RC 433
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.
Original text from hospital filings
HC OT GROUP THERAPEUTIC PROCEDURES
Low
$4
Average
$91
Median
$69
High
$428
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
61 payers; the 90th percentile is 6.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Highmark facility · fee schedule · both · +9 other terms | 8 | $23 | $29 | $17 | 57% | 28 | $17 – $90 |
| 2 | Aetna fee schedule · outpatient · +25 other terms | 76 | $19 | $118 | $83 | 70% | 16–160 | $10 – $682 |
| 3 | Bcbs Mt fee schedule · outpatient | 1 | $14 | $14 | — | — | 1–10 | $14 – $14 |
| 4 | UnitedHealthcare case rate · outpatient · +25 other terms | 178 | $243 | $257 | $144 | 56% | — | $12 – $1.3k |
| 5 | Cigna case rate · outpatient · +25 other terms | 103 | $231 | $247 | $102 | 41% | — | $17 – $548 |
| 6 | Blue Cross Blue Shield facility · fee schedule · outpatient · +25 other terms | 62 | $41 | $48 | $36 | 75% | — | $9 – $121 |
| 7 | Humana fee schedule · outpatient · +20 other terms | 50 | $18 | $92 | $88 | 96% | — | $9 – $682 |
| 8 | Healthcare Highways case rate · outpatient · +5 other terms | 43 | $219 | $256 | $63 | 25% | — | $211 – $364 |
| 9 | Anthem case rate · outpatient · +23 other terms | 34 | $235 | $262 | $132 | 50% | — | $17 – $584 |
| 10 | Tricare facility · fee schedule · outpatient · +8 other terms | 34 | $16 | $17 | $5 | 28% | — | $15 – $57 |
| 11 | WellCare fee schedule · outpatient · +12 other terms | 30 | $19 | $45 | $114 | 252% | — | $16 – $716 |
| 12 | Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges | 26 | $59 | $47 | $41 | 87% | — | $3 – $114 |
| 13 | Ambetter fee schedule · both · +13 other terms | 25 | $32 | $28 | $14 | 48% | — | $0 – $77 |
| 14 | Molina fee schedule · both · +17 other terms | 23 | $41 | $39 | $30 | 77% | — | $13 – $113 |
| 15 | Caresource fee schedule · outpatient · +14 other terms | 21 | $186 | $168 | $51 | 31% | — | $17 – $186 |
| 16 | Beechstreet percent of total billed charges · outpatientfrom % of charges · +3 other terms | 20 | $237 | $179 | $45 | 25% | — | $55 – $260 |
| 17 | Bcbs La fee schedule · outpatient · +2 other terms | 19 | $40 | $47 | $18 | 38% | — | $17 – $98 |
| 18 | Medicare fee schedule · both · +10 other terms | 19 | $17 | $17 | $0 | 2% | — | $17 – $17 |
| 19 | Oscar per diem · outpatient · +8 other terms | 19 | $73 | $108 | $40 | 37% | — | $73 – $186 |
| 20 | Devoted facility · fee schedule · outpatient · +10 other terms | 18 | $17 | $17 | $0 | 1% | — | $17 – $18 |
| 21 | Optum fee schedule · outpatient · +10 other terms | 18 | $18 | $56 | $66 | 118% | — | $16 – $306 |
| 22 | Kaiser fee schedule · outpatient · +15 other terms | 16 | $58 | $144 | $190 | 132% | — | $17 – $662 |
| 23 | Medcost percent of total billed charges · outpatientfrom % of charges · +5 other terms | 16 | $150 | $123 | $59 | 48% | — | $27 – $260 |
| 24 | Aetna Better Health facility · fee schedule · outpatient · +6 other terms | 13 | $13 | $23 | $39 | 169% | — | $10 – $176 |
| 25 | Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +1 other terms | 12 | $100 | $101 | $25 | 25% | — | $51 – $157 |
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