RC 423

Physical therapy group session at St. Joseph Health System, 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

PT Group Therapy Charge - Yes

Wayne, IN

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Pricing by billing methodology

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How this price compares nationally

St. Joseph Health System, LLC’s median price of $125 is 8% above the median hospital's median price ($116), higher than 53% of the 830 hospitals reporting RC 423. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 423 at St. Joseph Health System, LLC

Negotiated rates from the hospital’s own file: 13 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 node uhc mcr adv facility · fee schedule · outpatient	$15	$15	—	—	—	$15 – $15
2	Tricare node tricare facility · fee schedule · outpatient	$16	$16	—	—	—	$16 – $16
3	Aetna node aetna mcr adv facility · fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
4	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
5	Humana node humana mcr adv facility · fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
6	Anthem anthem in healthsync facility · fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
7	Anthem anthem in hip facility · fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
8	Anthem anthem in hmo ppo trad facility · fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
9	Anthem anthem in marketplace stld facility · fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
10	Optum node united optum va ccn facility · per diem · outpatient	$17	$17	—	—	—	$17 – $17
11	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$17	$17	—	—	—	$17 – $17
12	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$26	$26	—	—	—	$26 – $26
13	Anthem anthem in work comp facility · other · outpatient	$28	$28	—	—	—	$28 – $28
14	Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
15	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$89	$89	—	—	—	$89 – $89
16	Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
17	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
18	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$100	$100	—	—	—	$100 – $100
19	Aetna aetna all facility · percent of total billed charges · inpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
20	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$127	$127	—	—	—	$127 – $127
21	UnitedHealthcare uhc apa facility · percent of total billed charges · outpatientfrom % of charges	$129	$129	—	—	—	$129 – $129
22	UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges	$137	$137	—	—	—	$137 – $137
23	Anthem anthem in medicaid facility · per diem · outpatient	$186	$186	—	—	—	$186 – $186
24	Caresource caresource hhw in medicaid facility · per diem · outpatient	$186	$186	—	—	—	$186 – $186
25	Caresource caresource in hip facility · per diem · outpatient	$186	$186	—	—	—	$186 – $186

Page 1 of 2 · 43 rates

Last updated: Apr 1, 2026

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