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
Group Tx-Iop
Ada, OK
See all hospitals reporting RC 905 →Price type
Mercy Hospital Ada Inc’s median price of $510 is 71% above the median hospital's median price ($299), higher than 80% 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, 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 | Blue Cross Blue Shield hb ada bcbs of ok nativeblue mcr 103% facility · fee schedule · outpatient | $24.52 | $24.52 | $24.52 – $24.52 |
| 2 | Aetna hb ada ok medicaid (soonercare) facility · fee schedule · outpatient | $25.11 | $25.11 | $25.11 – $25.11 |
| 3 | Humana hb ada ok medicaid (soonercare) facility · fee schedule · outpatient | $25.11 | $25.11 | $25.11 – $25.11 |
| 4 | Medicaid hb ada ok medicaid (soonercare) facility · fee schedule · outpatient | $25.11 | $25.11 | $25.11 – $25.11 |
| 5 | Anthem hb ada blue cross choice facility · fee schedule · outpatient | $103.79 | $103.79 | $103.79 – $103.79 |
| 6 | Blue Cross Blue Shield hb ada blue cross advantage ppo facility · fee schedule · outpatient | $103.79 | $103.79 | $103.79 – $103.79 |
| 7 | Blue Cross Blue Shield hb ada blue cross choice facility · fee schedule · outpatient | $103.79 | $103.79 | $103.79 – $103.79 |
| 8 | Blue Cross Blue Shield hb ada blue cross preferred facility · fee schedule · outpatient | $103.79 | $103.79 | $103.79 – $103.79 |
| 9 | Healthcare Highways hb ada, ardm, oklc healthcare hwy chicksaw nation facility · percent of total billed charges · outpatientfrom % of charges | $331.50 | $331.50 | $331.50 – $331.50 |
| 10 | UnitedHealthcare hb ada uhc exchange facility · percent of total billed charges · outpatientfrom % of charges | $391.00 | $391.00 | $391.00 – $391.00 |
| 11 | Medica hb ada medica exchange facility · percent of total billed charges · outpatientfrom % of charges | $396.10 | $396.10 | $396.10 – $396.10 |
| 12 | Aetna hb ada aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $521.90 | $521.90 | $521.90 – $521.90 |
| 13 | UnitedHealthcare hb ada uhc facility · percent of total billed charges · outpatientfrom % of charges | $595.00 | $595.00 | $595.00 – $595.00 |
| 14 | Aetna hb ada aetna facility · percent of total billed charges · outpatientfrom % of charges | $627.30 | $627.30 | $627.30 – $627.30 |
| 15 | Healthcare Highways hb ada, hmh, kgfer, lgnok, lhcp, tish, wtga healthcare highways facility · percent of total billed charges · outpatientfrom % of charges | $637.50 | $637.50 | $637.50 – $637.50 |
| 16 | First Health hb ada aetna - first health facility · percent of total billed charges · outpatientfrom % of charges | $692.75 | $692.75 | $692.75 – $692.75 |
| 17 | MultiPlan hb ada phcs primary & complementary facility · percent of total billed charges · outpatientfrom % of charges | $722.50 | $722.50 | $722.50 – $722.50 |
| 18 | Medica hb ada united behavioral health comm facility · percent of total billed charges · outpatientfrom % of charges | $850.00 | $850.00 | $850.00 – $850.00 |
| 19 | Optum hb ada united behavioral health comm facility · percent of total billed charges · outpatientfrom % of charges | $850.00 | $850.00 | $850.00 – $850.00 |
Last updated: Jun 11, 2026
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