RC 902
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.
Generation details were not recorded for this description.
Original text from hospital filings
OPPS/PHP/IOP; ACTIVITY THRPY
Low
$58
Average
$318
Median
$306
High
$629
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
12 payers; the 90th percentile is 7.2× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Ambetter other · outpatient | 11 | $198 | $621 | $1.3k | 215% | — | $198 – $4.9k |
| 2 | UnitedHealthcare fee schedule · outpatient · +6 other terms | 6 | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +4 other terms | 4 | $108 | $198 | $233 | 118% | — | $16 – $1.7k |
| 4 | Anthem per diem · outpatient · +1 other terms | 2 | $423 | $423 | $142 | 34% | — | $100 – $732 |
| 5 | Aetna professional · case rate · outpatient · +3 other terms | 1 | $448 | $448 | — | — | — | $448 – $448 |
| 6 | Aetna Better Health facility · percent of total billed charges · bothfrom % of charges | 1 | $58 | $58 | $49 | 85% | — | $29 – $143 |
| 7 | Cigna facility · percent of total billed charges · bothfrom % of charges | 1 | $99 | $99 | $12 | 12% | — | $87 – $111 |
| 8 | Medicare facility · fee schedule · outpatient | 1 | $233 | $233 | — | — | — | $233 – $233 |
| 9 | Molina facility · percent of total billed charges · bothfrom % of charges | 1 | $81 | $81 | $52 | 64% | — | $31 – $150 |
| 10 | MultiPlan per diem · outpatient | 1 | $404 | $404 | — | — | — | $404 – $404 |
| 11 | Superior Healthplan facility · case rate · both | 1 | $250 | $250 | — | — | — | $250 – $250 |
| 12 | Tricare facility · fee schedule · outpatient | 1 | $233 | $233 | — | — | — | $233 – $233 |
← Hospitals reporting RC 902 · Snapshot 20261111T120946Z-9134e7f7