RC 520

Freestanding clinic general 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

PR Office Outpatient Visit 10 Mins Met or Exceeded

Payers reporting RC 520

Payer pricing summary

Low

$20

Average

$532

Median

$131

High

$7.3k

Payer rate distribution

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#
1	Anthem fee schedule · both · +6 other terms	20	$147	$183	$104	57%	—	$138 – $617
2	Aetna fee schedule · outpatient · +11 other terms	15	$23	$45	$65	143%	—	$23 – $454
3	Cigna fee schedule · outpatient · +13 other terms	14	$23	$31	$29	92%	—	$9 – $133
4	UnitedHealthcare fee schedule · outpatient · +15 other terms	13	$152	$153	$26	17%	—	$25 – $159
5	Caresource fee schedule · outpatient	12	$159	$159	—	—	—	$159 – $159
6	Blue Cross Blue Shield fee schedule · both · +8 other terms	10	$17	$100	$142	142%	—	$10 – $454
7	Superior Healthplan case rate · both · +1 other terms	10	$75	$75	—	—	—	$75 – $75
8	Medicare fee schedule · both · +2 other terms	9	$10	$16	$10	63%	—	$10 – $33
9	Bcbs Il fee schedule · both · +1 other terms	7	$20	$20	—	—	—	$20 – $20
10	Bcbs In fee schedule · both	7	$20	$20	—	—	—	$20 – $20
11	Medicaid per diem · both	7	$193	$177	$30	17%	—	$159 – $227
12	Humana fee schedule · both · +12 other terms	6	$33	$79	$95	120%	—	$33 – $322
13	Molina facility · fee schedule · outpatient · +6 other terms	4	$106	$589	$1.2k	203%	—	$45 – $4.1k
14	First Health facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms	3	$209	$254	$248	98%	—	$71 – $737
15	MultiPlan fee schedule · both · +7 other terms	3	$389	$369	$136	37%	—	$253 – $547
16	Aetna Better Health percent of total billed charges · bothfrom % of charges	2	$52	$52	$1	2%	—	$51 – $53
17	Ambetter facility · case rate · outpatient · +1 other terms	2	$28	$28	$11	39%	—	$15 – $41
18	Amerihealth Caritas fee schedule · both	2	$30	$30	$2	8%	—	$28 – $32
19	Bcbs Al facility · case rate · outpatient	2	$23	$23	$9	39%	—	$12 – $34
20	Carefirst case rate · outpatient	2	$121	$121	—	—	—	$121 – $121
21	Devoted facility · case rate · outpatient · +1 other terms	2	$23	$23	$9	39%	—	$12 – $34
22	Highmark fee schedule · both · +3 other terms	2	$56	$56	$32	57%	—	$28 – $122
23	Ucare facility · percent of total billed charges · bothfrom % of charges	2	$23	$23	$6	28%	—	$17 – $29
24	WellCare case rate · both · +5 other terms	2	$184	$194	$69	35%	—	$137 – $290
25	Bcbs Id facility · fee schedule · both	1	$1.1k	$1.1k	$1.6k	148%	—	$1 – $43.6k

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