RC 171
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
NEWBORN-LEVEL I 777056637
Arrow, OK
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 | Healthcare Highways 683_healthcare highways 20170101 percent of total billed charges · outpatientfrom % of charges | $31 | $31 | — | — | — | $31 – $31 |
| 2 | First Health 864_nhok spok first health 20141201 percent of total billed charges · inpatientfrom % of charges | $34 | $34 | — | — | — | $34 – $34 |
| 3 | MultiPlan 847_spok, nhok multiplan 20180101 percent of total billed charges · outpatientfrom % of charges | $43 | $43 | — | — | — | $43 – $43 |
| 4 | UnitedHealthcare 2698_baok, jpok, mcok, ohok united health care medicare outpatient 20250101 percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 5 | Medica 2709_baok, jpok, mcok, ohok medica outpatient 20250101 percent of total billed charges · outpatientfrom % of charges | $11 | $108 | $138 | 127% | — | $11 – $303 |
| 6 | Aetna 2659_mcok, baok, ohok aetna whole health 20241001 percent of total billed charges · outpatientfrom % of charges | $21 | $207 | $263 | 127% | — | $21 – $580 |
| 7 | Aetna 2658_mcok, baok, ohok aetna hmo 20241001 percent of total billed charges · outpatientfrom % of charges | $32 | $316 | $401 | 127% | — | $32 – $883 |
| 8 | Cigna 2093_nhok, spok cigna 20211001 percent of total billed charges · inpatientfrom % of charges | $39 | $377 | $479 | 127% | — | $39 – $1.1k |
| 9 | First Health 2649_baok, jpok, mcok, ohok first health 20241001 percent of total billed charges · outpatientfrom % of charges | $39 | $377 | $479 | 127% | — | $39 – $1.1k |
| 10 | MultiPlan 846_baok, mcok, ohok multiplan 20180101 percent of total billed charges · inpatientfrom % of charges | $41 | $401 | $509 | 127% | — | $41 – $1.1k |
| 11 | First Health 864_nhok spok first health 20141201 percent of total billed charges · outpatientfrom % of charges | $478 | $478 | $444 | 93% | — | $34 – $922 |
| 12 | UnitedHealthcare 2698_baok, jpok, mcok, ohok united health care medicare outpatient 20250101 percent of total billed charges · inpatientfrom % of charges | $683 | $683 | $635 | 93% | — | $48 – $1.3k |
| 13 | Healthcare Highways 683_healthcare highways 20170101 percent of total billed charges · inpatientfrom % of charges | $870 | $870 | — | — | — | $870 – $870 |
| 14 | MultiPlan 847_spok, nhok multiplan 20180101 percent of total billed charges · inpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |