RC 421

Physical Therapy Visit

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.

Generation details were not recorded for this description.

Original text from hospital filings

Pt Exercise Therapeutic 15 Min

Payers reporting RC 421

Payer pricing summary

Low

$28

Average

$137

Median

$125

High

$520

Payer rate distribution

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#
1	Amerihealth Caritas facility · other · outpatient · +5 other terms	7	$42	$102	$196	191%	204–231	$13 – $1.5k
2	Tricare fee schedule · outpatient · +11 other terms	16	$117	$38	$33	89%	32	$6 – $123
3	UnitedHealthcare case rate · outpatient · +26 other terms	169	$243	$249	$144	58%	28–163	$1 – $1.3k
4	Cigna Healthspring fee schedule · both · +5 other terms	4	$34	$32	$16	50%	13–31	$12 – $100
5	Caresource fee schedule · outpatient · +10 other terms	16	$186	$85	$72	85%	5–50	$4 – $186
6	Medicaid per diem · both · +9 other terms	10	$224	$200	$18	9%	1–10	$186 – $224
7	Cigna case rate · outpatient · +21 other terms	102	$231	$249	$101	41%	—	$62 – $548
8	Aetna facility · fee schedule · outpatient · +23 other terms	49	$43	$68	$92	136%	—	$6 – $729
9	Healthcare Highways case rate · outpatient · +1 other terms	43	$219	$256	$63	25%	—	$211 – $364
10	Blue Cross Blue Shield facility · fee schedule · outpatient · +22 other terms	40	$59	$56	$88	158%	—	$3 – $1.5k
11	Humana facility · fee schedule · outpatient · +19 other terms	35	$70	$43	$55	130%	—	$5 – $405
12	Anthem facility · case rate · outpatient · +17 other terms	28	$134	$142	$105	74%	—	$27 – $462
13	Oscar per diem · outpatient · +9 other terms	25	$140	$121	$35	29%	—	$73 – $186
14	Aetna Better Health facility · fee schedule · outpatient · +7 other terms	24	$16	$118	$237	201%	—	$3 – $1.5k
15	Molina facility · fee schedule · outpatient · +13 other terms	24	$35	$34	$50	145%	—	$3 – $437
16	Medcost percent of total billed charges · outpatientfrom % of charges · +3 other terms	16	$161	$139	$38	27%	—	$42 – $170
17	Devoted facility · fee schedule · outpatient · +7 other terms	14	$114	$91	$83	91%	—	$6 – $304
18	Highmark facility · fee schedule · outpatient · +10 other terms	12	$16	$47	$74	156%	—	$6 – $511
19	Medicare facility · fee schedule · outpatient · +7 other terms	12	$36	$47	$45	96%	—	$6 – $240
20	Optum facility · case rate · outpatient · +9 other terms	12	$107	$63	$54	85%	—	$21 – $248
21	WellCare facility · fee schedule · outpatient · +8 other terms	12	$43	$50	$72	146%	—	$6 – $405
22	Ambetter other · outpatient · +8 other terms	11	$161	$169	$190	112%	—	$161 – $4.9k
23	Bcbs Nj other · outpatient	10	$185	$185	$20	11%	—	$148 – $214
24	Beechstreet percent of total billed charges · outpatientfrom % of charges · +1 other terms	10	$262	$531	$441	83%	—	$115 – $1.3k
25	First Health case rate · outpatient · +8 other terms	10	$129	$129	—	—	—	$129 – $129

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