RC 904
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 THER FOR PHP 45 MIN
Low
$11
Average
$102
Median
$118
High
$312
Each hospital's average Aetna Better Health rate, under the methodology and billing class chosen below.
23 hospitals; the 90th percentile is 9.2× 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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24 hospital rates
iThe hospitals that file a Aetna Better Health 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 | Baptist Medical Center of Nassau, INC Yulee, FL facility · case rate · outpatient | 2 | $120 | $120 | — | — | — | $120 – $120 |
| 2 | Baptist Medical Center of the Beaches, INC Beach, FL facility · case rate · outpatient | 2 | $120 | $120 | — | — | — | $120 – $120 |
| 3 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 4 | Inspira Health Center Bridgeton Bridgeton, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 5 | Inspira Health Center Woodbury Woodbury, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 6 | Inspira Medical Center Elmer Elmer, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 7 | Inspira Medical Center Mannington Salem, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 8 | Inspira Medical Center Mullica Hill Hill, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $118 | $118 | — | — | — | $118 – $118 |
| 9 | Inspira Medical Center Vineland Vineland, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 10 | Kirby Medical Center Monticello, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 11 | Memorial Hospital Miramar Miramar, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 12 | Memorial Hospital Pembroke Pembroke Pines, FL facility · percent of total billed charges · inpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 13 | Memorial Hospital Pembroke Pembroke Pines, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 14 | Memorial Hospital West Pembroke Pines, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 15 | Memorial Regional Hospital Hollywood, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $13 | — | — | — | $13 – $13 |
| 16 | Newton Medical Center Newton, NJ percent of total billed charges · bothfrom % of charges | 1 | $59 | $59 | — | — | — | $59 – $59 |
| 17 | Overlook Medical Center Summit, NJ percent of total billed charges · bothfrom % of charges | 1 | $124 | $124 | — | — | — | $124 – $124 |
| 18 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $159 | $312 | $265 | 85% | — | $159 – $772 |
| 19 | Penn Medicine Princeton Medical Center Princeton, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $41 | $37 | $8 | 21% | — | $26 – $44 |
| 20 | Southern Baptist Hospital of Florida, INC Fleming Island, FL facility · case rate · outpatient | 2 | $120 | $120 | — | — | — | $120 – $120 |
| 21 | Southern Baptist Hospital of Florida, INC FL 32222; 461 Outlet Mall Blvd St. Augustine, FL facility · case rate · outpatient | 2 | $120 | $120 | — | — | — | $120 – $120 |
| 22 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 2 | $120 | $120 | — | — | — | $120 – $120 |
| 23 | Southern Baptist Hospital of Florida, INC Jacksonville, FL facility · case rate · outpatient | 2 | $120 | $120 | — | — | — | $120 – $120 |
| 24 | SwedishAmerican Hospital IL 61104; 1625 S State St Belvidere, IL fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
← Payers reporting RC 904 · Snapshot 20261112T181611Z-3fa9fb76