RC 525

Subsequent nursing facility visit, low complexity, 20 minutes

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

OFF VISIT/NURSING HOME

Payers reporting RC 525

Payer pricing summary

Low

$34

Average

$144

Median

$147

High

$345

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare other · outpatient · +13 other terms	9	$172	$167	$95	57%	1,335–1,344	$38 – $695
2	Anthem other · outpatient · +6 other terms	1	$70	$70	$35	50%	4–40	$34 – $121
3	Medcost percent of total billed charges · bothfrom % of charges	13	$61	$61	$4	6%	—	$58 – $65
4	Blue Cross Blue Shield fee schedule · both · +13 other terms	11	$110	$104	$25	24%	—	$84 – $135
5	Medicaid fee schedule · outpatient · +2 other terms	11	$59	$60	$24	40%	—	$20 – $103
6	Superior Healthplan case rate · both · +3 other terms	10	$75	$75	—	—	—	$75 – $75
7	Cigna other · outpatient · +11 other terms	9	$164	$164	$20	12%	—	$130 – $179
8	Healthpartners facility · percent of total billed charges · outpatientfrom % of charges · +2 other terms	9	$265	$263	$96	37%	—	$137 – $421
9	Humana fee schedule · outpatient · +10 other terms	9	$115	$114	$37	32%	—	$33 – $221
10	Aetna fee schedule · outpatient · +13 other terms	6	$125	$105	$40	39%	—	$21 – $221
11	Kaiser fee schedule · outpatient · +3 other terms	5	$59	$60	$24	40%	—	$20 – $103
12	MultiPlan fee schedule · outpatient · +5 other terms	5	$109	$165	$99	60%	—	$78 – $490
13	Molina other · outpatient · +6 other terms	4	$174	$171	$33	19%	—	$75 – $249
14	Ambetter fee schedule · outpatient · +5 other terms	3	$195	$195	—	—	—	$195 – $195
15	Bcbs Ms fee schedule · outpatient	3	$151	$151	$2	1%	—	$149 – $152
16	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	3	$143	$148	$43	29%	—	$61 – $245
17	Cigna Healthspring other · outpatient	3	$198	$183	$30	17%	—	$137 – $246
18	Optum other · outpatient · +1 other terms	3	$198	$153	$44	29%	—	$104 – $246
19	WellCare other · outpatient · +7 other terms	3	$198	$183	$30	17%	—	$137 – $246
20	Aetna Better Health professional · fee schedule · outpatient	2	$117	$102	$26	25%	—	$61 – $138
21	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	2	$34	$34	$14	41%	—	$11 – $68
22	Carefirst case rate · outpatient	2	$121	$121	—	—	—	$121 – $121
23	Highmark professional · fee schedule · outpatient · +4 other terms	2	$115	$100	$25	25%	—	$60 – $135
24	Medica fee schedule · outpatient · +4 other terms	2	$133	$122	$54	44%	—	$40 – $268
25	Oscar other · outpatient · +3 other terms	2	$163	$163	$67	41%	—	$61 – $266

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