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 - PT LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY
Plattsburgh, NY
See all hospitals reporting RC 420 →Price type
Champlain Valley Physicians Hospital Medical Center’s median price of $138 is 37% above the median hospital's median price ($101), higher than 72% 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: 7 payers, 29 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 | UnitedHealthcare managed medicaid/essential plans facility · fee schedule · outpatient | $40.69 | $35.85 | $24.65 – $51.79 |
| 2 | Blue Cross Blue Shield managed medicaid aliessa facility · fee schedule · outpatient | $42.72 | $37.64 | $25.89 – $54.38 |
| 3 | Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges | $35.50 | $41.45 | $20.40 – $83.20 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $63.90 | $74.60 | $36.72 – $149.76 |
| 5 | Excellus managed medicaid/essential plans facility · fee schedule · outpatient | $81.09 | $79.97 | $37.37 – $125.01 |
| 6 | Blue Cross Blue Shield essential plans/managed medicaid facility · fee schedule · outpatient | $91.55 | $80.66 | $55.47 – $116.53 |
| 7 | Blue Cross Blue Shield blue access facility · percent of total billed charges · outpatientfrom % of charges | $110.41 | $129.50 | $62.22 – $253.76 |
| 8 | Blue Cross Blue Shield hmo facility · percent of total billed charges · outpatientfrom % of charges | $115.84 | $135.87 | $65.28 – $266.24 |
| 9 | Blue Cross Blue Shield ind facility · percent of total billed charges · outpatientfrom % of charges | $115.84 | $135.87 | $65.28 – $266.24 |
| 10 | Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges | $115.84 | $135.87 | $65.28 – $266.24 |
| 11 | Excellus medicare advantage facility · fee schedule · outpatient | $148.89 | $146.84 | $68.62 – $229.52 |
| 12 | Humana tricare facility · fee schedule · outpatient | $149.62 | $147.55 | $68.95 – $230.64 |
| 13 | Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges | $129.29 | $150.95 | $74.30 – $303.01 |
| 14 | Aetna medicare advantage facility · fee schedule · outpatient | $157.49 | $155.32 | $72.58 – $242.78 |
| 15 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $157.49 | $155.32 | $72.58 – $242.78 |
| 16 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $157.49 | $155.32 | $72.58 – $242.78 |
| 17 | Highmark ind/fep facility · per diem · outpatient | $168.70 | $168.70 | $168.70 – $168.70 |
| 18 | Highmark ppo/hmo facility · per diem · outpatient | $168.70 | $168.70 | $168.70 – $168.70 |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $153.29 | $202.21 | $72.73 – $438.50 |
| 20 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $164.04 | $216.39 | $77.83 – $469.25 |
| 21 | Blue Cross Blue Shield individual network facility · fee schedule · outpatient | $251.98 | $248.51 | $116.13 – $388.45 |
| 22 | MultiPlan group health facility · percent of total billed charges · outpatientfrom % of charges | $204.25 | $269.42 | $96.90 – $584.25 |
| 23 | Excellus commercial facility · fee schedule · outpatient | $747.90 | $737.59 | $344.68 – $1,153 |
| 24 | Highmark ppo/hmo facility · case rate · outpatient | $1,410 | $1,410 | $1,410 – $1,410 |
| 25 | Highmark ind/fep facility · case rate · outpatient | $2,514 | $2,514 | $2,514 – $2,514 |
Last updated: Apr 28, 2026
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