RC 490
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
Insj picc rs&i 5 yr+
Syracuse, NY
See all hospitals reporting RC 490 →Price type
Crouse Hospital’s median price of $375 is 84% below the median hospital's median price ($2.4k), higher than 18% of the 800 hospitals reporting RC 490. 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, 18 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare commerical fee schedule · outpatient | $57 | $57 | $50 | 88% | — | $7 – $107 |
| 2 | Aetna commerical fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 3 | Aetna raymour furniture company fee schedule · outpatient | $138 | $138 | — | — | — | $138 – $138 |
| 4 | Excellus govt programs/ special products fee schedule · outpatient | $206 | $291 | $256 | 88% | — | $7 – $816 |
| 5 | Molina medicaid hmo fee schedule · outpatient | $206 | $291 | $256 | 88% | — | $7 – $816 |
| 6 | UnitedHealthcare essential plans 1 -4 fee schedule · outpatient | $206 | $291 | $256 | 88% | — | $7 – $816 |
| 7 | UnitedHealthcare medicaid fee schedule · outpatient | $206 | $291 | $256 | 88% | — | $7 – $816 |
| 8 | WellCare medicaid essential plan 3 and 4 fee schedule · outpatient | $206 | $291 | $256 | 88% | — | $7 – $816 |
| 9 | WellCare medicaid essential plan 1 and 2 fee schedule · outpatient | $247 | $349 | $307 | 88% | — | $8 – $980 |
| 10 | Humana commerical percent of total billed charges · outpatientfrom % of charges | $416 | $451 | $204 | 45% | 12–120 | $50 – $745 |
| 11 | Molina essential fee schedule · outpatient | $463 | $654 | $575 | 88% | — | $15 – $1.8k |
| 12 | Excellus medicare advantage fee schedule · outpatient | $496 | $1.5k | $2.1k | 145% | — | $4 – $6.1k |
| 13 | Aetna medicare fee schedule · outpatient | $568 | $1.7k | $2.4k | 145% | — | $4 – $6.9k |
| 14 | Humana medicare advantage fee schedule · outpatient | $568 | $1.7k | $2.4k | 145% | — | $4 – $6.9k |
| 15 | UnitedHealthcare medicare fee schedule · outpatient | $568 | $1.7k | $2.4k | 145% | — | $4 – $6.9k |
| 16 | WellCare medicare advantage fee schedule · outpatient | $596 | $1.8k | $2.6k | 145% | — | $4 – $7.3k |
| 17 | Excellus bcbs fee schedule · outpatient | $1.0k | $3.0k | $4.4k | 145% | — | $7 – $12.5k |
| 18 | Excellus hospital blue fee schedule · outpatient | $1.0k | $3.0k | $4.4k | 145% | — | $7 – $12.5k |
Last updated: May 19, 2026
See Mohs micrographic surgery to remove tumor pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.