RC 917
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
Biofeedback Perineal Musc Inc Emg/Mano Addl 15 Min
Summit, NJ
See all hospitals reporting RC 917 →Price type
Overlook Medical Center’s median price of $123 is 56% below the median hospital's median price ($276), higher than 29% of the 479 hospitals reporting RC 917. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 18 payers, 59 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 | Aetna omc aetna nnj prime fee schedule · both | $31 | $31 | $9 | 28% | — | $23 – $40 |
| 2 | Aetna omc aetna ahs employee fee schedule · both | $35 | $35 | $10 | 28% | — | $25 – $44 |
| 3 | Aetna omc aetna medicare fee schedule · both | $35 | $35 | $10 | 28% | — | $25 – $44 |
| 4 | Anthem omc horizon braven fee schedule · both | $35 | $35 | $10 | 28% | — | $25 – $44 |
| 5 | Blue Cross Blue Shield omc horizon braven fee schedule · both | $35 | $35 | $10 | 28% | — | $25 – $44 |
| 6 | Cigna omc cigna medicare fee schedule · both | $35 | $35 | $10 | 28% | — | $25 – $44 |
| 7 | Highmark omc horizon braven fee schedule · both | $35 | $35 | $10 | 28% | — | $25 – $44 |
| 8 | Amerihealth Caritas omc amerihealth caritas fee schedule · both | $35 | $35 | $10 | 28% | — | $25 – $45 |
| 9 | WellCare omc wellcare phw fee schedule · both | $36 | $36 | $10 | 28% | — | $26 – $47 |
| 10 | WellCare omc wellcare/fedelis medicare fee schedule · both | $37 | $37 | $10 | 28% | — | $27 – $48 |
| 11 | Highmark omc highmark wholecare / gateway health plan inc fee schedule · both | $38 | $38 | $11 | 28% | — | $28 – $49 |
| 12 | Aetna omc aetna nnj prime fee schedule · outpatient | $43 | $43 | $3 | 6% | — | $40 – $45 |
| 13 | Aetna omc aetna ahs employee fee schedule · outpatient | $47 | $47 | $3 | 6% | — | $44 – $50 |
| 14 | Aetna omc aetna medicare fee schedule · outpatient | $47 | $47 | $3 | 6% | — | $44 – $50 |
| 15 | Anthem omc horizon braven fee schedule · outpatient | $47 | $47 | $3 | 6% | — | $44 – $50 |
| 16 | Blue Cross Blue Shield omc horizon braven fee schedule · outpatient | $47 | $47 | $3 | 6% | — | $44 – $50 |
| 17 | Cigna omc cigna medicare fee schedule · outpatient | $47 | $47 | $3 | 6% | — | $44 – $50 |
| 18 | Highmark omc horizon braven fee schedule · outpatient | $47 | $47 | $3 | 6% | — | $44 – $50 |
| 19 | Amerihealth Caritas omc amerihealth caritas fee schedule · outpatient | $48 | $48 | $3 | 6% | — | $45 – $51 |
| 20 | Aetna omc aetna htc fee schedule · both | $49 | $49 | $14 | 28% | — | $35 – $62 |
| 21 | WellCare omc wellcare phw fee schedule · outpatient | $50 | $50 | $3 | 6% | — | $47 – $53 |
| 22 | Tricare omc tricare-east (humana military) fee schedule · both | $50 | $50 | $22 | 43% | — | $28 – $72 |
| 23 | WellCare omc wellcare/fedelis medicare fee schedule · outpatient | $51 | $51 | $3 | 6% | — | $48 – $54 |
| 24 | Highmark omc highmark wholecare / gateway health plan inc fee schedule · outpatient | $52 | $52 | $3 | 6% | — | $49 – $55 |
| 25 | Tricare omc tricare contract fee schedule · both | $52 | $52 | $22 | 43% | — | $30 – $75 |
Last updated: Apr 1, 2026
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