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

Molina pricing summary

Low

$18

Average

$70

Median

$39

High

$274

Molina rate distribution

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133 hospital rates

#		Plans
1	University of New Mexico Hospital \| UNM Sandoval Regional Medical Center - A Campus of UNM Hospital Rio Rancho, NM facility · other · outpatient	2	$69	$143	$188	132%	309–471	$14 – $986
2	Wheeling Hospital, Inc. Wheeling, WV facility · other · outpatient	2	$27	$27	$7	28%	234–243	$12 – $53
3	Barnesville Hospital Association, Inc. Barnesville, OH facility · other · outpatient	1	$103	$103	$34	33%	171–180	$69 – $137
4	Upstate University Hospital Syracuse, NY facility · case rate · outpatient	2	$45	$45	$20	46%	109–154	$23 – $84
5	Harrison Community Hospital, Inc. Cadiz, OH facility · other · outpatient	1	$188	$188	—	—	53	$188 – $188
6	HOLLAND COMMUNITY HOSPITAL Holland, MI percent of total billed charges · outpatientfrom % of charges	1	$38	$38	$21	55%	43–79	$6 – $112
7	Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient	2	$26	$23	$8	36%	38–47	$12 – $53
8	Wetzel County Hospital, Inc. New Martinsville, WV facility · other · outpatient	2	$26	$24	$8	33%	26–35	$14 – $54
9	Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges	1	$33	$40	$13	34%	23–50	$29 – $63
10	Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges	1	$48	$48	—	—	21	$48 – $48
11	Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · outpatientfrom % of charges	1	$92	$92	—	—	15	$92 – $92
12	University of Virginia Culpeper Medical Center Culpeper, VA fee schedule · both	1	$29	$29	$14	49%	14–32	$12 – $100
13	Shannon Medical Center San Angelo, TX facility · other · outpatient	1	$35	$30	$9	31%	4–40	$15 – $38
14	Shannon Medical Center Big Spring Big Spring, TX facility · other · outpatient	1	$35	$30	$9	31%	4–40	$15 – $38
15	Shannon River Crest Hospital San Angelo, TX facility · other · outpatient	1	$35	$30	$9	31%	4–40	$15 – $38
16	Barnesville Hospital Association, Inc. Barnesville, OH facility · percent of total billed charges · outpatientfrom % of charges	1	$47	$47	—	—	1–10	$47 – $47
17	Highland District Hospital Hillsboro, OH fee schedule · outpatient	1	$37	$37	$17	46%	1–10	$20 – $54
18	Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · percent of total billed charges · outpatientfrom % of charges	1	$21	$21	—	—	1–10	$21 – $21
19	Trinity Health Grand Haven Hospital Grand Haven, MI facility · fee schedule · both	1	$33	$33	—	—	1–10	$33 – $33
20	AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient	1	$27	$27	—	—	—	$27 – $27
21	Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient	1	$37	$37	—	—	—	$37 – $37
22	Bronson Battle Creek Hospital Battle Creek, MI facility · fee schedule · outpatient	1	$178	$178	—	—	—	$178 – $178
23	Bronson LakeView Hospital Paw Paw, MI facility · percent of total billed charges · outpatientfrom % of charges	1	$67	$67	—	—	—	$67 – $67
24	Bronson Methodist Hospital Kalamazoo, MI facility · fee schedule · outpatient	1	$178	$178	—	—	—	$178 – $178
25	Bronson South Haven Hospital South Haven, MI facility · fee schedule · outpatient	1	$178	$178	—	—	—	$178 – $178

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