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
HC REMOVE DEVIT TISSUE/WND - NON SE (97602)
Dallas, TX
See all hospitals reporting RC 420 →Price type
Baylor Scott & White Heart and Vascular Hospital - Dallas’s median price of $112 is 11% above the median hospital's median price ($101), higher than 57% 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: 9 payers, 37 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 medicaid facility · percent of total billed charges · outpatientfrom % of charges | $13.02 | $13.95 | — – $66.16 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $13.93 | $14.93 | — – $70.79 |
| 3 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | — | $31.48 | — – $286.63 |
| 4 | Superior Healthplan medicaid facility · fee schedule · outpatient | $42.44 | $42.44 | $33.12 – $51.75 |
| 5 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $45.41 | $45.41 | $35.44 – $55.37 |
| 6 | Blue Cross Blue Shield city of dallas facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $60.26 | $0.01 – $548.68 |
| 7 | Blue Cross Blue Shield blue essentials (hmo) facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $62.96 | $0.01 – $573.25 |
| 8 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $66.56 | $0.01 – $606.01 |
| 9 | Blue Cross Blue Shield bluechoice (ppo) facility · percent of total billed charges · outpatientfrom % of charges | $0.01 | $66.56 | $0.01 – $606.01 |
| 10 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $95.25 | $87.33 | $0.01 – $414.23 |
| 11 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $83.18 | $93.63 | — – $407.70 |
| 12 | Ambetter ambetter exchange facility · percent of total billed charges · outpatientfrom % of charges | $103.19 | $94.60 | $0.01 – $448.75 |
| 13 | Aetna commercial facility · fee schedule · outpatient | $108.00 | $108.00 | $108.00 – $108.00 |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $80.89 | $108.92 | $0.01 – $454.83 |
| 15 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $97.86 | $110.15 | $0.01 – $479.64 |
| 16 | UnitedHealthcare charter facility · fee schedule · outpatient | $112.00 | $112.00 | $112.00 – $112.00 |
| 17 | UnitedHealthcare nexus facility · fee schedule · outpatient | $112.00 | $112.00 | $112.00 – $112.00 |
| 18 | UnitedHealthcare commercial broad facility · fee schedule · outpatient | $124.00 | $124.00 | $124.00 – $124.00 |
| 19 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $88.51 | $125.03 | $19.92 – $980.90 |
| 20 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $118.10 | $132.94 | $0.01 – $578.88 |
| 21 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $118.10 | $132.94 | $0.01 – $578.88 |
| 22 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $118.10 | $132.94 | $0.01 – $578.88 |
| 23 | Cigna local plus facility · per diem · outpatient | $134.00 | $134.00 | $134.00 – $134.00 |
| 24 | Cigna hmo/ppo facility · per diem · outpatient | $158.00 | $158.00 | $158.00 – $158.00 |
| 25 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $125.12 | $176.76 | $28.17 – $1,387 |
Last updated: Jun 29, 2026
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