RC 424

Physical Therapy Evaluation or Reevaluation 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.

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Original text from hospital filings

PT Reevaluation Units

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 $227 is 22% above the median hospital's median price ($187), higher than 67% of the 1,932 hospitals reporting RC 424. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 424 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	$84	$75	$12	16%	—	$57 – $84
2	Tricare node tricare facility · fee schedule · outpatient	$89	$80	$13	16%	—	$61 – $89
3	Aetna node aetna mcr adv facility · fee schedule · outpatient	$93	$84	$14	16%	—	$64 – $93
4	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$93	$84	$14	16%	—	$64 – $93
5	Humana node humana mcr adv facility · fee schedule · outpatient	$93	$84	$14	16%	—	$64 – $93
6	Anthem anthem in healthsync facility · fee schedule · outpatient	$95	$85	$14	16%	—	$65 – $95
7	Anthem anthem in hip facility · fee schedule · outpatient	$95	$85	$14	16%	—	$65 – $95
8	Anthem anthem in hmo ppo trad facility · fee schedule · outpatient	$95	$85	$14	16%	—	$65 – $95
9	Anthem anthem in marketplace stld facility · fee schedule · outpatient	$95	$85	$14	16%	—	$65 – $95
10	Optum node united optum va ccn facility · per diem · outpatient	$95	$85	$14	16%	—	$65 – $95
11	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$95	$86	$14	16%	—	$65 – $95
12	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$142	$128	$21	16%	—	$97 – $142
13	Anthem anthem in work comp facility · other · outpatient	$151	$136	$22	16%	—	$104 – $151
14	Anthem anthem in medicaid facility · per diem · outpatient	$186	$186	—	—	—	$186 – $186
15	Caresource caresource hhw in medicaid facility · per diem · outpatient	$186	$186	—	—	—	$186 – $186
16	Caresource caresource in hip facility · per diem · outpatient	$186	$186	—	—	—	$186 – $186
17	Humana humana pathways in medicaid facility · per diem · outpatient	$186	$186	—	—	—	$186 – $186
18	Medicaid in medicaid facility · per diem · outpatient	$186	$186	—	—	—	$186 – $186
19	UnitedHealthcare uhc hcc in medicaid facility · per diem · outpatient	$186	$186	—	—	—	$186 – $186
20	UnitedHealthcare uhc pathways in medicaid facility · per diem · outpatient	$186	$186	—	—	—	$186 – $186
21	Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$250	$231	$36	16%	—	$163 – $265
22	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$250	$231	$36	16%	—	$163 – $265
23	Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges	$281	$260	$41	16%	—	$183 – $297
24	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$281	$260	$41	16%	—	$183 – $297
25	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$281	$260	$41	16%	—	$183 – $297

Page 1 of 2 · 43 rates

Last updated: Apr 1, 2026

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