RC 420

Physical therapy session at Santa Rosa Hospital - Westover Hills

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

HC 29240 STRAPPING-SHOULDER(PT)

San Antonio, TX

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How this price compares nationally

Santa Rosa Hospital - Westover Hills’s median price of $132 is 31% above the median hospital's median price ($101), higher than 69% of the 1,969 hospitals reporting RC 420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 420 at Santa Rosa Hospital - Westover Hills

Negotiated rates from the hospital’s own file: 12 payers, 43 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	UnitedHealthcare chip km fee schedule · outpatient	$8.54	$8.54	$8.54 – $8.54
2	UnitedHealthcare star km fee schedule · outpatient	$8.54	$8.54	$8.54 – $8.54
3	UnitedHealthcare star plus km fee schedule · outpatient	$8.54	$8.54	$8.54 – $8.54
4	Aetna chip km fee schedule · outpatient	$10.80	$10.80	$10.80 – $10.80
5	Aetna star km fee schedule · outpatient	$10.80	$10.80	$10.80 – $10.80
6	Bcbs Tx star chip km fee schedule · outpatient	$10.80	$10.80	$10.80 – $10.80
7	Molina chip km fee schedule · outpatient	$10.80	$10.80	$10.80 – $10.80
8	Molina star plus km fee schedule · outpatient	$10.80	$10.80	$10.80 – $10.80
9	Bcbs Tx blue advantangehmo fee schedule · outpatient	$56.01	$56.01	$12.80 – $99.22
10	Aetna chip km percent of total billed charges · outpatientfrom % of charges	$59.95	$59.95	$59.95 – $59.95
11	Aetna star km percent of total billed charges · outpatientfrom % of charges	$59.95	$59.95	$59.95 – $59.95
12	Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges	$59.95	$59.95	$59.95 – $59.95
13	Bcbs Tx hmo fee schedule · outpatient	$72.02	$72.02	$16.46 – $127.57
14	Bcbs Tx heb fee schedule · outpatient	$73.86	$73.86	$16.88 – $130.84
15	Bcbs Tx ppo fee schedule · outpatient	$81.86	$81.86	$18.71 – $145.01
16	Bcbs Tx traditional fee schedule · outpatient	$84.33	$84.33	$19.28 – $149.37
17	UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges	$98.10	$98.10	$98.10 – $98.10
18	UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges	$98.10	$98.10	$98.10 – $98.10
19	UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges	$98.10	$98.10	$98.10 – $98.10
20	Cigna new business case rate · outpatient	$129.00	$129.00	$129.00 – $129.00
21	Aetna mm fee schedule · outpatient	$134.60	$134.60	$121.03 – $148.16
22	Bcbs Tx mm fee schedule · outpatient	$134.60	$134.60	$121.03 – $148.16
23	Humana gold choice mm fee schedule · outpatient	$134.60	$134.60	$121.03 – $148.16
24	Humana gold plus mm fee schedule · outpatient	$134.60	$134.60	$121.03 – $148.16
25	Molina medicare adv mm fee schedule · outpatient	$134.60	$134.60	$121.03 – $148.16

Page 1 of 2 · 43 rates

Last updated: Jan 13, 2026

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