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 2
Friendship, WI
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Moundview Memorial Hospital and Clinics, Inc.’s median price of $595 is 83% below the median hospital's median price ($3.6k), higher than 13% 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: 4 payers, 12 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 hmo/pos facility · percent of total billed charges · inpatientfrom % of charges | $381.42 | $381.42 | $217.95 – $544.88 |
| 2 | Anthem ppo facility · percent of total billed charges · inpatientfrom % of charges | $381.42 | $381.42 | $217.95 – $544.88 |
| 3 | Anthem state specific facility · percent of total billed charges · inpatientfrom % of charges | $381.42 | $381.42 | $217.95 – $544.88 |
| 4 | Cigna all products facility · percent of total billed charges · inpatientfrom % of charges | $404.78 | $404.78 | $231.30 – $578.25 |
| 5 | Ucare qualified health plan facility · percent of total billed charges · inpatientfrom % of charges | $420.00 | $420.00 | $240.00 – $600.00 |
| 6 | Anthem medicaid facility · percent of total billed charges · inpatientfrom % of charges | $451.71 | $451.71 | $258.12 – $645.30 |
| 7 | MultiPlan mpi_phcs_healtheos facility · percent of total billed charges · inpatientfrom % of charges | $462.00 | $462.00 | $264.00 – $660.00 |
| 8 | MultiPlan mpi_healtheos wc facility · percent of total billed charges · inpatientfrom % of charges | $504.00 | $504.00 | $288.00 – $720.00 |
| 9 | Anthem medicare hmo/ppo facility · per diem · inpatient | $3,248 | $3,248 | $3,248 – $3,248 |
| 10 | Ucare msho/minnesota special needs facility · per diem · inpatient | $3,398 | $3,398 | $3,398 – $3,398 |
| 11 | Ucare non-dually eligible facility · per diem · inpatient | $3,398 | $3,398 | $3,398 – $3,398 |
| 12 | Ucare dually eligible facility · per diem · inpatient | $3,410 | $3,410 | $3,410 – $3,410 |
Last updated: Jun 27, 2026
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