RC 90867
Low
$449
Average
$449
Median
$449
High
$449
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1 hospital rate
iThe hospitals that file a Cigna 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 | Belmont Behavioral Hospital, LLC Philadelphia, PA facility · fee schedule · both | 2 | $449 | $449 | $173 | 39% | — | $276 – $622 |
← Payers reporting RC 90867 · Snapshot 20261112T181611Z-3fa9fb76