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
RHC CCA SCRN PERF NEGATIV
Low
$0
Average
$29
Median
$0
High
$800
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
35 hospitals; the 90th percentile is 3800.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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36 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 2 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 4 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 7 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $0 | $0 | — | — | — | $0 – $0 |
| 8 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 9 | Clinton Memorial Hospital Wilmington, OH fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 10 | Conway Hospital, Inc. Conway, SC professional · fee schedule · outpatient | 1 | $800 | $800 | — | — | — | $800 – $800 |
| 11 | Denver Health and Hospital Authority Denver, CO facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 12 | East Cooper Medical Center LLC Mt Pleasant, SC fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | GLENDALE ADVENTIST MEDICAL CENTER Glendale, CA fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 14 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 15 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 16 | Good Shepherd Medical Center - Longview Longview, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 17 | Good Shepherd Medical Center - Marshall Marshall, TX fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 18 | Hilton Head Medical Center LLC Hilton Head Island, SC fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 19 | Jennie Stuart Medical Center Hopkinsville, KY facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 20 | LODI MEMORIAL HOSPITAL ASSOCIATION INC Lodi, CA fee schedule · outpatient | 1 | $38 | $38 | — | — | — | $38 – $38 |
| 21 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 22 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 23 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · inpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 24 | Mercy Hospitals East Communities Washington, MO professional · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 25 | Montefiore Medical Center Bronx, NY fee schedule · both | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS G9920 · Snapshot 20261111T120946Z-9134e7f7