RC 450
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
DIPHTH & TETANUS(DT) < 7Y/O
Novi, MI
See all hospitals reporting RC 450 →Price type
Henry Ford Health’s median price of $37 is 94% below the median hospital's median price ($592), higher than 0% of the 1,975 hospitals reporting RC 450. 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, 11 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Magellan 981_sjpk magellan behavioral 20200101 percent of total billed charges · outpatientfrom % of charges | $20.40 | $20.40 | $20.40 – $20.40 |
| 2 | Cigna 1076_sjpk sjpr cigna 20210912 percent of total billed charges · outpatientfrom % of charges | $27.88 | $27.88 | $27.88 – $27.88 |
| 3 | Aetna 1024_sjpk,sjpr aetna michigan preferred 20210701 percent of total billed charges · outpatientfrom % of charges | $30.60 | $30.60 | $30.60 – $30.60 |
| 4 | UnitedHealthcare 1207_sjpr,sjpk united health care aso 20241001 percent of total billed charges · outpatientfrom % of charges | $32.64 | $32.64 | $32.64 – $32.64 |
| 5 | Blue Cross Blue Shield 1145_sjpk blue cross blue shield ppo 20220401 percent of total billed charges · outpatientfrom % of charges | $36.72 | $36.72 | $36.72 – $36.72 |
| 6 | Blue Cross Blue Shield 1147_sjpk blue cross blue shield of michigan traditional 20220401 percent of total billed charges · outpatientfrom % of charges | $36.72 | $36.72 | $36.72 – $36.72 |
| 7 | Aetna 1203_sjpk,sjpr aetna ppo 20241001 percent of total billed charges · outpatientfrom % of charges | $48.28 | $48.28 | $48.28 – $48.28 |
| 8 | UnitedHealthcare 671_sjpk,sjpr united health care non aso 20200401 percent of total billed charges · outpatientfrom % of charges | $49.64 | $49.64 | $49.64 – $49.64 |
| 9 | First Health 1008_sjpk,sjpr first health coventry commercial 20100201 percent of total billed charges · outpatientfrom % of charges | $51.00 | $51.00 | $51.00 – $51.00 |
| 10 | MultiPlan 1011_sjpk,sjpr multiplan ppo 20080905 percent of total billed charges · outpatientfrom % of charges | $57.80 | $57.80 | $57.80 – $57.80 |
| 11 | UnitedHealthcare 1247_sjpk,sjpr medicaid replacement great lakes health plan outpatient 20250101 case rate · outpatient | $120.00 | $120.00 | $120.00 – $120.00 |
Last updated: Jan 1, 2026
See Emergency room visit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.