | $85 | 121% | — | $1 – $279 |
| 14 | UnitedHealthcare 852_uhc star plus inpatient 20240901 percent of total billed charges · bothfrom % of charges | $27 | $73 | $88 | 121% | — | $1 – $279 |
| 15 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 percent of total billed charges · inpatientfrom % of charges | $100 | $137 | $155 | 113% | — | $5 – $615 |
| 16 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 percent of total billed charges · inpatientfrom % of charges | $58 | $189 | $240 | 127% | — | $6 – $754 |
| 17 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 percent of total billed charges · outpatientfrom % of charges | $80 | $263 | $297 | 113% | — | $5 – $993 |
| 18 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 percent of total billed charges · inpatientfrom % of charges | $146 | $284 | $337 | 118% | — | $7 – $1.3k |
| 19 | UnitedHealthcare 943_united healthcare 20250701 percent of total billed charges · inpatientfrom % of charges | $87 | $292 | $393 | 135% | — | $9 – $1.3k |
| 20 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 percent of total billed charges · outpatientfrom % of charges | $154 | $294 | $339 | 115% | — | $6 – $1.2k |
| 21 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 percent of total billed charges · inpatientfrom % of charges | $167 | $325 | $385 | 118% | — | $8 – $1.5k |
| 22 | Aetna 935_aetna 20250801 percent of total billed charges · outpatientfrom % of charges | $178 | $333 | $366 | 110% | — | $7 – $1.3k |
| 23 | First Health 102_firsthealth 20130101 percent of total billed charges · outpatientfrom % of charges | $112 | $426 | $548 | 129% | — | $12 – $1.7k |
| 24 | Humana 644_humana hmo ppo 20230701 fee schedule · both | $230 | $447 | $530 | 118% | — | $10 – $2.1k |
| 25 | Cigna 930_cigna 20250701 percent of total billed charges · inpatientfrom % of charges | $241 | $467 | $553 | 118% | — | $11 – $2.1k |
Last updated: Jan 1, 2026
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