RC 203
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
PICU LEVEL A 770056623
Arrow, OK
Negotiated rates from the hospital’s own file: 7 payers, 11 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 | $502 | $502 | $96 | 19% | — | $406 – $598 |
| 2 | Aetna 2659_mcok, baok, ohok aetna whole health 20241001 percent of total billed charges · outpatientfrom % of charges | $961 | $961 | $184 | 19% | — | $778 – $1.1k |
| 3 | Healthcare Highways 683_healthcare highways 20170101 percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.4k | $275 | 19% | — | $1.2k – $1.7k |
| 4 | Aetna 2658_mcok, baok, ohok aetna hmo 20241001 percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $280 | 19% | — | $1.2k – $1.7k |
| 5 | First Health 864_nhok spok first health 20141201 percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | $292 | 19% | — | $1.2k – $1.8k |
| 6 | Cigna 2093_nhok, spok cigna 20211001 percent of total billed charges · inpatientfrom % of charges | $1.7k | $1.7k | $334 | 19% | — | $1.4k – $2.1k |
| 7 | First Health 2649_baok, jpok, mcok, ohok first health 20241001 percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $334 | 19% | — | $1.4k – $2.1k |
| 8 | UnitedHealthcare 2698_baok, jpok, mcok, ohok united health care medicare outpatient 20250101 percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 9 | MultiPlan 846_baok, mcok, ohok multiplan 20180101 percent of total billed charges · inpatientfrom % of charges | $1.9k | $1.9k | $355 | 19% | — | $1.5k – $2.2k |
| 10 | MultiPlan 847_spok, nhok multiplan 20180101 percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | $376 | 19% | — | $1.6k – $2.3k |
| 11 | 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 |