RC 920
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
TST ESOPH FUNC IMPED <1HR
Sacramento, CA
See all hospitals reporting RC 920 →Price type
Dignity Community Care’s median price of $674 is 102% above the median hospital's median price ($333), higher than 76% of the 1,932 hospitals reporting RC 920. 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, 38 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 | Blue Cross Blue Shield commercial|aco trio fee schedule · outpatient | $96 | $96 | — | — | 1–10 | $96 – $96 |
| 2 | Blue Cross Blue Shield commercial|aco trio calpers fee schedule · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 3 | Blue Cross Blue Shield commercial|exchange fee schedule · outpatient | $121 | $121 | — | — | 1–10 | $121 – $121 |
| 4 | Blue Cross Blue Shield commercial|hmo fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
| 5 | Blue Cross Blue Shield commercial|calpers fee schedule · outpatient | $188 | $188 | — | — | — | $188 – $188 |
| 6 | Blue Cross Blue Shield commercial|all other plans fee schedule · outpatient | $198 | $198 | — | — | 1–10 | $198 – $198 |
| 7 | UnitedHealthcare medicaid|< 21 fee schedule · outpatient | $79 | $208 | $285 | 137% | — | $21 – $923 |
| 8 | UnitedHealthcare medicaid|> 21 fee schedule · outpatient | $79 | $208 | $285 | 137% | — | $21 – $923 |
| 9 | Molina medicaid|all plans fee schedule · outpatient | $130 | $337 | $470 | 140% | 202–211 | $28 – $1.5k |
| 10 | Anthem medicaid|all plans fee schedule · outpatient | $322 | $422 | $429 | 102% | 141 | $33 – $1.5k |
| 11 | Anthem medicare|all other plans fee schedule · outpatient | $522 | $652 | $423 | 65% | 1–10 | $194 – $1.3k |
| 12 | Aetna commercial|all other plans fee schedule · outpatient | $674 | $674 | — | — | — | $674 – $674 |
| 13 | Aetna commercial|hmo fee schedule · outpatient | $674 | $674 | — | — | — | $674 – $674 |
| 14 | Aetna commercial|ppo fee schedule · outpatient | $674 | $674 | — | — | — | $674 – $674 |
| 15 | Aetna medicare|all plans fee schedule · outpatient | $553 | $691 | $449 | 65% | — | $206 – $1.3k |
| 16 | Blue Cross Blue Shield medicare|all plans case rate · outpatient | $553 | $691 | $449 | 65% | — | $206 – $1.3k |
| 17 | Humana commercial|all plans fee schedule · outpatient | $553 | $691 | $449 | 65% | — | $206 – $1.3k |
| 18 | Humana medicare|all plans fee schedule · outpatient | $553 | $691 | $449 | 65% | — | $206 – $1.3k |
| 19 | Kaiser medicare|all plans fee schedule · outpatient | $553 | $691 | $449 | 65% | — | $206 – $1.3k |
| 20 | UnitedHealthcare medicare|all plans fee schedule · outpatient | $564 | $705 | $458 | 65% | — | $210 – $1.4k |
| 21 | Anthem medicare|imperial fee schedule · outpatient | $570 | $712 | $462 | 65% | — | $212 – $1.4k |
| 22 | Kaiser medicaid|all plans fee schedule · outpatient | $380 | $980 | $1.0k | 103% | — | $120 – $2.9k |
| 23 | Anthem commercial|connection epo fee schedule · outpatient | $698 | $1.4k | $1.4k | 100% | — | $455 – $4.8k |
| 24 | Anthem commercial|all other plans fee schedule · outpatient | $873 | $1.7k | $1.7k | 100% | 2–20 | $568 – $6.0k |
| 25 | First Health commercial|all plans fee schedule · inpatient | $695 | $1.8k | $1.8k | 103% | — | $219 – $5.3k |
Last updated: Feb 28, 2026
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