RC 420

Physical therapy session at Forsyth Memorial Hospital, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PT CANALITH REPOSITIONING

Winston-Salem, NC

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Pricing by billing methodology

Price type

How this price compares nationally

Forsyth Memorial Hospital, Inc.’s median price of $99 is 2% below the median hospital's median price ($101), higher than 48% of the 1,969 hospitals reporting RC 420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 420 at Forsyth Memorial Hospital, Inc.

Negotiated rates from the hospital’s own file: 11 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	Cigna commercial percent of total billed charges · outpatientfrom % of charges	$51.99	$51.99	$51.99 – $51.99
2	Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient	$23.48	$101.53	$5.30 – $870.48
3	UnitedHealthcare medicaid fee schedule · outpatient	$23.48	$101.53	$5.30 – $870.48
4	WellCare medicaid fee schedule · outpatient	$23.48	$101.53	$5.30 – $870.48
5	Cigna commercial fee schedule · outpatient	$73.06	$121.93	$16.63 – $617.16
6	Cigna aca fee schedule · outpatient	$47.99	$207.46	$10.83 – $1,779
7	Caresource qualified health plan fee schedule · outpatient	$49.60	$214.43	$11.20 – $1,838
8	Aetna medicare fee schedule · outpatient	$62.00	$224.91	$14.00 – $2,051
9	Blue Cross Blue Shield blue home fee schedule · outpatient	$64.73	$279.83	$14.61 – $2,399
10	Blue Cross Blue Shield blue value fee schedule · outpatient	$66.96	$289.48	$15.12 – $2,482
11	Aetna commercial fee schedule · outpatient	$76.38	$330.22	$17.24 – $2,831
12	UnitedHealthcare all payer fee schedule · outpatient	$83.45	$360.77	$18.84 – $3,093
13	Blue Cross Blue Shield hmo fee schedule · outpatient	$85.19	$368.28	$19.23 – $3,157
14	Blue Cross Blue Shield ppo fee schedule · outpatient	$85.19	$368.28	$19.23 – $3,157
15	Humana commercial fee schedule · outpatient	$96.59	$417.60	$21.81 – $3,580
16	Aetna aca fee schedule · outpatient	$99.20	$428.86	$22.40 – $3,677
17	Aetna first health fee schedule · outpatient	$99.20	$428.86	$22.40 – $3,677
18	Aetna non-par products of apcn fee schedule · outpatient	$99.20	$428.86	$22.40 – $3,677
19	Aetna rental network products fee schedule · outpatient	$99.20	$428.86	$22.40 – $3,677
20	Aetna whole health non-multitier fee schedule · outpatient	$99.20	$428.86	$22.40 – $3,677
21	Medcost mbs fee schedule · outpatient	$105.40	$455.66	$23.80 – $3,907
22	Beechstreet commercial fee schedule · outpatient	$111.60	$482.47	$25.20 – $4,136
23	MultiPlan all plans fee schedule · outpatient	$111.60	$482.47	$25.20 – $4,136
24	Phcs all plans fee schedule · outpatient	$111.60	$482.47	$25.20 – $4,136
25	Blue Cross Blue Shield blue medicare fee schedule · outpatient	$194.59	$495.48	$124.80 – $2,001

Page 1 of 2 · 29 rates

Last updated: Mar 30, 2026

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