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
$0
Average
$110.7k
Median
$189
High
$24532.8k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
222 hospitals; the 90th percentile is 8.5× 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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301 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $75 | $75 | — | — | — | $75 – $75 |
| 2 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $23 | $23 | — | — | — | $23 – $23 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $197 | $197 | — | — | — | $197 – $197 |
| 4 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · inpatient | 1 | $343 | $343 | — | — | — | $343 – $343 |
| 5 | ALEGENT CREIGHTON HEALTH Plainview, NE fee schedule · outpatient | 3 | $235 | $266 | $55 | 21% | — | $220 – $343 |
| 6 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 1 | $354 | $354 | — | — | — | $354 – $354 |
| 7 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · outpatient | 3 | $155 | $221 | $94 | 42% | — | $155 – $354 |
| 8 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 1 | $347 | $347 | — | — | — | $347 – $347 |
| 9 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · outpatient | 3 | $155 | $209 | $98 | 47% | — | $126 – $347 |
| 10 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · inpatient | 1 | $347 | $347 | — | — | — | $347 – $347 |
| 11 | ALEGENT HEALTH MEMORIAL HOSPITAL, SCHUYLER Schuyler, NE fee schedule · outpatient | 3 | $206 | $245 | $72 | 29% | — | $184 – $347 |
| 12 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $78 | $79 | $22 | 27% | — | $54 – $107 |
| 13 | Advocate Good Samaritan Hospital Downers Grove, IL percent of total billed charges · outpatientfrom % of charges | 2 | $193 | $196 | $53 | 27% | — | $134 – $266 |
| 14 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 15 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 16 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 17 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 18 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 19 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 20 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $164 | $164 | — | — | — | $164 – $164 |
| 21 | Allina Health Systems Buffalo, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $244 | $244 | — | — | — | $244 – $244 |
| 22 | Ascension Seton Burnet, TX per diem · inpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 23 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · inpatientfrom % of charges | 1 | $299 | $299 | — | — | — | $299 – $299 |
| 24 | Aurora Medical Center Fond du Lac Fond Du Lac, WI percent of total billed charges · outpatientfrom % of charges | 5 | $211 | $228 | $35 | 15% | — | $211 – $299 |
| 25 | Aurora Medical Center Oshkosh Oshkosh, WI percent of total billed charges · inpatientfrom % of charges | 1 | $299 | $299 | — | — | — | $299 – $299 |
← Payers reporting RC 904 · Snapshot 20261113T090226Z-3ce6c0b8