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

Humana pricing summary

Low

Average

$129

Median

$99

High

$623

Humana rate distribution

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282 hospital rates

#		Plans
1	Grant Memorial Hospital Inc Petersburg, WV facility · percent of total billed charges · outpatientfrom % of charges	1	$39	$42	$22	53%	1,905–1,923	$20 – $86
2	Benefis Community Care, Inc Great Falls, MT other · both	1	$0	$0	—	—	930	$0 – $0
3	Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges	1	$39	$44	$15	33%	614–632	$34 – $75
4	Boone Memorial Hospital Madison, WV other · both	1	$21	$20	$6	31%	448	$11 – $35
5	West Virginia Health Care Cooperative Inc. Summersville, WV facility · percent of total billed charges · outpatientfrom % of charges	1	$31	$38	$12	31%	404–422	$26 – $59
6	Barnesville Hospital Association, Inc. Barnesville, OH facility · percent of total billed charges · outpatientfrom % of charges	1	$49	$58	$13	23%	241–250	$48 – $77
7	HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA fee schedule · both	2	$38	$44	$31	69%	166–184	$5 – $153
8	Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · outpatientfrom % of charges	1	$69	$89	$37	41%	118–154	$54 – $156
9	Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges	1	$111	$127	$34	27%	111–147	$103 – $194
10	Boston Medical Center Boston, MA fee schedule · both	1	$36	$40	$9	23%	79–106	$32 – $57
11	Monument Health Network Inc Custer, SD percent of total billed charges · outpatientfrom % of charges	1	$123	$141	$38	27%	59–77	$114 – $216
12	Preferred Hospital Leasing Hemphill, Inc. Hemphill, TX facility · fee schedule · both	1	$35	$37	$4	10%	42–51	$33 – $42
13	University of New Mexico Hospital \| UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · percent of total billed charges · outpatientfrom % of charges	1	$32	$33	$10	31%	22–76	$20 – $49
14	Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient	2	$27	$24	$9	36%	21–30	$13 – $56
15	Harrison Community Hospital, Inc. Cadiz, OH facility · other · outpatient	1	$197	$197	—	—	19	$197 – $197
16	Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient	2	$33	$55	$53	96%	16–160	$6 – $369
17	St. Peter's Health Helena, MT fee schedule · outpatient	1	$68	$68	—	—	15	$68 – $68
18	St. Joseph's Hospital of Buckhannon, Inc. Buckhannon, WV facility · percent of total billed charges · outpatientfrom % of charges	1	$180	$181	$13	7%	13–31	$165 – $197
19	University of New Mexico Hospital \| UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient	1	$25	$57	$73	128%	11	$5 – $362
20	GRMC, Inc. Oakland, MD percent of total billed charges · bothfrom % of charges	2	$57	$62	$25	41%	7–70	$28 – $111
21	Mon Health Medical Center Morgantown, WV fee schedule · outpatient	1	$31	$27	$9	35%	6–60	$6 – $33
22	University of Virginia Prince William Medical Center Manassas, VA other · both	1	$171	$171	—	—	4–40	$171 – $171
23	West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient	2	$29	$26	$7	25%	3–30	$14 – $32
24	Monument Health Network Inc Deadwood, SD percent of total billed charges · outpatientfrom % of charges	1	$123	$141	$38	27%	2–20	$114 – $216
25	University of Virginia Culpeper Medical Center Culpeper, VA other · both	1	$168	$168	—	—	2–20	$168 – $168

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