RC 420
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
HCHG 97763 ORTHOTICS/PROST MGMT & TRAINING, SUBSEQ ENCOUNTER, EA
West Union, IA
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Gundersen Palmer Lutheran Hospital and Clinic Inc’s median price of $64 is 36% below the median hospital's median price ($101), higher than 23% of the 1,969 hospitals reporting RC 420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 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 | Molina managed medicaid facility · other · outpatient | $15.39 | $27.28 | $13.20 – $177.22 |
| 2 | UnitedHealthcare all payer appendix facility · percent of total billed charges · outpatientfrom % of charges | $51.83 | $62.18 | $11.90 – $257.92 |
| 3 | Wellmark all products facility · percent of total billed charges · outpatientfrom % of charges | $53.30 | $63.93 | $12.24 – $265.20 |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $54.34 | $65.19 | $12.48 – $270.40 |
| 5 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $54.34 | $65.19 | $12.48 – $270.40 |
| 6 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $54.34 | $65.19 | $12.48 – $270.40 |
| 7 | Wellmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $54.34 | $65.19 | $12.48 – $270.40 |
| 8 | Ucare dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $57.48 | $68.95 | $13.20 – $286.00 |
| 9 | Ucare msho/minnesota special needs facility · percent of total billed charges · outpatientfrom % of charges | $57.48 | $68.95 | $13.20 – $286.00 |
| 10 | Ucare non-dually eligible facility · percent of total billed charges · outpatientfrom % of charges | $57.48 | $68.95 | $13.20 – $286.00 |
| 11 | Ucare qualified health plan facility · percent of total billed charges · outpatientfrom % of charges | $83.60 | $100.29 | $19.20 – $416.00 |
| 12 | Aetna all products facility · percent of total billed charges · outpatientfrom % of charges | $85.69 | $102.79 | $19.68 – $426.40 |
| 13 | MultiPlan healtheos plus facility · percent of total billed charges · outpatientfrom % of charges | $91.96 | $110.31 | $21.12 – $457.60 |
| 14 | MultiPlan mpi_phcs_healtheos facility · percent of total billed charges · outpatientfrom % of charges | $97.19 | $116.58 | $22.32 – $483.60 |
| 15 | Wellmark hmo facility · case rate · outpatient | $81.30 | $136.16 | $44.00 – $901.21 |
| 16 | Wellmark indemnity/ppo facility · case rate · outpatient | $89.27 | $148.12 | $44.00 – $989.53 |
Last updated: Jun 27, 2026
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