RC 490
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
ABLTJ PERC CRYOABLTJ IMG GDN UXTR/PERPH NERVE
Hackensack, NJ
See all hospitals reporting RC 490 →Price type
Hmh Hospitals Corporation’s median price of $9.6k is 310% above the median hospital's median price ($2.4k), higher than 92% of the 800 hospitals reporting RC 490. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 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 | Optum managed medicaid facility · fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 3 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 4 | Optum medicare advantage facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 5 | WellCare managed medicaid facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 6 | WellCare medicare advantage facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 7 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 8 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 9 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 10 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $10.0k | $10.0k | — | — | — | $10.0k – $10.0k |
| 11 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 12 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $12.5k | $12.5k | — | — | — | $12.5k – $12.5k |
| 13 | Aetna asa facility · case rate · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 14 | Aetna hmo facility · case rate · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 15 | Aetna ppo facility · case rate · outpatient | $18.7k | $18.7k | — | — | — | $18.7k – $18.7k |
| 16 | UnitedHealthcare hmo facility · case rate · outpatient | $22.3k | $22.3k | — | — | — | $22.3k – $22.3k |
Last updated: Dec 31, 2025
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