RC 905
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
FAM THERAPY W PATIENT DTOX
Cleveland, OH
See all hospitals reporting RC 905 →Price type
Lutheran Hospital’s median price of $260 is 13% below the median hospital's median price ($299), higher than 41% of the 704 hospitals reporting RC 905. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 28 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 all products psychiatrist facility · fee schedule · outpatient | $36.05 | $72.44 | $36.05 – $145.23 |
| 2 | Humana medicare advantage hmo facility · fee schedule · outpatient | $85.75 | $106.82 | $85.75 – $148.95 |
| 3 | Optum all products va facility · fee schedule · outpatient | $85.75 | $106.82 | $85.75 – $148.95 |
| 4 | Optum medicare advantage transplant facility · fee schedule · outpatient | $85.75 | $106.82 | $85.75 – $148.95 |
| 5 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $85.75 | $106.82 | $85.75 – $148.95 |
| 6 | Optum managed medicaid transplant facility · case rate · outpatient | $102.78 | $109.81 | $102.78 – $123.88 |
| 7 | Anthem ppo/hmo facility · fee schedule · outpatient | $56.67 | $117.94 | $56.67 – $240.49 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $96.11 | $120.05 | $96.11 – $167.92 |
| 9 | Anthem medicare advantage facility · fee schedule · outpatient | $96.11 | $120.05 | $96.11 – $167.92 |
| 10 | Devoted medicare advantage facility · fee schedule · outpatient | $96.11 | $120.05 | $96.11 – $167.92 |
| 11 | Anthem managed medicaid facility · case rate · outpatient | $113.60 | $121.37 | $113.60 – $136.92 |
| 12 | Molina managed medicaid facility · case rate · outpatient | $113.60 | $121.37 | $113.60 – $136.92 |
| 13 | Cigna medicare advantage facility · fee schedule · outpatient | $98.99 | $123.65 | $98.99 – $172.96 |
| 14 | Caresource managed medicaid facility · case rate · outpatient | $115.76 | $123.68 | $115.76 – $139.53 |
| 15 | UnitedHealthcare managed medicaid facility · case rate · outpatient | $115.76 | $123.68 | $115.76 – $139.53 |
| 16 | Oscar all products facility · percent of total billed charges · outpatientfrom % of charges | $235.86 | $202.68 | $136.31 – $235.86 |
| 17 | Oscar all products facility · percent of total billed charges · inpatientfrom % of charges | $300.99 | $258.64 | $173.95 – $300.99 |
| 18 | Cigna all products facility · percent of total billed charges · outpatientfrom % of charges | $393.65 | $338.27 | $227.50 – $393.65 |
| 19 | Anthem traditional facility · percent of total billed charges · outpatientfrom % of charges | $467.46 | $401.69 | $270.16 – $467.46 |
| 20 | Optum all products transplant facility · percent of total billed charges · outpatientfrom % of charges | $472.04 | $405.63 | $272.81 – $472.04 |
| 21 | Anthem traditional facility · percent of total billed charges · inpatientfrom % of charges | $482.39 | $414.52 | $278.79 – $482.39 |
| 22 | Aetna acop facility · percent of total billed charges · outpatientfrom % of charges | $500.40 | $430.00 | $289.20 – $500.40 |
| 23 | Aetna international facility · percent of total billed charges · outpatientfrom % of charges | $535.43 | $460.10 | $309.44 – $535.43 |
| 24 | Aetna asa_whirlpool_peia facility · percent of total billed charges · outpatientfrom % of charges | $583.80 | $501.67 | $337.40 – $583.80 |
| 25 | Aetna all products facility · percent of total billed charges · outpatientfrom % of charges | $625.50 | $537.50 | $361.50 – $625.50 |
Last updated: Jun 15, 2026
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