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
ED INJ/S ANES NRV TRIGEMINAL BR BI
Payson, AZ
See all hospitals reporting RC 450 →Price type
Banner Payson Medical Center’s median price of $191 is 68% below the median hospital's median price ($592), higher than 3% 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, 23 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 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $145.55 | $226.39 | $23.78 – $1,589 |
| 2 | Bcbs Az medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $145.55 | $226.39 | $23.78 – $1,589 |
| 3 | Cigna hmo medicare advantage plan/ppo medicare advantage plan facility · percent of total billed charges · outpatientfrom % of charges | $145.55 | $226.39 | $23.78 – $1,589 |
| 4 | Kaiser medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $145.55 | $226.39 | $23.78 – $1,589 |
| 5 | UnitedHealthcare uhc medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $145.55 | $226.39 | $23.78 – $1,589 |
| 6 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $154.28 | $239.98 | $25.21 – $1,684 |
| 7 | Devoted medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $160.10 | $249.03 | $26.16 – $1,748 |
| 8 | Aetna joint venture facility · percent of total billed charges · outpatientfrom % of charges | $188.15 | $292.65 | $30.74 – $2,054 |
| 9 | Aetna aetna qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $198.09 | $308.12 | $32.36 – $2,162 |
| 10 | Aetna medical rental facility · percent of total billed charges · inpatientfrom % of charges | $228.26 | $355.05 | $37.29 – $2,492 |
| 11 | Aetna medical rental facility · percent of total billed charges · outpatientfrom % of charges | $228.26 | $355.05 | $37.29 – $2,492 |
| 12 | Aetna broad network facility · percent of total billed charges · outpatientfrom % of charges | $235.01 | $365.54 | $38.40 – $2,565 |
| 13 | UnitedHealthcare uhc individual exchange facility · percent of total billed charges · outpatientfrom % of charges | $237.85 | $369.96 | $38.86 – $2,596 |
| 14 | Oscar commercial facility · percent of total billed charges · outpatientfrom % of charges | $240.16 | $373.55 | $39.24 – $2,621 |
| 15 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · inpatientfrom % of charges | $282.58 | $439.53 | $46.17 – $3,085 |
| 16 | Cigna commerical/hmo benefit plan/local flex plan/network benefit plan/open access plan facility · percent of total billed charges · outpatientfrom % of charges | $282.58 | $439.53 | $46.17 – $3,085 |
| 17 | Aetna banner employee plans facility · case rate · outpatient | $947.00 | $947.00 | $947.00 – $947.00 |
| 18 | Bcbs Az bxbsaz neighborhood facility · fee schedule · outpatient | $801.95 | $1,209 | $100.60 – $7,527 |
| 19 | Bcbs Az bcbsaz alliance/blue hpn facility · fee schedule · outpatient | $855.41 | $1,289 | $107.30 – $8,028 |
| 20 | Bcbs Az bxbsaz alliance chs facility · fee schedule · outpatient | $898.18 | $1,354 | $112.67 – $8,430 |
| 21 | Bcbs Az bcbsaz medicare facility · fee schedule · outpatient | $1,021 | $1,539 | $128.11 – $9,585 |
| 22 | Bcbs Az bcbsaz workers comp facility · fee schedule · outpatient | $1,069 | $1,612 | $134.13 – $10,035 |
| 23 | Bcbs Az commercial facility · fee schedule · outpatient | $1,069 | $1,612 | $134.13 – $10,035 |
Last updated: Mar 2, 2026
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