RC 480
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
H CC 92961 TEP CONVERSION INTERNAL
Chicago, IL
See all hospitals reporting RC 480 →Price type
Ann & Robert H. Lurie Children's Hospital of Chicago’s median price of $2.1k is 99% above the median hospital's median price ($1.1k), higher than 69% of the 1,924 hospitals reporting RC 480. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 42 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 unitedhealthcare navigate other · outpatient | $785.00 | $785.00 | $785.00 – $785.00 |
| 2 | UnitedHealthcare unitedhealthcare other · outpatient | $843.00 | $843.00 | $843.00 – $843.00 |
| 3 | Magellan magellan behavioral health per diem · inpatient | $900.00 | $900.00 | $900.00 – $900.00 |
| 4 | Medicare medicare percent of total billed charges · outpatientfrom % of charges | $494.53 | $1,129 | $4.25 – $4,249 |
| 5 | Aetna aetna case rate · outpatient | $2,200 | $2,200 | $2,200 – $2,200 |
| 6 | Blue Cross Blue Shield bcbs ppo case rate · outpatient | $2,506 | $2,506 | $2,506 – $2,506 |
| 7 | Medicare medicare per diem · inpatient | $2,656 | $2,656 | $2,656 – $2,656 |
| 8 | Cigna cigna local plus percent of total billed charges · inpatientfrom % of charges | $1,222 | $2,789 | $10.50 – $10,498 |
| 9 | Cigna cigna local plus percent of total billed charges · outpatientfrom % of charges | $1,222 | $2,789 | $10.50 – $10,498 |
| 10 | Blue Cross Blue Shield bcbs hmo case rate · outpatient | $3,017 | $3,017 | $3,017 – $3,017 |
| 11 | Aetna aetna northwestern percent of total billed charges · inpatientfrom % of charges | $1,455 | $3,320 | $12.50 – $12,498 |
| 12 | Aetna aetna northwestern percent of total billed charges · outpatientfrom % of charges | $1,455 | $3,320 | $12.50 – $12,498 |
| 13 | Aetna aetna illinois preferred percent of total billed charges · inpatientfrom % of charges | $1,542 | $3,519 | $13.25 – $13,248 |
| 14 | Aetna aetna illinois preferred percent of total billed charges · outpatientfrom % of charges | $1,542 | $3,519 | $13.25 – $13,248 |
| 15 | Blue Cross Blue Shield unified physicians network percent of total billed charges · outpatientfrom % of charges | $1,629 | $3,719 | $14.00 – $13,998 |
| 16 | Cigna cigna c-5 percent of total billed charges · inpatientfrom % of charges | $1,676 | $3,825 | $14.40 – $14,398 |
| 17 | Cigna cigna c-5 percent of total billed charges · outpatientfrom % of charges | $1,676 | $3,825 | $14.40 – $14,398 |
| 18 | Blue Cross Blue Shield dupage medical group percent of total billed charges · inpatientfrom % of charges | $1,745 | $3,984 | $15.00 – $14,998 |
| 19 | Blue Cross Blue Shield dupage medical group percent of total billed charges · outpatientfrom % of charges | $1,745 | $3,984 | $15.00 – $14,998 |
| 20 | Blue Cross Blue Shield northwestern medicine physician network ipa percent of total billed charges · inpatientfrom % of charges | $1,745 | $3,984 | $15.00 – $14,998 |
| 21 | Blue Cross Blue Shield northwestern medicine physician network ipa percent of total billed charges · outpatientfrom % of charges | $1,745 | $3,984 | $15.00 – $14,998 |
| 22 | Blue Cross Blue Shield northshore physician associates percent of total billed charges · inpatientfrom % of charges | $1,891 | $4,316 | $16.25 – $16,247 |
| 23 | Blue Cross Blue Shield northshore physician associates percent of total billed charges · outpatientfrom % of charges | $1,891 | $4,316 | $16.25 – $16,247 |
| 24 | Blue Cross Blue Shield illinois health partners percent of total billed charges · inpatientfrom % of charges | $2,036 | $4,648 | $17.50 – $17,497 |
| 25 | Blue Cross Blue Shield illinois health partners percent of total billed charges · outpatientfrom % of charges | $2,036 | $4,648 | $17.50 – $17,497 |
Last updated: Apr 1, 2026
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