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Payers and negotiated rates for RC 970 | medprice.ai

RC 970

Cv Forensic Med Exam-Moderate

Payers reporting RC 970

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Payer pricing summary

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Low

$27

Average

$238

Median

$152

High

$620

Payer rate distribution

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#
1	UnitedHealthcare per diem · both · +4 other terms	3	$223	$223	—	—	—	$223 – $223
2	Aetna case rate · outpatient · +5 other terms	1	$777	$777	$186	24%	—	$591 – $962
3	Ambetter case rate · outpatient · +4 other terms	1	$693	$693	$136	20%	—	$557 – $828
4	Anthem facility · percent of total billed charges · outpatientfrom % of charges	1	$61	$61	$29	47%	—	$27 – $103
5	Bcbs Id facility · fee schedule · both	1	$32	$32	$12	37%	—	$23 – $52
6	Blue Cross Blue Shield case rate · inpatient · +2 other terms	1	$737	$737	$144	20%	—	$592 – $881
7	Caresource case rate · outpatient · +1 other terms	1	$796	$796	$288	36%	—	$464 – $1.1k
8	Cigna case rate · outpatient · +6 other terms	1	$401	$401	$78	20%	—	$323 – $480
9	First Health facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$85	$85	$40	47%	—	$37 – $142
10	Humana fee schedule · outpatient · +2 other terms	1	$105	$105	$59	56%	—	$41 – $206
11	Kaiser case rate · outpatient · +1 other terms	1	$792	$792	$155	20%	—	$637 – $946
12	Molina facility · fee schedule · both	1	$27	$27	$4	16%	—	$23 – $31
13	MultiPlan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$85	$85	$40	47%	—	$37 – $142
14	Oscar case rate · outpatient · +1 other terms	1	$663	$663	$130	20%	—	$533 – $792
15	Premera fee schedule · inpatient · +1 other terms	1	$166	$166	$105	63%	—	$61 – $270
16	Regence fee schedule · inpatient · +2 other terms	1	$129	$129	$92	71%	—	$34 – $270
17	Sanford Health Plan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$52	$52	$24	47%	—	$23 – $87

← Hospitals reporting RC 970 · Snapshot 20261111T120946Z-9134e7f7