RC 969

Advance care planning discussion documented in medical record

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

Injection of contrast for imaging of shoulder joint

Payers reporting RC 969

Payer pricing summary

Low

Average

$361

Median

$111

High

$3.5k

Payer rate distribution

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#
1	Cigna fee schedule · both · +18 other terms	31	$19	$43	$55	126%	2–20	$8 – $279
2	UnitedHealthcare fee schedule · outpatient · +22 other terms	33	$55	$148	$195	132%	—	$1 – $1.2k
3	Blue Cross Blue Shield fee schedule · outpatient · +16 other terms	27	$87	$149	$496	334%	—	$4 – $10.3k
4	Medcost fee schedule · both · +2 other terms	25	$138	$73	$49	67%	—	$32 – $138
5	Aetna fee schedule · both · +19 other terms	24	$30	$77	$72	94%	—	$3 – $368
6	Ambetter fee schedule · both · +6 other terms	23	$100	$46	$47	102%	—	$17 – $154
7	Humana fee schedule · both · +18 other terms	23	$15	$101	$93	93%	—	$7 – $769
8	MultiPlan fee schedule · both · +15 other terms	19	$151	$163	$74	45%	—	$82 – $345
9	Tricare fee schedule · both · +8 other terms	18	$73	$110	$49	45%	—	$45 – $196
10	Cigna Healthspring fee schedule · both · +1 other terms	16	$15	$71	$62	87%	—	$11 – $190
11	WellCare fee schedule · both · +9 other terms	16	$21	$39	$48	121%	—	$8 – $217
12	Amerihealth Caritas fee schedule · both	13	$21	$80	$101	126%	—	$7 – $769
13	Beechstreet percent of total billed charges · bothfrom % of charges	13	$20	$20	$11	52%	—	$8 – $38
14	Medica fee schedule · outpatient · +10 other terms	12	$61	$135	$64	47%	—	$30 – $195
15	Medicaid fee schedule · outpatient · +3 other terms	12	$125	$129	$83	64%	—	$34 – $415
16	Medicare other · both · +3 other terms	12	$97	$97	$2	2%	—	$95 – $103
17	Molina other · both · +9 other terms	12	$104	$104	$4	4%	—	$100 – $114
18	Anthem fee schedule · both · +15 other terms	11	$141	$106	$67	63%	—	$13 – $434
19	Bcbs Nc fee schedule · both · +2 other terms	11	$27	$28	$14	51%	—	$10 – $50
20	Devoted other · both · +7 other terms	11	$97	$97	$2	2%	—	$95 – $103
21	Aetna Better Health professional · fee schedule · both · +3 other terms	10	$32	$50	$142	281%	—	$0 – $886
22	Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	10	$14	$112	$120	107%	—	$14 – $585
23	Bcbs Il professional · fee schedule · both · +2 other terms	8	$22	$21	$30	141%	—	$0 – $104
24	First Health professional · fee schedule · both · +13 other terms	8	$90	$175	$163	93%	—	$4 – $909
25	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	6	$16	$37	$66	180%	—	$14 – $331

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