RC 914
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
Iop cd perdiem-accel don't use
Georgetown, TX
See all hospitals reporting RC 914 →Price type
Rock Springs’s median price of $365 is 105% above the median hospital's median price ($178), higher than 92% of the 1,162 hospitals reporting RC 914. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 30 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 Better Health 4717_1 case rate · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 2 | Aetna Better Health 4723_1 case rate · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 3 | Superior Healthplan 4733_1 case rate · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 4 | Superior Healthplan 4738_1 case rate · outpatient | $225 | $225 | — | — | — | $225 – $225 |
| 5 | Optum 4104_1 case rate · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 6 | UnitedHealthcare 4100_1 case rate · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 7 | UnitedHealthcare 4107_1 case rate · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 8 | UnitedHealthcare 4115_1 case rate · outpatient | $295 | $295 | — | — | — | $295 – $295 |
| 9 | UnitedHealthcare 4354_1 case rate · outpatient | $322 | $322 | — | — | — | $322 – $322 |
| 10 | Blue Cross Blue Shield 5003_1 case rate · outpatient | $346 | $346 | — | — | — | $346 – $346 |
| 11 | Blue Cross Blue Shield 5145_1 case rate · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 12 | Blue Cross Blue Shield 4801_1 case rate · outpatient | $375 | $375 | — | — | — | $375 – $375 |
| 13 | Blue Cross Blue Shield 5151_1 case rate · outpatient | $375 | $375 | — | — | — | $375 – $375 |
| 14 | Molina 5139_1 case rate · outpatient | $383 | $383 | — | — | — | $383 – $383 |
| 15 | Ambetter 4305_1 case rate · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 16 | Ambetter 5154_1 case rate · outpatient | $400 | $400 | — | — | — | $400 – $400 |
| 17 | Humana 5053_1 case rate · outpatient | $439 | $439 | — | — | — | $439 – $439 |
| 18 | Aetna 4109_1 case rate · outpatient | $440 | $440 | — | — | — | $440 – $440 |
| 19 | Aetna 4335_1 case rate · outpatient | $440 | $440 | — | — | — | $440 – $440 |
| 20 | Aetna 5001_1 case rate · outpatient | $440 | $440 | — | — | — | $440 – $440 |
| 21 | Aetna 5121_1 case rate · outpatient | $440 | $440 | — | — | — | $440 – $440 |
| 22 | Aetna 5134_1 case rate · outpatient | $440 | $440 | — | — | — | $440 – $440 |
| 23 | Cigna 4317_1 case rate · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 24 | Cigna 4389_1 case rate · outpatient | $447 | $447 | — | — | — | $447 – $447 |
| 25 | Cigna 5004_1 case rate · outpatient | $447 | $447 | — | — | — | $447 – $447 |
Last updated: Aug 1, 2026
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