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
Continuous Glucose Monitoring of patient-provided Equipment 95249
Suffern, NY
See all hospitals reporting RC 920 →Price type
Good Samaritan Hospital’s median price of $1.3k is 295% above the median hospital's median price ($334), higher than 89% of the 1,943 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: 10 payers, 20 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 blue cross access facility · percent of total billed charges · outpatientfrom % of charges | $745 | $745 | $194 | 26% | — | $551 – $938 |
| 2 | UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges | $789 | $789 | $384 | 49% | — | $405 – $1.2k |
| 3 | UnitedHealthcare uhc empire facility · percent of total billed charges · outpatientfrom % of charges | $789 | $789 | $384 | 49% | — | $405 – $1.2k |
| 4 | UnitedHealthcare uhc exchange facility · percent of total billed charges · outpatientfrom % of charges | $789 | $789 | $384 | 49% | — | $405 – $1.2k |
| 5 | Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges | $891 | $891 | — | — | — | $891 – $891 |
| 6 | Blue Cross Blue Shield blue cross connection/exchange facility · fee schedule · outpatient | $682 | $1.1k | $1.2k | 114% | — | $24 – $4.3k |
| 7 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | $538 | 49% | — | $567 – $1.6k |
| 8 | Blue Cross Blue Shield blue cross hmo facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 9 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $576 | 49% | — | $608 – $1.8k |
| 10 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | $576 | 49% | — | $608 – $1.8k |
| 11 | Blue Cross Blue Shield blue cross small group facility · fee schedule · outpatient | $818 | $1.3k | $1.5k | 116% | — | $24 – $5.2k |
| 12 | Blue Cross Blue Shield blue cross hmo facility · fee schedule · outpatient | $841 | $1.3k | $1.5k | 116% | — | $24 – $5.3k |
| 13 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $1.3k | $1.3k | $653 | 49% | — | $689 – $2.0k |
| 14 | Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 15 | Medicare medicare facility · fee schedule · outpatient | $3.5k | $2.3k | $1.3k | 58% | — | $74 – $3.5k |
| 16 | Molina affinity by molina mcr facility · fee schedule · outpatient | $3.6k | $2.4k | $1.4k | 58% | — | $77 – $3.7k |
| 17 | Tricare tricare facility · fee schedule · outpatient | $6.1k | $12.1k | $16.0k | 132% | — | $74 – $50k |
| 18 | Aetna aetna facility · fee schedule · outpatient | $25k | $22.2k | $7.8k | 35% | — | $405 – $25k |
| 19 | Aetna aetna employee facility · fee schedule · outpatient | $25k | $22.2k | $7.8k | 35% | — | $405 – $25k |
| 20 | Aetna aetna hp network facility · fee schedule · outpatient | $25k | $22.2k | $7.8k | 35% | — | $405 – $25k |
Last updated: Jun 29, 2026
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