RC 762

Observation hours, specialty services

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 Observation Carve-Out - Radiology

Payers reporting RC 762

70 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 · +32 other terms	502	$6,280	$6,295	$14.65 – $25,942
2	Aetna case rate · outpatient · +33 other terms	297	$4,992	$4,957	$33.94 – $20,320
3	Blue Cross Blue Shield case rate · outpatient · +29 other terms	233	$6,401	$6,340	$30.17 – $25,903
4	Humana case rate · outpatient · +30 other terms	230	$3,615	$3,147	$76.87 – $15,567
5	Cigna case rate · outpatient · +28 other terms	199	$5,783	$7,646	$0.62 – $16,417
6	Molina case rate · outpatient · +28 other terms	167	$4,800	$6,378	$76.87 – $11,581
7	WellCare case rate · outpatient · +18 other terms	146	$4,000	$3,649	$76.87 – $4,275
8	Devoted fee schedule · outpatient · +16 other terms	128	$5,123	$4,430	$596.26 – $5,446
9	Cigna Healthspring case rate · outpatient · +8 other terms	112	$4,300	$3,812	$550.00 – $6,500
10	MultiPlan fee schedule · outpatient · +15 other terms	105	$325.44	$441.48	$0.77 – $2,267
11	Anthem case rate · outpatient · +27 other terms	104	$8,566	$9,526	$25.16 – $18,375
12	Oscar case rate · outpatient · +14 other terms	98	$4,250	$4,708	$958.66 – $13,031
13	Kaiser fee schedule · outpatient · +23 other terms	75	$596.26	$435.03	$1.15 – $4,311
14	Ambetter case rate · outpatient · +18 other terms	49	$2,588	$3,266	$890.43 – $14,643
15	Highmark facility · fee schedule · outpatient · +19 other terms	48	$934.40	$532.45	$2.46 – $6,176
16	Medicaid facility · fee schedule · outpatient · +14 other terms	43	$79.00	$155.08	$4.79 – $571.75
17	Medica fee schedule · outpatient · +18 other terms	41	$231.36	$279.78	$9.45 – $2,083
18	Amerihealth Caritas facility · case rate · outpatient · +17 other terms	38	$1,500	$1,724	$625.99 – $2,882
19	Optum fee schedule · outpatient · +19 other terms	38	$562.92	$453.59	$16.74 – $1,288
20	Medicare other · both · +15 other terms	37	$630.08	$705.92	$556.59 – $2,516
21	First Health fee schedule · outpatient · +18 other terms	34	$476.48	$354.94	$40.30 – $1,738
22	Phcs fee schedule · outpatient · +12 other terms	30	$244.67	$440.19	$26.46 – $1,324
23	Caresource fee schedule · outpatient · +17 other terms	29	$609.34	$729.04	$1.08 – $5,164
24	Magellan per diem · outpatient · +14 other terms	28	$1,660	$1,510	$450.00 – $1,679
25	Tricare facility · fee schedule · outpatient · +13 other terms	28	$604.96	$2,838	$0.01 – $50,000

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