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

UnitedHealthcare pricing summary

Low

Average

$276

Median

$198

High

$28.5k

UnitedHealthcare rate distribution

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761 hospital rates

#		Plans
1	Wentworth Douglass Hospital Dover, NH fee schedule · both	1	$32	$31	$12	40%	13,157	$12 – $51
2	Spaulding Rehabilitation Hospital Boston Charlestown, MA fee schedule · outpatient	1	$35	$35	$13	38%	11,839–11,857	$14 – $58
3	Spaulding Rehabilitation Hospital Cape Cod Sandwich, MA fee schedule · outpatient	1	$33	$34	$11	32%	5,262–5,307	$13 – $52
4	University of Virginia Culpeper Medical Center Culpeper, VA fee schedule · both	2	$29	$28	$12	43%	2,197–2,287	$12 – $100
5	City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges	1	$126	$141	$60	43%	1,810–1,837	$80 – $282
6	Massachusetts General Hospital Boston, MA fee schedule · both	1	$36	$40	$14	34%	1,774–1,801	$15 – $69
7	Strong Memorial Hospital Rochester, NY percent of total billed charges · outpatientfrom % of charges	1	$76	$69	$21	31%	1,587–1,605	$19 – $94
8	Cooley Dickinson Hospital Northampton, MA fee schedule · both	1	$34	$35	$14	40%	1,361–1,415	$16 – $58
9	Brigham and Women's Faulkner Hospital Boston, MA fee schedule · both	1	$31	$32	$12	37%	1,282–1,309	$15 – $56
10	Monument Health Rapid City Hospital Inc City, SD percent of total billed charges · outpatientfrom % of charges	1	$85	$97	$26	27%	1,219–1,246	$79 – $149
11	Newton Wellesley Hospital Newton, MA fee schedule · both	1	$35	$37	$7	20%	1,066–1,102	$30 – $51
12	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	$144	$173	$103	59%	950–1,040	$57 – $346
13	Brigham and Women's Hospital Boston, MA fee schedule · both	1	$35	$37	$8	23%	871–898	$30 – $56
14	University of Virginia Haymarket Medical Center Haymarket, VA fee schedule · both	2	$31	$31	$12	40%	770–806	$12 – $100
15	Monument Health Network Inc Spearfish, SD percent of total billed charges · outpatientfrom % of charges	1	$85	$97	$26	27%	756–765	$79 – $149
16	HOSPITAL SERVICE DISTRICT #2 OF LASALLE PARISH JENA, LA fee schedule · both	3	$27	$38	$28	74%	654	$5 – $153
17	Community Health Association Ripley, WV facility · percent of total billed charges · outpatientfrom % of charges	2	$91	$109	$76	70%	652–706	$35 – $235
18	West Virginia University Hospitals, Inc. Morgantown, WV facility · percent of total billed charges · outpatientfrom % of charges	1	$158	$187	$65	35%	631–649	$149 – $332
19	Boston Medical Center Boston, MA fee schedule · both	3	$36	$38	$13	34%	556–583	$7 – $57
20	Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges	1	$114	$139	$115	83%	536–608	$31 – $620
21	Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges	1	$114	$139	$115	83%	536–608	$31 – $620
22	Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges	1	$114	$139	$115	83%	536–608	$31 – $620
23	University of Virginia Prince William Medical Center Manassas, VA fee schedule · both	2	$30	$31	$13	41%	493–520	$12 – $100
24	Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · percent of total billed charges · outpatientfrom % of charges	1	$163	$169	$71	42%	476–494	$63 – $267
25	Wheeling Hospital, Inc. Wheeling, WV facility · percent of total billed charges · outpatientfrom % of charges	1	$369	$369	$57	15%	416	$312 – $426

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