RC 126
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
SIGNS AND SYMPTOMS WITH MCC IPF
FORT WORTH, TX
See all hospitals reporting RC 126 →Price type
Medical City Mental Health And Wellness Center Alliance’s median price of $1.2k is 40% below the median hospital's median price ($2.0k), higher than 21% of the 594 hospitals reporting RC 126. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 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 | Molina mcr fee schedule · inpatient | $1,190 | $1,235 | $890.03 – $2,056 |
| 2 | Molina mme fee schedule · inpatient | $1,190 | $1,235 | $890.03 – $2,056 |
| 3 | Molina mmp fee schedule · inpatient | $1,190 | $1,235 | $890.03 – $2,056 |
| 4 | Superior Healthplan mgmcrbh fee schedule · inpatient | $1,190 | $1,235 | $890.03 – $2,056 |
| 5 | Blue Cross Blue Shield blueadvantagehmo per diem · inpatient | $1,326 | $1,326 | $1,326 – $1,326 |
| 6 | Blue Cross Blue Shield mybluehealth per diem · inpatient | $1,326 | $1,326 | $1,326 – $1,326 |
| 7 | Magellan pinnacle per diem · inpatient | $1,380 | $1,380 | $1,309 – $1,450 |
| 8 | Magellan summit per diem · inpatient | $1,380 | $1,380 | $1,309 – $1,450 |
| 9 | Blue Cross Blue Shield eposoa per diem · inpatient | $1,460 | $1,460 | $1,460 – $1,460 |
| 10 | Blue Cross Blue Shield pos per diem · inpatient | $1,460 | $1,460 | $1,460 – $1,460 |
| 11 | Blue Cross Blue Shield ppo per diem · inpatient | $1,460 | $1,460 | $1,460 – $1,460 |
| 12 | Aetna qhphix per diem · inpatient | $2,013 | $2,013 | $2,013 – $2,013 |
| 13 | Aetna newbusiness per diem · inpatient | $2,759 | $2,759 | $2,759 – $2,759 |
| 14 | Aetna comm per diem · inpatient | $2,947 | $2,947 | $2,947 – $2,947 |
| 15 | Aetna meritain per diem · inpatient | $2,947 | $2,947 | $2,947 – $2,947 |
| 16 | Aetna oon per diem · inpatient | $3,466 | $3,466 | $3,466 – $3,466 |
Last updated: Mar 1, 2026
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