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 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)
Low
$85
Average
$148
Median
$134
High
$403
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
13 hospitals; the 90th percentile is 2.2× 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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13 hospital rates
iThe hospitals that file a Tricare 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 | Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges | 1 | $85 | $85 | — | — | — | $85 – $85 |
| 2 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 2 | $134 | $134 | — | — | — | $134 – $134 |
| 3 | Dukes Health System LLC Peru, IN facility · fee schedule · outpatient | 1 | $120 | $120 | — | — | — | $120 – $120 |
| 4 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 5 | Marshall County HMA, LLC Madill, OK facility · fee schedule · outpatient | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 6 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $89 | $89 | — | — | — | $89 – $89 |
| 7 | Mid Hudson Regional Hospital Poughkeepsie, NY facility · fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
| 8 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 9 | Penn Medicine Princeton Medical Center Princeton, NJ facility · fee schedule · outpatient | 1 | $444 | $403 | $83 | 21% | — | $287 – $479 |
| 10 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 2 | $134 | $134 | — | — | — | $134 – $134 |
| 11 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 2 | $223 | $223 | — | — | — | $223 – $223 |
| 12 | TROY COMMUNITY HOSPITAL INCORPORATED Troy, PA facility · other · outpatient | 1 | $134 | $134 | — | — | — | $134 – $134 |
| 13 | Westchester Medical Center Valhalla, NY facility · fee schedule · outpatient | 1 | $112 | $112 | — | — | — | $112 – $112 |
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