RC 423

Physical therapy group session

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC PT GROUP THERAPEUTIC PROCEDURES

Payers reporting RC 423

Payer pricing summary

Low

Average

$97

Median

$72

High

$235

Payer rate distribution

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Filter by billing class

#
1	Highmark facility · fee schedule · both · +9 other terms	16	$26	$35	$22	63%	28	$8 – $98
2	Aetna fee schedule · outpatient · +25 other terms	87	$19	$134	$72	54%	15–150	$10 – $417
3	Blue Cross Blue Shield facility · fee schedule · outpatient · +25 other terms	79	$28	$53	$36	68%	1–10	$6 – $121
4	UnitedHealthcare case rate · outpatient · +26 other terms	203	$258	$261	$134	51%	—	$12 – $1.3k
5	Cigna case rate · outpatient · +24 other terms	128	$245	$251	$102	41%	—	$17 – $548
6	Humana fee schedule · outpatient · +19 other terms	60	$17	$91	$87	96%	—	$9 – $379
7	Anthem case rate · outpatient · +24 other terms	58	$316	$262	$113	43%	—	$17 – $584
8	Tricare facility · fee schedule · outpatient · +7 other terms	45	$16	$17	$3	20%	—	$15 – $36
9	WellCare fee schedule · outpatient · +13 other terms	44	$18	$19	$3	18%	—	$16 – $30
10	Healthcare Highways case rate · outpatient · +5 other terms	43	$219	$256	$63	25%	—	$211 – $364
11	Molina case rate · outpatient · +18 other terms	33	$266	$161	$114	71%	—	$11 – $266
12	Medcost percent of total billed charges · bothfrom % of charges · +5 other terms	27	$60	$87	$58	67%	—	$9 – $154
13	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	26	$59	$47	$41	87%	—	$3 – $114
14	Ambetter fee schedule · both · +13 other terms	25	$32	$27	$15	55%	—	$0 – $77
15	Devoted facility · fee schedule · outpatient · +10 other terms	24	$17	$17	$0	2%	—	$17 – $19
16	Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms	22	$236	$183	$69	38%	—	$55 – $260
17	Caresource fee schedule · outpatient · +14 other terms	21	$178	$172	$45	26%	—	$17 – $186
18	Medicare fee schedule · both · +7 other terms	21	$17	$17	$0	3%	—	$17 – $18
19	Bcbs La fee schedule · outpatient · +2 other terms	19	$40	$47	$18	38%	—	$17 – $98
20	Optum facility · per diem · outpatient · +9 other terms	19	$17	$23	$29	126%	—	$17 – $202
21	Oscar per diem · outpatient · +11 other terms	19	$73	$100	$38	38%	—	$73 – $186
22	Healthpartners case rate · outpatient · +4 other terms	18	$316	$316	$34	11%	—	$282 – $360
23	Kaiser fee schedule · outpatient · +14 other terms	17	$80	$190	$253	133%	—	$17 – $878
24	Excellus facility · fee schedule · both · +4 other terms	16	$23	$33	$23	68%	—	$15 – $98
25	Wellmark facility · fee schedule · both · +6 other terms	16	$30	$39	$25	63%	—	$15 – $98

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