RC 469

Pulmonary function testing at Pmc Hospital, Llc

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

UNLISTED PULMONARY PROCE/SERV

Pasadena, TX

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Pricing by billing methodology

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How this price compares nationally

Pmc Hospital, Llc’s median price of $384 is 22% below the median hospital's median price ($494), higher than 45% of the 389 hospitals reporting RC 469. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 469 at Pmc Hospital, Llc

Negotiated rates from the hospital’s own file: 9 payers, 24 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 commercial\|hmo fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
2	Cigna commercial\|ppo fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
3	Cigna commercial\|surefit fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
4	Blue Cross Blue Shield commercial\|myblue health exchange fee schedule · outpatient	$135	$135	$67	49%	—	$68 – $202
5	Blue Cross Blue Shield commercial\|exchange fee schedule · outpatient	$157	$157	$77	49%	—	$79 – $234
6	Blue Cross Blue Shield medicare\|all plans case rate · outpatient	$157	$157	—	—	—	$157 – $157
7	Cigna Healthspring medicare\|all plans case rate · outpatient	$157	$157	—	—	—	$157 – $157
8	Humana medicare\|all plans case rate · outpatient	$157	$157	—	—	—	$157 – $157
9	Aetna medicare\|all plans case rate · outpatient	$160	$160	—	—	—	$160 – $160
10	UnitedHealthcare medicare\|all plans case rate · outpatient	$160	$160	—	—	—	$160 – $160
11	Blue Cross Blue Shield commercial\|blue premier fee schedule · outpatient	$196	$196	$97	49%	—	$99 – $293
12	Ambetter commercial\|all plans case rate · outpatient	$235	$235	—	—	—	$235 – $235
13	Blue Cross Blue Shield commercial\|hmo fee schedule · outpatient	$259	$259	$128	49%	—	$131 – $387
14	Blue Cross Blue Shield commercial\|ppo fee schedule · outpatient	$294	$294	$145	49%	—	$149 – $440
15	UnitedHealthcare commercial\|exchange fee schedule · outpatient	$597	$597	—	—	—	$597 – $597
16	Cigna commercial\|transplant fee schedule · outpatient	$677	$701	$323	46%	—	$354 – $1.1k
17	First Health commercial\|all plans fee schedule · inpatient	$701	$701	$318	45%	—	$384 – $1.0k
18	First Health commercial\|all plans fee schedule · outpatient	$701	$701	$318	45%	—	$384 – $1.0k
19	Cigna commercial\|transplant fee schedule · inpatient	$755	$755	$342	45%	—	$413 – $1.1k
20	MultiPlan commercial\|all plans fee schedule · inpatient	$809	$809	$367	45%	—	$443 – $1.2k
21	MultiPlan commercial\|all plans fee schedule · outpatient	$809	$809	$367	45%	—	$443 – $1.2k
22	UnitedHealthcare commercial\|charter fee schedule · outpatient	$881	$881	—	—	—	$881 – $881
23	UnitedHealthcare commercial\|hmo fee schedule · outpatient	$979	$979	—	—	—	$979 – $979
24	UnitedHealthcare commercial\|ppo fee schedule · outpatient	$979	$979	—	—	—	$979 – $979

Last updated: Feb 28, 2026

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