RC 904

BEHAVIORAL HEALTH TREATMENT

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

ACTIVITY THERAPY, SUCH AS MUSIC, DANCE, ART OR PLAY THERAPIES NOT FOR RECREATION, RELATED TO THE CARE AND TREATMENT OF PATIENT'S DISABLING MENTAL HEALTH PROBLEMS, PER SESSION (45 MINUTES OR MORE)

Payers reporting RC 904

Payer pricing summary

Low

$60

Average

$45.1k

Median

$194

High

$1127.7k

Payer rate distribution

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#
1	UnitedHealthcare fee schedule · outpatient · +16 other terms	27	$17	$192	$202	105%	—	$1 – $859
2	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	19	$216	$205	$236	115%	—	$1 – $1.7k
3	Medica fee schedule · outpatient · +8 other terms	18	$138	$148	$167	113%	—	$18 – $952
4	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	14	$142	$142	$11	8%	—	$130 – $153
5	Sanford Health Plan fee schedule · outpatient · +5 other terms	14	$17	$197	$259	131%	—	$17 – $911
6	Humana fee schedule · outpatient · +13 other terms	13	$126	$152	$107	70%	—	$1 – $435
7	Aetna facility · fee schedule · outpatient · +15 other terms	12	$65	$79	$32	41%	—	$23 – $130
8	Oscar facility · percent of total billed charges · outpatientfrom % of charges · +4 other terms	12	$279	$214	$78	36%	—	$66 – $279
9	Beechstreet percent of total billed charges · bothfrom % of charges	11	$250	$258	$18	7%	—	$219 – $291
10	Ucare fee schedule · outpatient · +4 other terms	11	$25	$89	$165	185%	—	$14 – $911
11	Ambetter other · outpatient · +5 other terms	9	$489	$758	$1.1k	139%	—	$381 – $4.9k
12	Anthem other · outpatient · +15 other terms	9	$255	$224	$68	31%	—	$70 – $356
13	Bcbs Mn fee schedule · outpatient · +4 other terms	9	$28	$66	$122	185%	—	$16 – $533
14	Cigna other · both · +11 other terms	9	$132	$99	$60	61%	—	$0 – $147
15	WellCare fee schedule · outpatient · +6 other terms	9	$17	$39	$63	159%	—	$17 – $217
16	Medical Mutual facility · percent of total billed charges · bothfrom % of charges · +1 other terms	8	$180	$313	$230	73%	—	$71 – $614
17	MultiPlan fee schedule · outpatient · +8 other terms	8	$354	$371	$190	51%	—	$1 – $663
18	Molina facility · case rate · outpatient · +10 other terms	7	$119	$113	$16	14%	—	$75 – $119
19	Aetna Better Health facility · case rate · outpatient · +6 other terms	6	$120	$120	—	—	—	$120 – $120
20	Amerihealth Caritas facility · case rate · outpatient · +2 other terms	6	$110	$110	—	—	—	$110 – $110
21	Caresource other · outpatient · +6 other terms	6	$457	$465	$19	4%	—	$457 – $508
22	Tricare facility · other · outpatient · +3 other terms	6	$134	$154	$37	24%	—	$134 – $223
23	Carefirst other · both · +4 other terms	5	$129	$129	$3	3%	—	$125 – $132
24	Kaiser fee schedule · both · +11 other terms	5	$250	$250	—	—	—	$250 – $250
25	Healthpartners facility · other · outpatient · +5 other terms	4	$240	$240	—	—	—	$240 – $240

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