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
HC Doppler Art 1-2 Level Bilat
Quitman, TX
See all hospitals reporting RC 921 →Price type
Quitman Hospital, LLC’s median price of $200 is 58% below the median hospital's median price ($475), higher than 8% 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: 10 payers, 22 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 blue cross medicare advantage oos [116005] facility · percent of total billed charges · bothfrom % of charges | $133 | $122 | $67 | 55% | — | $30 – $219 |
| 2 | Cigna cigna medicare replacement [126500] facility · percent of total billed charges · bothfrom % of charges | $133 | $122 | $67 | 55% | — | $30 – $219 |
| 3 | Humana humana medicare advantage/ppo/gold [152503] facility · percent of total billed charges · bothfrom % of charges | $133 | $122 | $67 | 55% | 6–60 | $30 – $219 |
| 4 | Medicare medicare part a and b [163500] facility · percent of total billed charges · bothfrom % of charges | $133 | $122 | $67 | 55% | 110–146 | $30 – $219 |
| 5 | Medicare medicare part a only [163502] facility · percent of total billed charges · bothfrom % of charges | $133 | $122 | $67 | 55% | — | $30 – $219 |
| 6 | Medicare medicare part b only [163501] facility · percent of total billed charges · bothfrom % of charges | $133 | $122 | $67 | 55% | — | $30 – $219 |
| 7 | WellCare wellcare medicare [377501] facility · percent of total billed charges · bothfrom % of charges | $133 | $122 | $67 | 55% | — | $30 – $219 |
| 8 | Aetna aetna coventry medicare replacement [102002] facility · percent of total billed charges · bothfrom % of charges | $135 | $124 | $68 | 55% | 1–10 | $31 – $223 |
| 9 | UnitedHealthcare uhc medicare advantage [206511] facility · percent of total billed charges · bothfrom % of charges | $135 | $124 | $68 | 55% | 5–50 | $31 – $223 |
| 10 | Ambetter ambetter [293000] facility · percent of total billed charges · bothfrom % of charges | $152 | $139 | $76 | 55% | 7–70 | $34 – $250 |
| 11 | Blue Cross Blue Shield bcbs medicaid [116504] facility · percent of total billed charges · bothfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 12 | Cigna cigna healthspring medicaid replacement [394500] facility · percent of total billed charges · bothfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 13 | UnitedHealthcare uhc medicaid community plan [375501] facility · percent of total billed charges · bothfrom % of charges | $152 | $152 | — | — | — | $152 – $152 |
| 14 | Healthcare Highways hch 90 degree benefits [221013] facility · percent of total billed charges · bothfrom % of charges | $237 | $218 | $120 | 55% | — | $54 – $391 |
| 15 | Healthcare Highways hch broken arrow [221012] facility · percent of total billed charges · bothfrom % of charges | $237 | $218 | $120 | 55% | — | $54 – $391 |
| 16 | Healthcare Highways hch john soules foods [221011] facility · percent of total billed charges · bothfrom % of charges | $237 | $218 | $120 | 55% | — | $54 – $391 |
| 17 | Cigna cigna ppo [126025] facility · percent of total billed charges · bothfrom % of charges | $549 | $515 | $265 | 51% | — | $122 – $889 |
| 18 | Cigna cigna - great west [126009] facility · percent of total billed charges · bothfrom % of charges | $622 | $572 | $325 | 57% | — | $143 – $1.0k |
| 19 | Humana humana commercial [214001] facility · percent of total billed charges · bothfrom % of charges | $622 | $572 | $325 | 57% | — | $143 – $1.0k |
| 20 | Phcs phcs multiplan [178000] facility · percent of total billed charges · bothfrom % of charges | $622 | $572 | $325 | 57% | — | $143 – $1.0k |
| 21 | Aetna aetna [101529] facility · percent of total billed charges · bothfrom % of charges | $744 | $697 | $358 | 51% | — | $165 – $1.2k |
| 22 | Aetna meritain aetna [368500] facility · percent of total billed charges · bothfrom % of charges | $744 | $697 | $358 | 51% | — | $165 – $1.2k |
Last updated: Feb 12, 2026
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