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

Medicaid pricing summary

Low

$15

Average

$193

Median

$195

High

$522

Medicaid rate distribution

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43 hospital rates

#		Plans
1	Spaulding Rehabilitation Hospital Boston Charlestown, MA percent of total billed charges · outpatientfrom % of charges	1	$81	$82	$2	3%	75–93	$81 – $86
2	Spaulding Rehabilitation Hospital Cape Cod Sandwich, MA percent of total billed charges · outpatientfrom % of charges	1	$74	$62	$16	26%	32–50	$35 – $74
3	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN per diem · both	1	$224	$224	—	—	1–10	$224 – $224
4	Berkshire Medical Center Great Barrington, MA facility · fee schedule · outpatient	2	$73	$68	$42	61%	—	$32 – $242
5	Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient	2	$23	$22	$8	36%	—	$9 – $41
6	Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient	1	$22	$55	$47	85%	—	$22 – $122
7	Emerson Hospital Concord, MA facility · fee schedule · outpatient	1	$34	$34	—	—	—	$34 – $34
8	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CARMEL CARMEL, IN per diem · both	1	$224	$224	—	—	—	$224 – $224
9	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN per diem · both	13	$186	$197	$17	9%	—	$186 – $224
10	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN per diem · both	13	$186	$197	$17	9%	—	$186 – $224
11	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN per diem · both	15	$186	$195	$16	8%	—	$186 – $224
12	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN per diem · both	1	$224	$224	—	—	—	$224 – $224
13	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN per diem · both	1	$224	$224	—	—	—	$224 – $224
14	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN per diem · both	1	$224	$224	—	—	—	$224 – $224
15	FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN per diem · both	1	$224	$224	—	—	—	$224 – $224
16	FRANCISCAN HEALTH RENSSELAER, INC. RENSSELAER, IN per diem · both	1	$224	$224	—	—	—	$224 – $224
17	Fairview Hospital Great Barrington, MA facility · fee schedule · outpatient	2	$147	$111	$41	37%	—	$65 – $147
18	Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient	2	$22	$21	$9	43%	—	$9 – $41
19	HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA case rate · both	1	$84	$84	—	—	—	$84 – $84
20	HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA case rate · outpatient	1	$84	$84	—	—	—	$84 – $84
21	HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA fee schedule · both	1	$606	$606	—	—	—	$606 – $606
22	HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · bothfrom % of charges	1	$99	$111	$48	43%	—	$42 – $281
23	HealthAlliance - Clinton Hospital MA 01453; 201 Highland St Clinton, MA percent of total billed charges · outpatientfrom % of charges	1	$144	$144	—	—	—	$144 – $144
24	Holyoke Medical Center Holyoke, MA facility · fee schedule · outpatient	1	$81	$81	—	—	—	$81 – $81
25	Lake Charles Memorial Hospital Charles., LA fee schedule · outpatient	1	$16	$16	$1	7%	—	$13 – $16

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