RC 916
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.
Original text from hospital filings
Fam Ther Pt Not Present Sw
Low
$53
Average
$180
Median
$113
High
$619
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
19 hospitals; the 90th percentile is 4.6× 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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22 hospital rates
iThe hospitals that file a Excellus 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 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · both | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 2 | Highland Hospital Rochester, NY fee schedule · outpatient | 4 | $37 | $74 | $87 | 116% | — | $9 – $325 |
| 3 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $217 | $207 | $31 | 15% | — | $98 – $217 |
| 4 | Mercy Health Hackley Campus Muskogen, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $113 | $113 | — | — | — | $113 – $113 |
| 5 | Mercy Health Saint Marys Rockford, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $91 | $91 | — | — | — | $91 – $91 |
| 6 | Mercy Health Services-Iowa Corp. Mason City, IA facility · fee schedule · both | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 7 | Mercy Medical Center - Dubuque Dubuque, IA facility · fee schedule · both | 1 | $181 | $181 | — | — | — | $181 – $181 |
| 8 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · fee schedule · both | 1 | $213 | $213 | — | — | — | $213 – $213 |
| 9 | Saint Alphonsus Regional Medical Center - Boise Boise, ID facility · percent of total billed charges · bothfrom % of charges | 1 | $188 | $188 | — | — | — | $188 – $188 |
| 10 | Samaritan Hospital Troy, NY facility · other · both | 1 | $83 | $83 | — | — | — | $83 – $83 |
| 11 | Samaritan Hospital Troy, NY facility · percent of total billed charges · bothfrom % of charges | 2 | $725 | $725 | — | — | — | $725 – $725 |
| 12 | Samaritan Medical Center Watertown, NY facility · case rate · outpatient | 2 | $619 | $619 | $398 | 64% | — | $222 – $1.0k |
| 13 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $81 | $84 | $10 | 12% | — | $73 – $98 |
| 14 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $88 | $88 | $13 | 14% | — | $75 – $101 |
| 15 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $84 | $84 | $12 | 14% | — | $72 – $97 |
| 16 | St Joseph Mercy Oakland Pontiac, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $85 | $85 | $12 | 14% | — | $73 – $97 |
| 17 | St Josephs Hospital Health Center Syracuse, NY facility · percent of total billed charges · bothfrom % of charges | 3 | $345 | $345 | $10 | 3% | — | $335 – $355 |
| 18 | St Peters Hospital Albany, NY facility · percent of total billed charges · bothfrom % of charges | 1 | $93 | $93 | — | — | — | $93 – $93 |
| 19 | Strong Memorial Hospital Rochester, NY fee schedule · outpatient | 6 | $100 | $134 | $113 | 84% | — | $11 – $325 |
| 20 | University of Vermont Medical Center Inc Colchester, VT facility · percent of total billed charges · outpatientfrom % of charges | 3 | $74 | $89 | $78 | 87% | — | $21 – $273 |
| 21 | Upstate University Hospital Syracuse, NY facility · case rate · outpatient | 1 | $35 | $36 | $12 | 34% | — | $23 – $50 |
| 22 | Upstate University Hospital Syracuse, NY facility · fee schedule · outpatient | 3 | $77 | $64 | $20 | 32% | — | $35 – $79 |
← Payers reporting RC 916 · Snapshot 20261111T120946Z-9134e7f7