RC 900
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
Psych Diagnostic Eval W/O Med Mgmt 90791 CHILD
Jervis, NY
See all hospitals reporting RC 900 →Price type
Bon Secours Community Hospital’s median price of $371 is 81% above the median hospital's median price ($204), higher than 73% of the 1,214 hospitals reporting RC 900. 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, 21 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 | Medicare medicare facility · fee schedule · outpatient | $221.56 | $221.56 | $221.56 – $221.56 |
| 2 | Molina affinity by molina mcr facility · fee schedule · outpatient | $231.50 | $231.50 | $231.50 – $231.50 |
| 3 | Blue Cross Blue Shield blue cross connection/exchange facility · per diem · outpatient | $294.00 | $325.64 | $294.00 – $468.00 |
| 4 | Blue Cross Blue Shield blue cross access facility · per diem · outpatient | $314.00 | $351.00 | $314.00 – $499.00 |
| 5 | Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges | $318.15 | $375.98 | $104.40 – $1,841 |
| 6 | Blue Cross Blue Shield blue cross small group facility · per diem · outpatient | $353.00 | $391.00 | $353.00 – $562.00 |
| 7 | Blue Cross Blue Shield blue cross hmo facility · per diem · outpatient | $363.00 | $401.91 | $363.00 – $577.00 |
| 8 | UnitedHealthcare uhc exchange facility · per diem · outpatient | $406.00 | $406.00 | $406.00 – $406.00 |
| 9 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $353.50 | $417.75 | $116.00 – $2,045 |
| 10 | Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges | $353.50 | $417.75 | $116.00 – $2,045 |
| 11 | UnitedHealthcare uhc commercial facility · per diem · outpatient | $478.00 | $478.00 | $478.00 – $478.00 |
| 12 | UnitedHealthcare uhc empire facility · per diem · outpatient | $478.00 | $478.00 | $478.00 – $478.00 |
| 13 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $494.90 | $584.85 | $162.40 – $2,863 |
| 14 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $530.25 | $626.63 | $174.00 – $3,068 |
| 15 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $530.25 | $626.63 | $174.00 – $3,068 |
| 16 | Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges | $396.60 | $674.60 | $269.20 – $1,636 |
| 17 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $600.95 | $710.18 | $197.20 – $3,477 |
| 18 | Tricare tricare facility · fee schedule · outpatient | $561.00 | $731.34 | $221.56 – $4,090 |
| 19 | Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges | $1,026 | $1,026 | $497.80 – $1,554 |
| 20 | Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges | $1,215 | $1,215 | $589.50 – $1,841 |
| 21 | Blue Cross Blue Shield blue cross hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,350 | $1,350 | $655.00 – $2,045 |
Last updated: Jun 29, 2026
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