RC 169
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
HCHG SUPPORTIVE CARE, LEVEL 1
West Union, IA
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Gundersen Palmer Lutheran Hospital and Clinic Inc’s median price of $681 is 81% below the median hospital's median price ($3.6k), higher than 17% of the 480 hospitals reporting RC 169. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 14 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 all payer appendix facility · percent of total billed charges · inpatientfrom % of charges | $260.40 | $260.40 | $148.80 – $372.00 |
| 2 | Molina managed medicaid facility · percent of total billed charges · inpatientfrom % of charges | $262.50 | $262.50 | $150.00 – $375.00 |
| 3 | Ucare qualified health plan facility · percent of total billed charges · inpatientfrom % of charges | $420.00 | $420.00 | $240.00 – $600.00 |
| 4 | Aetna all products facility · percent of total billed charges · inpatientfrom % of charges | $430.50 | $430.50 | $246.00 – $615.00 |
| 5 | Wellmark all products facility · percent of total billed charges · inpatientfrom % of charges | $435.75 | $435.75 | $249.00 – $622.50 |
| 6 | MultiPlan healtheos plus facility · percent of total billed charges · inpatientfrom % of charges | $462.00 | $462.00 | $264.00 – $660.00 |
| 7 | MultiPlan mpi_phcs_healtheos facility · percent of total billed charges · inpatientfrom % of charges | $488.25 | $488.25 | $279.00 – $697.50 |
| 8 | Aetna medicare advantage facility · per diem · inpatient | $4,551 | $4,551 | $4,551 – $4,551 |
| 9 | Humana medicare advantage facility · per diem · inpatient | $4,551 | $4,551 | $4,551 – $4,551 |
| 10 | UnitedHealthcare medicare advantage facility · per diem · inpatient | $4,551 | $4,551 | $4,551 – $4,551 |
| 11 | Wellmark medicare advantage facility · per diem · inpatient | $4,551 | $4,551 | $4,551 – $4,551 |
| 12 | Ucare dually eligible facility · per diem · inpatient | $4,896 | $4,896 | $4,896 – $4,896 |
| 13 | Ucare msho/minnesota special needs facility · per diem · inpatient | $4,896 | $4,896 | $4,896 – $4,896 |
| 14 | Ucare non-dually eligible facility · per diem · inpatient | $4,896 | $4,896 | $4,896 – $4,896 |
Last updated: Jun 27, 2026
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