RC 172
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 II 777056639
Arrow, OK
Negotiated rates from the hospital’s own file: 7 payers, 13 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 | Medica 2709_baok, jpok, mcok, ohok medica outpatient 20250101 percent of total billed charges · outpatientfrom % of charges | $591 | $591 | — | — | — | $591 – $591 |
| 2 | Aetna 2659_mcok, baok, ohok aetna whole health 20241001 percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | Healthcare Highways 683_healthcare highways 20170101 percent of total billed charges · outpatientfrom % of charges | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 4 | Healthcare Highways 683_healthcare highways 20170101 percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | Aetna 2658_mcok, baok, ohok aetna hmo 20241001 percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 6 | First Health 864_nhok spok first health 20141201 percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 7 | Cigna 2093_nhok, spok cigna 20211001 percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 8 | First Health 2649_baok, jpok, mcok, ohok first health 20241001 percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | MultiPlan 846_baok, mcok, ohok multiplan 20180101 percent of total billed charges · inpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 10 | MultiPlan 846_baok, mcok, ohok multiplan 20180101 percent of total billed charges · outpatientfrom % of charges | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 11 | MultiPlan 847_spok, nhok multiplan 20180101 percent of total billed charges · inpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 12 | MultiPlan 847_spok, nhok multiplan 20180101 percent of total billed charges · outpatientfrom % of charges | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 13 | UnitedHealthcare 2698_baok, jpok, mcok, ohok united health care medicare outpatient 20250101 percent of total billed charges · inpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |