RC 921
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
Nips Art Low Extrm Rest/Stress Bil
Summit, NJ
See all hospitals reporting RC 921 →Price type
Overlook Medical Center’s median price of $499 is 5% above the median hospital's median price ($475), higher than 52% of the 2,007 hospitals reporting RC 921. 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, 68 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 medicare fee schedule · both | $150 | $190 | $71 | 38% | — | $118 – $280 |
| 2 | Aetna omc aetna ahs employee other · both | $150 | $190 | $72 | 38% | — | $118 – $280 |
| 3 | Ambetter omc ambetter wellcare of nj other · both | $150 | $190 | $72 | 38% | — | $118 – $280 |
| 4 | Anthem omc horizon braven other · both | $150 | $190 | $72 | 38% | — | $118 – $280 |
| 5 | Blue Cross Blue Shield omc horizon braven other · both | $150 | $190 | $72 | 38% | — | $118 – $280 |
| 6 | Cigna omc cigna medicare fee schedule · both | $150 | $190 | $72 | 38% | — | $118 – $280 |
| 7 | Highmark omc highmark wholecare / gateway health plan inc other · both | $150 | $190 | $72 | 38% | — | $118 – $280 |
| 8 | Highmark omc horizon braven other · both | $150 | $190 | $72 | 38% | — | $118 – $280 |
| 9 | Tricare omc tricare contract other · both | $150 | $190 | $72 | 38% | — | $118 – $280 |
| 10 | Tricare omc tricare-east (humana military) other · both | $150 | $190 | $72 | 38% | — | $118 – $280 |
| 11 | WellCare omc wellcare phw other · both | $150 | $190 | $72 | 38% | — | $118 – $280 |
| 12 | WellCare omc wellcare/fedelis medicare other · both | $150 | $190 | $72 | 38% | — | $118 – $280 |
| 13 | Aetna omc aetna nnj prime other · both | $150 | $191 | $72 | 38% | — | $123 – $280 |
| 14 | Amerihealth Caritas omc amerihealth caritas other · both | $151 | $192 | $73 | 38% | — | $119 – $283 |
| 15 | Aetna omc aetna ahs employee other · outpatient | $176 | $200 | $74 | 37% | — | $116 – $280 |
| 16 | Aetna omc aetna medicare fee schedule · outpatient | $176 | $200 | $74 | 37% | — | $116 – $280 |
| 17 | Aetna omc aetna nnj prime other · outpatient | $176 | $200 | $74 | 37% | — | $116 – $280 |
| 18 | Ambetter omc ambetter wellcare of nj other · outpatient | $176 | $200 | $74 | 37% | — | $116 – $280 |
| 19 | Anthem omc horizon braven other · outpatient | $176 | $200 | $74 | 37% | — | $116 – $280 |
| 20 | Blue Cross Blue Shield omc horizon braven other · outpatient | $176 | $200 | $74 | 37% | — | $116 – $280 |
| 21 | Cigna omc cigna medicare fee schedule · outpatient | $176 | $200 | $74 | 37% | — | $116 – $280 |
| 22 | Highmark omc highmark wholecare / gateway health plan inc other · outpatient | $176 | $200 | $74 | 37% | — | $116 – $280 |
| 23 | Highmark omc horizon braven other · outpatient | $176 | $200 | $74 | 37% | — | $116 – $280 |
| 24 | Tricare omc tricare contract other · outpatient | $176 | $200 | $74 | 37% | — | $116 – $280 |
| 25 | Tricare omc tricare-east (humana military) other · outpatient | $176 | $200 | $74 | 37% | — | $116 – $280 |
Last updated: Apr 1, 2026
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