RC 480

Anterior abdominal hernia repair with mesh

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

Right Heart Cath

Payers reporting RC 480

72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	UnitedHealthcare case rate · outpatient · +38 other terms	360	$2,319	$4,541	$1.00 – $147,241
2	Aetna facility · fee schedule · outpatient · +37 other terms	334	$2,329	$4,872	$0.01 – $65,719
3	Humana facility · fee schedule · outpatient · +34 other terms	257	$2,979	$5,753	$0.01 – $79,164
4	Blue Cross Blue Shield facility · fee schedule · outpatient · +30 other terms	242	$1,768	$6,638	$0.01 – $132,421
5	Cigna fee schedule · outpatient · +36 other terms	186	$2,112	$5,507	$0.77 – $144,629
6	Anthem case rate · outpatient · +32 other terms	121	$8,179	$9,044	$6.23 – $171,551
7	WellCare fee schedule · outpatient · +23 other terms	118	$1,227	$3,338	$4.66 – $42,992
8	Molina fee schedule · outpatient · +31 other terms	116	$1,489	$3,154	$0.28 – $94,458
9	MultiPlan fee schedule · outpatient · +23 other terms	111	$3,508	$6,468	$0.01 – $132,825
10	Devoted facility · fee schedule · outpatient · +18 other terms	95	$3,688	$5,428	$22.67 – $42,031
11	Kaiser fee schedule · outpatient · +25 other terms	85	$2,645	$6,497	$0.77 – $184,680
12	Tricare facility · fee schedule · outpatient · +20 other terms	84	$857.15	$5,120	$12.79 – $121,563
13	Highmark facility · fee schedule · outpatient · +17 other terms	66	$706.81	$6,011	$0.78 – $105,120
14	Healthcare Highways case rate · outpatient · +5 other terms	58	$5,427	$6,645	$1,170 – $47,449
15	Medicaid facility · fee schedule · outpatient · +22 other terms	58	$478.34	$1,249	$3.38 – $24,903
16	Ambetter facility · fee schedule · outpatient · +21 other terms	56	$9,784	$13,059	$0.01 – $77,239
17	Medicare other · both · +17 other terms	55	$4,329	$3,804	$14.91 – $70,394
18	Amerihealth Caritas facility · fee schedule · outpatient · +13 other terms	52	$253.86	$3,212	$7.54 – $48,406
19	Optum fee schedule · outpatient · +22 other terms	49	$1,163	$1,652	$0.91 – $42,228
20	Caresource fee schedule · outpatient · +24 other terms	43	$648.65	$1,301	$0.74 – $49,681
21	Medica fee schedule · outpatient · +19 other terms	40	$688.12	$1,418	$0.01 – $65,913
22	Oscar facility · fee schedule · outpatient · +18 other terms	39	$6,711	$9,732	$27.19 – $69,228
23	First Health fee schedule · outpatient · +23 other terms	38	$3,162	$4,247	$0.92 – $129,938
24	Superior Healthplan facility · fee schedule · outpatient · +9 other terms	32	$7,070	$6,929	$11.03 – $33,163
25	Phcs fee schedule · outpatient · +15 other terms	28	$1,921	$5,814	$4.50 – $69,961

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