RC 124
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
D2BH SEMI PRIV PEDI/ADOLESCENT
Rock, TX
See all hospitals reporting RC 124 →Price type
Ascension Seton’s median price of $1.3k is 31% below the median hospital's median price ($1.9k), higher than 24% of the 960 hospitals reporting RC 124. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 109 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 | Blue Cross Blue Shield 4176_blue cross chip (wil) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $133.84 | $133.84 | $133.84 – $133.84 |
| 2 | Blue Cross Blue Shield 5019_blue cross star kids (wil) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $133.84 | $133.84 | $133.84 – $133.84 |
| 3 | Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 percent of total billed charges · inpatientfrom % of charges | $267.68 | $267.68 | $267.68 – $267.68 |
| 4 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 percent of total billed charges · bothfrom % of charges | $267.68 | $267.68 | $267.68 – $267.68 |
| 5 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $267.68 | $267.68 | $267.68 – $267.68 |
| 6 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $267.68 | $267.68 | $267.68 – $267.68 |
| 7 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $267.68 | $267.68 | $267.68 – $267.68 |
| 8 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $267.68 | $267.68 | $267.68 – $267.68 |
| 9 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $267.68 | $267.68 | $267.68 – $267.68 |
| 10 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $267.68 | $267.68 | $267.68 – $267.68 |
| 11 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $267.68 | $267.68 | $267.68 – $267.68 |
| 12 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $267.68 | $267.68 | $267.68 – $267.68 |
| 13 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $267.68 | $267.68 | $267.68 – $267.68 |
| 14 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $267.68 | $267.68 | $267.68 – $267.68 |
| 15 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $267.68 | $267.68 | $267.68 – $267.68 |
| 16 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 percent of total billed charges · bothfrom % of charges | $382.40 | $382.40 | $382.40 – $382.40 |
| 17 | Blue Cross Blue Shield 4093_blue cross blue shield bav exchange (chi,dcn) 20250101 percent of total billed charges · outpatientfrom % of charges | $650.08 | $650.08 | $650.08 – $650.08 |
| 18 | Superior Healthplan 3517_chirp superior star (wil) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $764.80 | $764.80 | $764.80 – $764.80 |
| 19 | Superior Healthplan 4188_superior star foster outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $764.80 | $764.80 | $764.80 – $764.80 |
| 20 | Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $764.80 | $764.80 | $764.80 – $764.80 |
| 21 | Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $764.80 | $764.80 | $764.80 – $764.80 |
| 22 | Superior Healthplan 4249_chirp superior star (wil) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $764.80 | $764.80 | $764.80 – $764.80 |
| 23 | Superior Healthplan 4383_chirp superior star plus (wil) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $764.80 | $764.80 | $764.80 – $764.80 |
| 24 | Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $764.80 | $764.80 | $764.80 – $764.80 |
| 25 | Superior Healthplan 4405_chirp superior star plus (wil) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $764.80 | $764.80 | $764.80 – $764.80 |
Last updated: Jan 1, 2026
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