RC 469

Pulmonary function testing

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

PRE/PST BRONCHODILATOR

Payers reporting RC 469

Payer pricing summary

Low

$17

Average

$289

Median

$228

High

$2.1k

Payer rate distribution

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#
1	Medica fee schedule · outpatient · +5 other terms	16	$82	$111	$114	102%	20–65	$4 – $970
2	Healthpartners facility · case rate · both · +3 other terms	4	$73	$79	$11	14%	3–30	$71 – $97
3	UnitedHealthcare case rate · outpatient · +20 other terms	177	$756	$677	$393	58%	—	$56 – $2k
4	Humana fee schedule · outpatient · +11 other terms	34	$151	$121	$77	64%	—	$23 – $435
5	Anthem case rate · outpatient · +11 other terms	27	$496	$616	$246	40%	—	$274 – $1.3k
6	Aetna fee schedule · outpatient · +15 other terms	23	$161	$188	$101	54%	—	$69 – $503
7	MultiPlan fee schedule · outpatient · +8 other terms	22	$207	$232	$191	82%	—	$59 – $1.2k
8	Tricare facility · fee schedule · outpatient · +6 other terms	21	$220	$219	$13	6%	—	$190 – $256
9	Blue Cross Blue Shield case rate · outpatient · +15 other terms	17	$152	$347	$337	97%	—	$56 – $1.0k
10	WellCare fee schedule · outpatient · +6 other terms	16	$156	$137	$68	49%	—	$45 – $243
11	Molina fee schedule · outpatient · +6 other terms	15	$116	$107	$89	83%	—	$45 – $435
12	Cigna fee schedule · outpatient · +11 other terms	14	$280	$263	$243	92%	—	$12 – $1.1k
13	Caresource fee schedule · outpatient · +3 other terms	12	$142	$142	—	—	—	$142 – $142
14	Ambetter fee schedule · outpatient · +6 other terms	11	$320	$280	$156	56%	—	$63 – $498
15	Phcs fee schedule · inpatient · +5 other terms	10	$181	$185	$54	29%	—	$113 – $252
16	Devoted facility · fee schedule · outpatient · +3 other terms	9	$233	$224	$13	6%	—	$201 – $240
17	Clover facility · fee schedule · outpatient · +1 other terms	8	$236	$245	$126	51%	—	$70 – $625
18	Medical Mutual fee schedule · outpatient · +3 other terms	7	$429	$372	$151	41%	—	$12 – $499
19	Optum fee schedule · outpatient · +4 other terms	7	$45	$73	$45	61%	—	$45 – $144
20	Cigna Healthspring facility · fee schedule · outpatient · +3 other terms	6	$230	$222	$12	5%	—	$201 – $230
21	Highmark fee schedule · outpatient	6	$209	$205	$74	36%	—	$70 – $376
22	Carefirst fee schedule · both	5	$151	$151	$4	3%	—	$148 – $155
23	Kaiser fee schedule · both · +4 other terms	5	$360	$360	$192	53%	—	$168 – $552
24	Bcbs Ms fee schedule · outpatient	4	$84	$84	$3	4%	—	$81 – $87
25	Magellan facility · other · outpatient · +4 other terms	4	$142	$142	—	—	—	$142 – $142

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