RC 420
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
RMVL DEVITAL TIS 20 CM OR LESS
Burnet, TX
See all hospitals reporting RC 420 →Price type
Ascension Seton’s median price of $93 is 7% below the median hospital's median price ($101), higher than 44% of the 1,969 hospitals reporting RC 420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 14 payers, 152 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 | Superior Healthplan 3509_chirp superior star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $24.80 | $23.70 | $21.50 – $24.80 |
| 2 | Superior Healthplan 3514_chirp superior star (shl) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $24.80 | $23.70 | $21.50 – $24.80 |
| 3 | Superior Healthplan 4188_superior star foster outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $24.80 | $23.70 | $21.50 – $24.80 |
| 4 | Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $24.80 | $23.70 | $21.50 – $24.80 |
| 5 | Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $24.80 | $23.70 | $21.50 – $24.80 |
| 6 | Superior Healthplan 4246_chirp superior star (shl) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $24.80 | $23.70 | $21.50 – $24.80 |
| 7 | Superior Healthplan 4375_chirp superior star plus (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $24.80 | $23.70 | $21.50 – $24.80 |
| 8 | Superior Healthplan 4380_chirp superior star plus (shl) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $24.80 | $23.70 | $21.50 – $24.80 |
| 9 | Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $24.80 | $23.70 | $21.50 – $24.80 |
| 10 | Superior Healthplan 4399_chirp superior star plus (shl) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $24.80 | $23.70 | $21.50 – $24.80 |
| 11 | Superior Healthplan 4888_superior star kids outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $24.80 | $23.70 | $21.50 – $24.80 |
| 12 | Superior Healthplan 4889_superior star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $24.80 | $23.70 | $21.50 – $24.80 |
| 13 | Oscar 4511_oscar health plan 20251001 percent of total billed charges · outpatientfrom % of charges | $26.04 | $24.88 | $22.57 – $26.04 |
| 14 | Aetna 4339_medicare advantage aetna (shl) 20250304 percent of total billed charges · outpatientfrom % of charges | $21.63 | $31.06 | $6.45 – $106.08 |
| 15 | Devoted 4415_medicare advantage devoted health (shl) 20250101 percent of total billed charges · outpatientfrom % of charges | $23.43 | $33.65 | $6.99 – $114.92 |
| 16 | WellCare 4409_medicare advantage wellcare (shl) 20250101 percent of total billed charges · outpatientfrom % of charges | $23.43 | $33.65 | $6.99 – $114.92 |
| 17 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $25.23 | $36.24 | $7.53 – $123.76 |
| 18 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 percent of total billed charges · outpatientfrom % of charges | $25.23 | $36.24 | $7.53 – $123.76 |
| 19 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $25.23 | $36.24 | $7.53 – $123.76 |
| 20 | Blue Cross Blue Shield 3599_blue cross chip/star kids (shl) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $25.23 | $36.24 | $7.53 – $123.76 |
| 21 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $25.23 | $36.24 | $7.53 – $123.76 |
| 22 | Blue Cross Blue Shield 3698_chirp blue cross star (shl) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $25.23 | $36.24 | $7.53 – $123.76 |
| 23 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $25.23 | $36.24 | $7.53 – $123.76 |
| 24 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $25.23 | $36.24 | $7.53 – $123.76 |
| 25 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $25.23 | $36.24 | $7.53 – $123.76 |
Last updated: Jan 1, 2026
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