RC 459
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
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional
Lee's Summit, MO
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Lee's Summit Medical Center’s median price of $1.1k is 27% above the median hospital's median price ($857), higher than 67% of the 435 hospitals reporting RC 459. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 19 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 | Cigna generalmotors case rate · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 2 | Devoted mgmcr fee schedule · outpatient | $218 | $254 | $165 | 65% | — | $74 – $596 |
| 3 | Aetna familyhealthplanmcd case rate · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 4 | WellCare mcr case rate · outpatient | $600 | $600 | — | — | — | $600 – $600 |
| 5 | Cigna healthspringmgmcr case rate · outpatient | $800 | $800 | — | — | — | $800 – $800 |
| 6 | Humana aso case rate · outpatient | $1.1k | $1.1k | $347 | 31% | — | $677 – $1.5k |
| 7 | Humana epo case rate · outpatient | $1.1k | $1.1k | $347 | 31% | — | $677 – $1.5k |
| 8 | Humana hmo case rate · outpatient | $1.1k | $1.1k | $347 | 31% | — | $677 – $1.5k |
| 9 | Humana pos case rate · outpatient | $1.3k | $1.3k | $384 | 30% | — | $796 – $1.7k |
| 10 | Humana ppo case rate · outpatient | $1.3k | $1.3k | $384 | 30% | — | $796 – $1.7k |
| 11 | Ambetter commercial-exchange case rate · outpatient | $1.5k | $1.5k | $1000 | 65% | — | $316 – $2.8k |
| 12 | Cigna surefit/localplus case rate · outpatient | $1.9k | $2.4k | $1.5k | 65% | — | $537 – $4.2k |
| 13 | UnitedHealthcare allpayerappendix case rate · outpatient | $2.8k | $2.5k | $1.6k | 66% | — | $436 – $4.6k |
| 14 | Blue Cross Blue Shield blue-care(hmo) case rate · outpatient | $2.1k | $2.8k | $2.0k | 73% | — | $619 – $5.8k |
| 15 | Blue Cross Blue Shield blueaccess case rate · outpatient | $2.1k | $2.8k | $2.0k | 73% | — | $619 – $5.8k |
| 16 | Blue Cross Blue Shield preferred-careblue(ppo) case rate · outpatient | $2.1k | $2.8k | $2.0k | 73% | — | $619 – $5.8k |
| 17 | Cigna localkc case rate · outpatient | $2.2k | $2.8k | $1.8k | 65% | — | $640 – $5.0k |
| 18 | Cigna comm case rate · outpatient | $2.8k | $3.5k | $2.3k | 65% | — | $800 – $6.2k |
| 19 | Oscar hix case rate · inpatient | $53.0k | $53.0k | — | — | — | $53.0k – $53.0k |
Last updated: Mar 1, 2026
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