RC 450
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
REPAIR SMP FACE 0-2.5CM
Downers Grove, IL
See all hospitals reporting RC 450 →Price type
Advocate Good Samaritan Hospital’s median price of $745 is 26% above the median hospital's median price ($592), higher than 65% of the 1,975 hospitals reporting RC 450. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare commercial other · outpatient | $276.52 | $276.52 | $46.24 – $506.79 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $477.92 | $719.89 | $266.47 – $2,305 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $521.80 | $787.31 | $303.29 – $2,426 |
| 4 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $642.20 | $1,022 | $52.00 – $4,784 |
| 5 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $625.82 | $1,049 | $53.95 – $4,963 |
| 6 | UnitedHealthcare hmo other · outpatient | $349.00 | $1,156 | $55.33 – $12,397 |
| 7 | Ambetter medicare advantage case rate · outpatient | $603.89 | $1,211 | $133.09 – $4,904 |
| 8 | Molina medicare advantage case rate · outpatient | $603.89 | $1,211 | $133.09 – $4,904 |
| 9 | Oscar medicare advantage case rate · outpatient | $624.72 | $1,253 | $137.68 – $5,073 |
| 10 | Cigna commercial other · outpatient | $522.40 | $1,384 | $294.78 – $4,659 |
| 11 | Cigna commercial case rate · outpatient | $883.00 | $1,404 | $724.00 – $3,263 |
| 12 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $896.68 | $1,504 | $77.30 – $7,112 |
| 13 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $941.66 | $1,510 | $72.80 – $7,250 |
| 14 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $914.08 | $1,533 | $78.80 – $7,250 |
| 15 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $928.00 | $1,556 | $80.00 – $7,360 |
| 16 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $928.00 | $1,556 | $80.00 – $7,360 |
| 17 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $1,028 | $1,651 | $82.90 – $7,627 |
| 18 | UnitedHealthcare commercial case rate · outpatient | $1,213 | $2,545 | $403.00 – $9,513 |
| 19 | UnitedHealthcare hmo case rate · outpatient | $2,071 | $3,904 | $796.00 – $11,010 |
Last updated: Nov 4, 2025
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