RC 905

Intensive outpatient psychiatric treatment 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

MH-IOP PSYTX GROUP

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 $190 is 37% below the median hospital's median price ($299), higher than 22% of the 704 hospitals reporting RC 905. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 905 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	$54.35	$54.35	$54.35 – $54.35
2	UnitedHealthcare medicaid fee schedule · outpatient	$54.35	$54.35	$54.35 – $54.35
3	WellCare medicaid fee schedule · outpatient	$54.35	$54.35	$54.35 – $54.35
4	Blue Cross Blue Shield blue medicare fee schedule · outpatient	$98.53	$98.53	$98.53 – $98.53
5	Humana medicare fee schedule · outpatient	$98.53	$98.53	$98.53 – $98.53
6	UnitedHealthcare medicare fee schedule · outpatient	$98.53	$98.53	$98.53 – $98.53
7	Aetna medicare fee schedule · outpatient	$100.99	$100.99	$100.99 – $100.99
8	Cigna healthspring fee schedule · outpatient	$101.49	$101.49	$101.49 – $101.49
9	Cigna aca fee schedule · outpatient	$111.06	$111.06	$111.06 – $111.06
10	Caresource qualified health plan fee schedule · outpatient	$114.80	$114.80	$114.80 – $114.80
11	Blue Cross Blue Shield blue home fee schedule · outpatient	$149.81	$149.81	$149.81 – $149.81
12	Blue Cross Blue Shield blue value fee schedule · outpatient	$154.98	$154.98	$154.98 – $154.98
13	Cigna commercial fee schedule · outpatient	$170.47	$170.47	$170.47 – $170.47
14	Aetna commercial fee schedule · outpatient	$176.79	$176.79	$176.79 – $176.79
15	UnitedHealthcare all payer fee schedule · outpatient	$193.15	$193.15	$193.15 – $193.15
16	Blue Cross Blue Shield hmo fee schedule · outpatient	$197.16	$197.16	$197.16 – $197.16
17	Blue Cross Blue Shield ppo fee schedule · outpatient	$197.16	$197.16	$197.16 – $197.16
18	Humana commercial fee schedule · outpatient	$223.57	$223.57	$223.57 – $223.57
19	Aetna aca fee schedule · outpatient	$229.60	$229.60	$229.60 – $229.60
20	Aetna first health fee schedule · outpatient	$229.60	$229.60	$229.60 – $229.60
21	Aetna non-par products of apcn fee schedule · outpatient	$229.60	$229.60	$229.60 – $229.60
22	Aetna rental network products fee schedule · outpatient	$229.60	$229.60	$229.60 – $229.60
23	Aetna whole health non-multitier fee schedule · outpatient	$229.60	$229.60	$229.60 – $229.60
24	Medcost mbs fee schedule · outpatient	$243.95	$243.95	$243.95 – $243.95
25	Beechstreet commercial fee schedule · outpatient	$258.30	$258.30	$258.30 – $258.30

Page 1 of 2 · 28 rates

Last updated: Mar 30, 2026

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