RC 517

Family practice 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

HC CLINIC EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS

Payers reporting RC 517

Payer pricing summary

Low

Average

$138

Median

$130

High

$381

Payer rate distribution

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#
1	Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +1 other terms	12	$80	$81	$20	25%	3–30	$41 – $126
2	Anthem fee schedule · both · +8 other terms	22	$147	$134	$31	23%	—	$40 – $147
3	UnitedHealthcare fee schedule · outpatient · +16 other terms	18	$9	$24	$39	162%	—	$1 – $118
4	Humana fee schedule · outpatient · +13 other terms	14	$9	$8	$3	35%	—	$1 – $9
5	Beechstreet percent of total billed charges · inpatientfrom % of charges · +1 other terms	13	$196	$191	$21	11%	—	$120 – $210
6	Medcost percent of total billed charges · inpatientfrom % of charges · +1 other terms	13	$124	$157	$79	51%	—	$68 – $487
7	Aetna fee schedule · outpatient · +11 other terms	12	$9	$9	$0	1%	—	$9 – $9
8	First Health percent of total billed charges · inpatientfrom % of charges · +1 other terms	12	$186	$185	$7	4%	—	$175 – $196
9	Cigna Healthspring fee schedule · outpatient · +1 other terms	11	$9	$9	—	—	—	$9 – $9
10	Aetna Better Health facility · fee schedule · outpatient · +1 other terms	10	$21	$41	$39	95%	—	$7 – $137
11	Highmark facility · fee schedule · outpatient · +3 other terms	10	$21	$41	$38	93%	—	$7 – $135
12	Magellan percent of total billed charges · outpatientfrom % of charges	10	$131	$131	—	—	—	$131 – $131
13	Superior Healthplan case rate · both	10	$75	$75	—	—	—	$75 – $75
14	Cigna other · outpatient · +7 other terms	9	$164	$164	$20	12%	—	$130 – $179
15	Healthpartners facility · percent of total billed charges · outpatientfrom % of charges · +1 other terms	9	$197	$195	$53	27%	—	$125 – $284
16	Caresource facility · other · outpatient · +2 other terms	8	$76	$71	$39	55%	—	$36 – $160
17	Molina facility · other · outpatient · +5 other terms	6	$68	$56	$27	49%	—	$36 – $104
18	MultiPlan fee schedule · both · +3 other terms	5	$76	$75	$1	2%	—	$73 – $76
19	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	4	$144	$141	$48	34%	—	$22 – $297
20	WellCare case rate · both · +3 other terms	3	$45	$43	$2	5%	—	$40 – $45
21	Carefirst case rate · outpatient	2	$121	$121	—	—	—	$121 – $121
22	Medicaid fee schedule · outpatient	2	$84	$150	$67	45%	—	$1 – $247
23	Ambetter other · outpatient · +2 other terms	1	$4.9k	$4.9k	—	—	—	$4.9k – $4.9k
24	Amerihealth Caritas facility · fee schedule · outpatient · +2 other terms	1	$49	$49	—	—	—	$49 – $49
25	Clover fee schedule · outpatient	1	$9	$9	—	—	—	$9 – $9

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