RC 515

Pediatric clinic visit at Hmh Hospitals Corporation

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES

Hackensack, NJ

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Pricing by billing methodology

Price type

How this price compares nationally

Hmh Hospitals Corporation’s median price of $371 is 169% above the median hospital's median price ($138), higher than 87% of the 151 hospitals reporting RC 515. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 515 at Hmh Hospitals Corporation

Negotiated rates from the hospital’s own file: 6 payers, 12 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	Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$94	$88	$47	53%	—	$17 – $149
2	Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$115	$108	$58	53%	—	$20 – $182
3	Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$131	$123	$66	53%	—	$23 – $207
4	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$155	$145	$78	53%	—	$27 – $244
5	UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges	$377	$354	$189	53%	—	$66 – $595
6	Cigna bh facility · percent of total billed charges · outpatientfrom % of charges	$418	$392	$209	53%	—	$74 – $660
7	MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges	$444	$417	$223	53%	—	$78 – $701
8	Aetna asa facility · percent of total billed charges · outpatientfrom % of charges	$497	$467	$249	53%	—	$88 – $785
9	Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges	$497	$467	$249	53%	—	$88 – $785
10	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$497	$467	$249	53%	—	$88 – $785
11	Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$506	$475	$253	53%	—	$89 – $798
12	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$506	$475	$253	53%	—	$89 – $798

Last updated: Dec 31, 2025

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