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
$17
Average
$209
Median
$147
High
$988
Each hospital's average Optum rate, under the methodology and billing class chosen below.
108 hospitals; the 90th percentile is 5.1× 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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152 hospital rates
iThe hospitals that file a Optum 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 | Childrens Hospital Colorado Aurora, CO other · outpatient | 1 | $225 | $225 | — | — | 35–53 | $225 – $225 |
| 2 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 1 | $186 | $199 | $107 | 54% | 4–40 | $83 – $413 |
| 3 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $395 | $395 | $11 | 3% | 2–20 | $384 – $406 |
| 4 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $395 | $395 | $11 | 3% | 1–10 | $384 – $406 |
| 5 | Mayo Clinic Health System Barron, WI facility · percent of total billed charges · bothfrom % of charges | 1 | $395 | $395 | $11 | 3% | 1–10 | $384 – $406 |
| 6 | Palos Community Hospital Palos Heights, IL other · outpatient | 1 | $112 | $112 | — | — | 1–10 | $112 – $112 |
| 7 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 8 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $135 | $135 | $9 | 7% | — | $126 – $144 |
| 9 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $88 | $88 | $60 | 69% | — | $28 – $148 |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $175 | $175 | $98 | 56% | — | $78 – $273 |
| 11 | BRFHH MONROE, LLC Monroe, LA fee schedule · outpatient | 1 | $146 | $146 | — | — | — | $146 – $146 |
| 12 | Baylor Scott & White Medical Center - Plano Plano, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $214 | $253 | $165 | 65% | — | $96 – $634 |
| 13 | Baylor University Medical Center Dallas, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $214 | $253 | $165 | 65% | — | $96 – $634 |
| 14 | Betsy Johnson Hospital Dunn, NC professional · other · outpatient | 1 | $176 | $176 | — | — | — | $176 – $176 |
| 15 | Bexar County Hospital District San Antonio, TX percent of total billed charges · outpatientfrom % of charges | 1 | $905 | $988 | $117 | 12% | — | $905 – $1.2k |
| 16 | Boston Children's Hospital Boston, MA fee schedule · both | 1 | $181 | $204 | $206 | 101% | — | $0 – $453 |
| 17 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $463 | $415 | $160 | 39% | — | $133 – $590 |
| 18 | Boston Children's Hospital Lexington, MA fee schedule · both | 1 | $181 | $204 | $206 | 101% | — | $0 – $453 |
| 19 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 3 | $463 | $415 | $160 | 39% | — | $133 – $590 |
| 20 | Boston Children's Hospital Brookline, MA fee schedule · both | 1 | $181 | $204 | $206 | 101% | — | $0 – $453 |
| 21 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 3 | $463 | $415 | $160 | 39% | — | $133 – $590 |
| 22 | Boston Children's Hospital Dartmouth, MA fee schedule · both | 1 | $181 | $204 | $206 | 101% | — | $0 – $453 |
| 23 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 3 | $463 | $415 | $160 | 39% | — | $133 – $590 |
| 24 | Boston Children's Hospital Boston, MA fee schedule · both | 1 | $0 | $163 | $201 | 124% | — | $0 – $453 |
| 25 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 3 | $240 | $287 | $188 | 66% | — | $25 – $590 |
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