RC 269
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
THER/PROPH/DIAG IV INF ADDON
Valhalla, NY
See all hospitals reporting RC 269 →Price type
Westchester Medical Center’s median price of $306 is 8% below the median hospital's median price ($331), higher than 46% of the 154 hospitals reporting RC 269. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 31 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 | Blue Cross Blue Shield blue cross connection/exchange facility · fee schedule · outpatient | $142 | $142 | $67 | 48% | — | $74 – $209 |
| 2 | Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges | $157 | $157 | — | — | — | $157 – $157 |
| 3 | Blue Cross Blue Shield blue cross small group facility · fee schedule · outpatient | $162 | $162 | $88 | 54% | — | $74 – $250 |
| 4 | Blue Cross Blue Shield blue cross medicare facility · fee schedule · outpatient | $89 | $165 | $119 | 72% | — | $58 – $410 |
| 5 | Medicare medicare facility · fee schedule · outpatient | $89 | $165 | $119 | 72% | — | $58 – $410 |
| 6 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $89 | $165 | $119 | 72% | — | $58 – $410 |
| 7 | Oscar oscar medicare facility · fee schedule · outpatient | $92 | $170 | $122 | 72% | — | $60 – $423 |
| 8 | Molina affinity by molina mcr facility · fee schedule · outpatient | $94 | $173 | $125 | 72% | — | $61 – $431 |
| 9 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · fee schedule · outpatient | $176 | $176 | $102 | 58% | — | $74 – $278 |
| 10 | Tricare tricare facility · fee schedule · outpatient | $90 | $185 | $129 | 70% | — | $58 – $412 |
| 11 | Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges | $188 | $188 | — | — | — | $188 – $188 |
| 12 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · percent of total billed charges · outpatientfrom % of charges | $209 | $209 | — | — | — | $209 – $209 |
| 13 | Blue Cross Blue Shield blue cross access facility · fee schedule · outpatient | $223 | $223 | — | — | — | $223 – $223 |
| 14 | WellCare wellcare exchange (mcr) facility · fee schedule · outpatient | $165 | $304 | $220 | 72% | — | $108 – $759 |
| 15 | Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges | $379 | $403 | $222 | 55% | — | $160 – $840 |
| 16 | Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges | $426 | $426 | $258 | 61% | — | $168 – $684 |
| 17 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $417 | $444 | $245 | 55% | — | $176 – $926 |
| 18 | Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges | $417 | $444 | $245 | 55% | — | $176 – $926 |
| 19 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $449 | $478 | $264 | 55% | — | $190 – $997 |
| 20 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $449 | $478 | $264 | 55% | — | $190 – $997 |
| 21 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $482 | $512 | $283 | 55% | — | $203 – $1.1k |
| 22 | Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges | $546 | $580 | $321 | 55% | — | $230 – $1.2k |
| 23 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $546 | $580 | $321 | 55% | — | $230 – $1.2k |
| 24 | Blue Cross Blue Shield blue cross connection/exchange facility · per diem · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 25 | Blue Cross Blue Shield blue cross access facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
Last updated: Jul 28, 2026
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