RC 912

Partial hospitalization behavioral health program, less intensive

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC Group Therapy

Payers reporting RC 912

51 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	Aetna per diem · outpatient · +24 other terms	132	$587.50	$706.64	$125.00 – $3,121
2	Blue Cross Blue Shield per diem · outpatient · +23 other terms	78	$1,284	$1,305	$169.00 – $2,223
3	Magellan per diem · outpatient · +13 other terms	61	$793.00	$710.49	$150.00 – $1,235
4	UnitedHealthcare fee schedule · outpatient · +25 other terms	57	$94.16	$204.45	$1.00 – $2,239
5	Cigna per diem · outpatient · +23 other terms	54	$593.00	$502.07	$142.00 – $897.00
6	Caresource case rate · outpatient · +13 other terms	48	$348.00	$349.86	$300.00 – $524.58
7	Amerihealth Caritas case rate · outpatient · +6 other terms	46	$199.00	$199.00	$199.00 – $199.00
8	Aetna Better Health case rate · outpatient · +12 other terms	36	$225.00	$225.00	$225.00 – $225.00
9	Humana case rate · outpatient · +19 other terms	33	$108.87	$513.19	$28.84 – $917.00
10	Anthem per diem · outpatient · +16 other terms	28	$468.33	$407.90	$91.00 – $3,364
11	Molina case rate · outpatient · +15 other terms	20	$124.34	$223.85	$28.02 – $430.00
12	Healthcare Highways per diem · outpatient · +1 other terms	18	$703.00	$704.67	$676.00 – $731.00
13	Beechstreet percent of total billed charges · outpatientfrom % of charges · +1 other terms	16	$1,102	$1,124	$922.85 – $1,332
14	Ambetter other · outpatient · +11 other terms	15	$4,460	$3,432	$76.08 – $8,386
15	Medica fee schedule · outpatient · +9 other terms	15	$121.13	$125.54	$18.18 – $651.20
16	Kaiser per diem · outpatient · +12 other terms	14	$518.20	$541.08	$450.00 – $1,106
17	Medcost percent of total billed charges · bothfrom % of charges · +3 other terms	14	$298.37	$305.04	$190.92 – $468.12
18	Optum per diem · outpatient · +10 other terms	13	$644.50	$568.37	$91.00 – $912.00
19	Tricare fee schedule · both · +7 other terms	13	$89.43	$91.24	$62.13 – $127.45
20	WellCare fee schedule · outpatient · +12 other terms	13	$94.16	$102.04	$17.15 – $353.90
21	Bcbs Nc percent of total billed charges · outpatientfrom % of charges · +1 other terms	12	$450.56	$455.85	$201.54 – $803.70
22	First Health per diem · outpatient · +13 other terms	10	$510.50	$510.50	$378.00 – $643.00
23	MultiPlan fee schedule · inpatient · +11 other terms	10	$105.40	$344.14	$81.00 – $1,680
24	Bcbs Mn fee schedule · outpatient · +5 other terms	8	$500.58	$501.52	$16.08 – $1,017
25	Sanford Health Plan fee schedule · outpatient · +6 other terms	8	$94.16	$93.64	$17.15 – $159.93

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