RC 901

Electroconvulsive therapy 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

ELECTROCONVULSIVE THERAPY

Winston-Salem, NC

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Pricing by billing methodology

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How this price compares nationally

Forsyth Memorial Hospital, Inc.’s median price of $888 is 3% above the median hospital's median price ($864), higher than 52% of the 779 hospitals reporting RC 901. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 901 at Forsyth Memorial Hospital, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 28 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 healthy blue medicaid fee schedule · outpatient	$253.79	$253.79	$253.79 – $253.79
2	UnitedHealthcare medicaid fee schedule · outpatient	$253.79	$253.79	$253.79 – $253.79
3	WellCare medicaid fee schedule · outpatient	$253.79	$253.79	$253.79 – $253.79
4	Cigna aca fee schedule · outpatient	$518.58	$518.58	$518.58 – $518.58
5	Caresource qualified health plan fee schedule · outpatient	$536.00	$536.00	$536.00 – $536.00
6	Blue Cross Blue Shield blue home fee schedule · outpatient	$699.48	$699.48	$699.48 – $699.48
7	Blue Cross Blue Shield blue value fee schedule · outpatient	$723.60	$723.60	$723.60 – $723.60
8	Cigna commercial fee schedule · outpatient	$795.96	$795.96	$795.96 – $795.96
9	Aetna commercial fee schedule · outpatient	$825.44	$825.44	$825.44 – $825.44
10	Blue Cross Blue Shield blue medicare fee schedule · outpatient	$832.86	$832.86	$832.86 – $832.86
11	Humana medicare fee schedule · outpatient	$832.86	$832.86	$832.86 – $832.86
12	UnitedHealthcare medicare fee schedule · outpatient	$832.86	$832.86	$832.86 – $832.86
13	Aetna medicare fee schedule · outpatient	$853.68	$853.68	$853.68 – $853.68
14	Cigna healthspring fee schedule · outpatient	$857.85	$857.85	$857.85 – $857.85
15	UnitedHealthcare all payer fee schedule · outpatient	$901.82	$901.82	$901.82 – $901.82
16	Blue Cross Blue Shield hmo fee schedule · outpatient	$920.58	$920.58	$920.58 – $920.58
17	Blue Cross Blue Shield ppo fee schedule · outpatient	$920.58	$920.58	$920.58 – $920.58
18	Humana commercial fee schedule · outpatient	$1,044	$1,044	$1,044 – $1,044
19	Aetna aca fee schedule · outpatient	$1,072	$1,072	$1,072 – $1,072
20	Aetna first health fee schedule · outpatient	$1,072	$1,072	$1,072 – $1,072
21	Aetna non-par products of apcn fee schedule · outpatient	$1,072	$1,072	$1,072 – $1,072
22	Aetna rental network products fee schedule · outpatient	$1,072	$1,072	$1,072 – $1,072
23	Aetna whole health non-multitier fee schedule · outpatient	$1,072	$1,072	$1,072 – $1,072
24	Medcost mbs fee schedule · outpatient	$1,139	$1,139	$1,139 – $1,139
25	Beechstreet commercial fee schedule · outpatient	$1,206	$1,206	$1,206 – $1,206

Page 1 of 2 · 28 rates

Last updated: Mar 30, 2026

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