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
SPLINT WRIST FOAM LT MED 79-87435
Perryville, MO
See all hospitals reporting RC 274 →Price type
Mercy Perry’s median price of $12 is 93% below the median hospital's median price ($185), higher than 2% of the 1,709 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: 16 payers, 26 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 | Medicaid hb wash jefn linc samc pcmh stod il medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3 | $11 | $23 | 213% | — | $1 – $143 |
| 2 | Blue Cross Blue Shield hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $6 | $22 | $47 | 213% | — | $2 – $289 |
| 3 | Humana hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $6 | $22 | $47 | 213% | — | $2 – $289 |
| 4 | Medica hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $6 | $22 | $47 | 213% | — | $2 – $289 |
| 5 | Medicare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $6 | $22 | $47 | 213% | 13–130 | $2 – $289 |
| 6 | UnitedHealthcare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $6 | $22 | $47 | 213% | — | $2 – $289 |
| 7 | WellCare hb pcmh medicare/managed mcr w/seq 98.1% facility · percent of total billed charges · outpatientfrom % of charges | $6 | $22 | $47 | 213% | — | $2 – $289 |
| 8 | UnitedHealthcare hb pcmh uhc medicare w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $7 | $23 | $48 | 213% | 5–50 | $2 – $295 |
| 9 | Aetna hb pcmh aetna/coventry medicare 102% w/o seq facility · percent of total billed charges · outpatientfrom % of charges | $7 | $23 | $49 | 213% | 5–50 | $2 – $300 |
| 10 | Devoted hb pcmh devoted health medicare advantage 104% w/seq facility · percent of total billed charges · outpatientfrom % of charges | $7 | $23 | $49 | 213% | — | $2 – $300 |
| 11 | Anthem hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $7 | $24 | $52 | 213% | — | $2 – $317 |
| 12 | Blue Cross Blue Shield hb pcmh anthem blue access facility · percent of total billed charges · outpatientfrom % of charges | $7 | $24 | $52 | 213% | 7–70 | $2 – $317 |
| 13 | Blue Cross Blue Shield hb pcmh anthem blue preferred facility · percent of total billed charges · outpatientfrom % of charges | $7 | $24 | $52 | 213% | 7–70 | $2 – $317 |
| 14 | Blue Cross Blue Shield hb pcmh anthem pathway/exchange facility · percent of total billed charges · outpatientfrom % of charges | $7 | $24 | $52 | 213% | — | $2 – $317 |
| 15 | Tricare hb pcmh tricare facility · percent of total billed charges · outpatientfrom % of charges | $8 | $26 | $56 | 213% | — | $2 – $344 |
| 16 | Medica hb linc pcmh medica exchange new 010122 facility · percent of total billed charges · outpatientfrom % of charges | $9 | $31 | $65 | 213% | — | $2 – $399 |
| 17 | Ambetter hb pcmh ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $10 | $35 | $74 | 213% | — | $2 – $450 |
| 18 | Blue Cross Blue Shield hb stlo wash jefn linc samc cape stod pcmh bcbs ascension facility · percent of total billed charges · outpatientfrom % of charges | $10 | $35 | $74 | 213% | — | $2 – $451 |
| 19 | UnitedHealthcare hb pcmh uhc core facility · percent of total billed charges · outpatientfrom % of charges | $12 | $42 | $89 | 213% | — | $3 – $542 |
| 20 | Aetna hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $14 | $48 | $102 | 213% | 5–50 | $3 – $622 |
| 21 | First Health hb pcmh linc aetna coventry all products facility · percent of total billed charges · outpatientfrom % of charges | $14 | $48 | $102 | 213% | — | $3 – $622 |
| 22 | Optum hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $14 | $48 | $103 | 213% | — | $3 – $627 |
| 23 | UnitedHealthcare hb pcmh uhc all payer exchange facility · percent of total billed charges · outpatientfrom % of charges | $14 | $48 | $103 | 213% | 7–70 | $3 – $627 |
| 24 | Blue Cross Blue Shield hb pcmh anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $15 | $53 | $112 | 213% | — | $4 – $684 |
| 25 | Cigna hb pcmh cigna facility · percent of total billed charges · outpatientfrom % of charges | $16 | $54 | $116 | 213% | 6–60 | $4 – $708 |
Last updated: Mar 12, 2026
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