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
Manual therapy 1/> regions
Syracuse, NY
See all hospitals reporting RC 420 →Price type
Crouse Hospital’s median price of $39 is 61% below the median hospital's median price ($101), higher than 7% 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: 6 payers, 19 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 | Humana commerical percent of total billed charges · outpatientfrom % of charges | $19.99 | $21.90 | $10.87 – $34.71 |
| 2 | Aetna commerical fee schedule · outpatient | $42.41 | $38.50 | $20.87 – $50.96 |
| 3 | Aetna raymour furniture company fee schedule · outpatient | $42.41 | $38.50 | $20.87 – $50.96 |
| 4 | Excellus medicare advantage fee schedule · outpatient | $23.46 | $46.77 | $10.19 – $988.73 |
| 5 | Aetna medicare fee schedule · outpatient | $26.86 | $53.56 | $11.67 – $1,132 |
| 6 | Humana medicare advantage fee schedule · outpatient | $26.86 | $53.56 | $11.67 – $1,132 |
| 7 | UnitedHealthcare medicare fee schedule · outpatient | $26.86 | $53.56 | $11.67 – $1,132 |
| 8 | WellCare medicare advantage fee schedule · outpatient | $28.20 | $56.23 | $12.25 – $1,189 |
| 9 | Excellus govt programs/ special products fee schedule · outpatient | $62.83 | $61.68 | $22.28 – $442.77 |
| 10 | Molina medicaid hmo fee schedule · outpatient | $62.83 | $61.68 | $22.28 – $442.77 |
| 11 | UnitedHealthcare essential plans 1 -4 fee schedule · outpatient | $62.83 | $61.68 | $22.28 – $442.77 |
| 12 | UnitedHealthcare medicaid fee schedule · outpatient | $62.83 | $61.68 | $22.28 – $442.77 |
| 13 | WellCare medicaid essential plan 3 and 4 fee schedule · outpatient | $62.83 | $61.68 | $22.28 – $442.77 |
| 14 | WellCare medicaid essential plan 1 and 2 fee schedule · outpatient | $75.40 | $74.02 | $26.74 – $531.32 |
| 15 | Molina essential fee schedule · outpatient | $141.37 | $138.78 | $50.14 – $996.23 |
| 16 | Excellus bcbs case rate · outpatient | $230.00 | $230.00 | $230.00 – $230.00 |
| 17 | Excellus hospital blue case rate · outpatient | $230.00 | $230.00 | $230.00 – $230.00 |
| 18 | UnitedHealthcare commerical fee schedule · outpatient | $235.00 | $235.00 | $235.00 – $235.00 |
| 19 | UnitedHealthcare commerical per diem · outpatient | $235.00 | $235.00 | $235.00 – $235.00 |
Last updated: May 19, 2026
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