RC 921

Peripheral vascular lab testing at Allina Health Systems

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

HCHG RAD DUPLEX AORTA ILIACS INF VENA CAVA COMPLET

River Falls, WI

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Payers reporting RC 921 at Allina Health Systems

Negotiated rates from the hospital’s own file: 8 payers, 20 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	Medicaid medicaid ma (r) facility · fee schedule · outpatient	$206	$169	$59	35%	—	$100 – $227
2	Aetna allina aetna medicare (r) facility · fee schedule · outpatient	$211	$174	$61	35%	—	$102 – $234
3	Medicare medicare (r) facility · fee schedule · outpatient	$223	$183	$64	35%	—	$108 – $246
4	Bcbs Mn bc pmap (r) facility · fee schedule · outpatient	$164	$196	$34	17%	—	$164 – $243
5	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$287	$331	$131	40%	—	$29 – $847
6	Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges	$384	$442	$176	40%	—	$38 – $1.1k
7	Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient	$500	$599	$104	17%	—	$500 – $740
8	Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient	$634	$731	$290	40%	—	$63 – $1.9k
9	Medica medica medicare (r) facility · fee schedule · outpatient	$634	$731	$290	40%	—	$63 – $1.9k
10	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$643	$740	$294	40%	—	$64 – $1.9k
11	Bcbs Mn bc premier (r) facility · fee schedule · outpatient	$642	$770	$134	17%	—	$642 – $951
12	Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient	$756	$906	$157	17%	—	$756 – $1.1k
13	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$875	$1.0k	$400	40%	—	$87 – $2.6k
14	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$884	$1.0k	$404	40%	—	$88 – $2.6k
15	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$945	$1.1k	$433	40%	—	$94 – $2.8k
16	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$955	$1.1k	$437	40%	—	$95 – $2.8k
17	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.4k	$549	40%	—	$119 – $3.5k
18	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.4k	$549	40%	—	$119 – $3.5k
19	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$1.2k	$1.4k	$553	40%	—	$120 – $3.6k
20	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$1.2k	$1.4k	$558	40%	—	$121 – $3.6k