RC 272
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
SILICONE GEL SHEET
Winston-Salem, NC
See all hospitals reporting RC 272 →Price type
Forsyth Memorial Hospital, Inc.’s median price of $250 is 20% below the median hospital's median price ($311), higher than 42% of the 1,878 hospitals reporting RC 272. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 24 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 | Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient | $68.94 | $444.20 | $14.01 – $1,250 |
| 2 | UnitedHealthcare medicaid fee schedule · outpatient | $68.94 | $444.20 | $14.01 – $1,250 |
| 3 | WellCare medicaid fee schedule · outpatient | $68.94 | $444.20 | $14.01 – $1,250 |
| 4 | Cigna aca fee schedule · outpatient | $140.86 | $907.64 | $28.63 – $2,553 |
| 5 | Caresource qualified health plan fee schedule · outpatient | $145.60 | $938.13 | $29.60 – $2,639 |
| 6 | Aetna medicare fee schedule · outpatient | $182.00 | $1,173 | $37.00 – $3,299 |
| 7 | Blue Cross Blue Shield blue home fee schedule · outpatient | $190.00 | $1,224 | $38.62 – $3,444 |
| 8 | Blue Cross Blue Shield blue value fee schedule · outpatient | $196.56 | $1,266 | $39.96 – $3,563 |
| 9 | Cigna commercial fee schedule · outpatient | $216.21 | $1,393 | $43.95 – $3,919 |
| 10 | Aetna commercial fee schedule · outpatient | $224.22 | $1,445 | $45.58 – $4,064 |
| 11 | UnitedHealthcare all payer fee schedule · outpatient | $244.97 | $1,578 | $49.80 – $4,440 |
| 12 | Blue Cross Blue Shield hmo fee schedule · outpatient | $250.06 | $1,611 | $50.83 – $4,533 |
| 13 | Blue Cross Blue Shield ppo fee schedule · outpatient | $250.06 | $1,611 | $50.83 – $4,533 |
| 14 | Humana commercial fee schedule · outpatient | $283.55 | $1,827 | $57.64 – $5,140 |
| 15 | Aetna aca fee schedule · outpatient | $291.20 | $1,876 | $59.20 – $5,278 |
| 16 | Aetna first health fee schedule · outpatient | $291.20 | $1,876 | $59.20 – $5,278 |
| 17 | Aetna non-par products of apcn fee schedule · outpatient | $291.20 | $1,876 | $59.20 – $5,278 |
| 18 | Aetna rental network products fee schedule · outpatient | $291.20 | $1,876 | $59.20 – $5,278 |
| 19 | Aetna whole health non-multitier fee schedule · outpatient | $291.20 | $1,876 | $59.20 – $5,278 |
| 20 | Medcost mbs fee schedule · outpatient | $309.40 | $1,994 | $62.90 – $5,608 |
| 21 | Beechstreet commercial fee schedule · outpatient | $327.60 | $2,111 | $66.60 – $5,938 |
| 22 | MultiPlan all plans fee schedule · outpatient | $327.60 | $2,111 | $66.60 – $5,938 |
| 23 | Phcs all plans fee schedule · outpatient | $327.60 | $2,111 | $66.60 – $5,938 |
| 24 | Medcost non-mbs fee schedule · outpatient | $342.16 | $2,205 | $69.56 – $6,202 |
Last updated: Mar 30, 2026
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