RC 516

Urgent care clinic 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.

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

Removal of impacted ear wax

Payers reporting RC 516

Payer pricing summary

Low

$22

Average

$507

Median

$444

High

$1.5k

Payer rate distribution

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#
1	UnitedHealthcare case rate · outpatient · +19 other terms	29	$147	$143	$62	43%	11	$1 – $3.1k
2	MultiPlan percent of total billed charges · outpatientfrom % of charges · +5 other terms	27	$260	$362	$468	129%	1–10	$13 – $3.2k
3	Cigna case rate · outpatient · +18 other terms	59	$196	$163	$101	62%	—	$94 – $560
4	Molina case rate · outpatient · +9 other terms	27	$160	$274	$396	145%	—	$90 – $2.4k
5	Aetna case rate · outpatient · +17 other terms	22	$145	$180	$194	107%	—	$15 – $2.1k
6	Anthem case rate · outpatient · +12 other terms	21	$217	$214	$43	20%	—	$129 – $281
7	Blue Cross Blue Shield facility · fee schedule · outpatient · +14 other terms	17	$267	$561	$1.0k	180%	—	$2 – $16.7k
8	Healthpartners case rate · outpatient · +2 other terms	17	$151	$151	$19	13%	—	$132 – $170
9	Humana facility · fee schedule · outpatient · +11 other terms	13	$285	$444	$554	125%	—	$6 – $4.7k
10	Oscar case rate · outpatient · +3 other terms	10	$625	$641	$710	111%	—	$93 – $2.5k
11	Ambetter case rate · outpatient · +5 other terms	8	$614	$624	$689	111%	—	$90 – $2.4k
12	WellCare facility · fee schedule · outpatient · +5 other terms	8	$313	$422	$510	121%	—	$6 – $3.6k
13	Phcs percent of total billed charges · outpatientfrom % of charges · +4 other terms	6	$288	$275	$264	96%	—	$18 – $1.7k
14	Ucare facility · percent of total billed charges · outpatientfrom % of charges	6	$83	$88	$43	48%	—	$26 – $246
15	Tricare facility · fee schedule · outpatient · +4 other terms	5	$710	$932	$1.8k	192%	—	$1 – $36.8k
16	Beechstreet percent of total billed charges · outpatientfrom % of charges	4	$63	$65	$3	5%	—	$63 – $71
17	Medicare fee schedule · both · +4 other terms	4	$153	$194	$162	83%	—	$49 – $932
18	Kaiser case rate · outpatient · +10 other terms	3	$262	$264	$59	22%	—	$184 – $332
19	Medicaid fee schedule · outpatient · +2 other terms	3	$62	$361	$380	105%	—	$17 – $2.5k
20	Amerihealth Caritas case rate · outpatient · +4 other terms	2	$150	$150	—	—	—	$150 – $150
21	Carefirst case rate · outpatient · +2 other terms	2	$121	$121	—	—	—	$121 – $121
22	Devoted facility · fee schedule · outpatient · +2 other terms	2	$222	$179	$92	52%	—	$48 – $353
23	Excellus fee schedule · outpatient · +4 other terms	2	$1.3k	$1.3k	$424	34%	—	$314 – $1.5k
24	First Health fee schedule · both · +7 other terms	2	$318	$206	$173	84%	—	$1 – $914
25	Medica fee schedule · both · +2 other terms	2	$178	$178	$144	81%	—	$52 – $739

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