RC 761
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.
Generation details were not recorded for this description.
Original text from hospital filings
LOW COST SKIN SUBSTITUTE APP
Suffern, NY
See all hospitals reporting RC 761 →Price type
Good Samaritan Hospital’s median price of $1.4k is 190% above the median hospital's median price ($490), higher than 84% of the 1,937 hospitals reporting RC 761. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 27 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 | Aetna aetna hp network facility · per diem · outpatient | $571 | $571 | — | — | — | $571 – $571 |
| 2 | Aetna aetna facility · per diem · outpatient | $634 | $634 | — | — | — | $634 – $634 |
| 3 | Aetna aetna employee facility · per diem · outpatient | $634 | $634 | — | — | — | $634 – $634 |
| 4 | Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges | $314 | $666 | $1.1k | 158% | — | $88 – $5.0k |
| 5 | Blue Cross Blue Shield blue cross hmo facility · percent of total billed charges · outpatientfrom % of charges | $413 | $877 | $1.4k | 158% | — | $116 – $6.6k |
| 6 | Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges | $636 | $1.4k | $2.1k | 158% | — | $179 – $10.2k |
| 7 | Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges | $702 | $1.7k | $1.8k | 111% | — | $104 – $7.1k |
| 8 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $780 | $1.8k | $2.0k | 111% | — | $116 – $7.8k |
| 9 | Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges | $780 | $1.8k | $2.0k | 111% | — | $116 – $7.8k |
| 10 | Medicare medicare facility · fee schedule · outpatient | $2.1k | $2.5k | $1.4k | 55% | — | $74 – $5.4k |
| 11 | Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $2.5k | $2.9k | 116% | — | $93 – $11.6k |
| 12 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $990 | $2.5k | $2.9k | 113% | — | $162 – $11.0k |
| 13 | UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges | $990 | $2.5k | $2.9k | 113% | — | $162 – $11.0k |
| 14 | UnitedHealthcare uhc empire facility · percent of total billed charges · outpatientfrom % of charges | $990 | $2.5k | $2.9k | 113% | — | $162 – $11.0k |
| 15 | UnitedHealthcare uhc exchange facility · percent of total billed charges · outpatientfrom % of charges | $990 | $2.5k | $2.9k | 113% | — | $162 – $11.0k |
| 16 | Molina affinity by molina mcr facility · fee schedule · outpatient | $2.2k | $2.6k | $1.4k | 55% | — | $77 – $5.7k |
| 17 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $2.7k | $3.1k | 113% | — | $174 – $11.8k |
| 18 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $2.7k | $3.1k | 113% | — | $174 – $11.8k |
| 19 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $3.1k | $3.5k | 113% | — | $197 – $13.3k |
| 20 | Blue Cross Blue Shield blue cross small group facility · fee schedule · outpatient | $4.8k | $4.1k | $3.4k | 83% | — | $193 – $13.0k |
| 21 | Blue Cross Blue Shield blue cross hmo facility · fee schedule · outpatient | $4.9k | $4.1k | $3.4k | 83% | — | $198 – $13.4k |
| 22 | Blue Cross Blue Shield blue cross connection/exchange facility · case rate · outpatient | $4.0k | $4.3k | $2.3k | 54% | — | $160 – $10.9k |
| 23 | Blue Cross Blue Shield blue cross connection/exchange facility · fee schedule · outpatient | $4.3k | $4.6k | $2.8k | 60% | — | $160 – $10.9k |
| 24 | Blue Cross Blue Shield blue cross small group facility · case rate · outpatient | $4.8k | $5.8k | $2.4k | 41% | — | $4.8k – $13.0k |
| 25 | Blue Cross Blue Shield blue cross hmo facility · case rate · outpatient | $4.9k | $6.0k | $2.5k | 41% | — | $4.9k – $13.4k |
Last updated: Jun 29, 2026
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