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
$30
Average
$173
Median
$118
High
$378
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
7 hospitals; the 90th percentile is 12.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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9 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 3 | $27 | $30 | $4 | 14% | — | $27 – $36 |
| 2 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 3 | $27 | $30 | $4 | 14% | — | $27 – $36 |
| 3 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA fee schedule · outpatient | 3 | $141 | $185 | $215 | 116% | — | $16 – $1.5k |
| 4 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA per diem · outpatient | 3 | $2.1k | $2.1k | $22 | 1% | — | $2.0k – $2.1k |
| 5 | Ellis Hospital NY 12308; 2210 Troy Schenectady Road Niskayuna, NY facility · fee schedule · outpatient | 1 | $243 | $243 | — | — | — | $243 – $243 |
| 6 | HENRY HEYWOOD MEMORIAL HOSPITAL Gardner, MA fee schedule · outpatient | 3 | $165 | $216 | $250 | 116% | — | $19 – $1.7k |
| 7 | HENRY HEYWOOD MEMORIAL HOSPITAL Gardner, MA per diem · outpatient | 3 | $1.6k | $1.6k | $19 | 1% | — | $1.6k – $1.7k |
| 8 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 6 | $133 | $118 | $33 | 28% | — | $44 – $133 |
| 9 | Saint Thomas Rutherford Hospital Murfreesboro, TN percent of total billed charges · outpatientfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
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