RC 128
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
ROOM AND BOARD SEMI-PRIVATE(TWO BED) - REHABILITATION
Williamsport, IN
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St. Vincent Williamsport Hospital, Inc.’s median price of $264 is 88% below the median hospital's median price ($2.2k), higher than 2% of the 806 hospitals reporting RC 128. 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, 27 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 | Ambetter 3458_mhs cenpatico ambetter outpatient vwin 20200201 per diem · both | $174.78 | $174.78 | $174.78 – $174.78 |
| 2 | Caresource 9219_caresource marketplace vwin 20240701 per diem · inpatient | $190.74 | $190.74 | $190.74 – $190.74 |
| 3 | Aetna 8397_aetna medicare replacement choice vwin 20240701 per diem · inpatient | $235.62 | $235.62 | $235.62 – $235.62 |
| 4 | Aetna 8398_aetna medicare replacement vwin 20240701 per diem · inpatient | $235.62 | $235.62 | $235.62 – $235.62 |
| 5 | Ambetter 8405_mhs cenpatico ambetter marketplace vwin 20240701 per diem · inpatient | $235.62 | $235.62 | $235.62 – $235.62 |
| 6 | Anthem 8399_anthem medicare replacement vwin 20240701 per diem · inpatient | $235.62 | $235.62 | $235.62 – $235.62 |
| 7 | Humana 8400_humana gold choice medicare replacement vwin 20240701 per diem · inpatient | $235.62 | $235.62 | $235.62 – $235.62 |
| 8 | Humana 8401_humana ppo medicare replacement vwin 20240701 per diem · inpatient | $235.62 | $235.62 | $235.62 – $235.62 |
| 9 | UnitedHealthcare 8408_united healthcare medicare replacement vwin 20240701 per diem · inpatient | $235.62 | $235.62 | $235.62 – $235.62 |
| 10 | WellCare 8409_wellcare medicare replacement vwin 20240701 per diem · inpatient | $235.62 | $235.62 | $235.62 – $235.62 |
| 11 | Devoted 8144_devoted health medicare advantage vwin 20231120 per diem · inpatient | $264.06 | $264.06 | $264.06 – $264.06 |
| 12 | Anthem 4100_anthem behavioral replacement inpatient 20201001 fee schedule · inpatient | $607.56 | $607.56 | $607.56 – $607.56 |
| 13 | Anthem 5471_anthem behavioral medicaid replacement inpatient vein 20201001 fee schedule · inpatient | $607.56 | $607.56 | $607.56 – $607.56 |
| 14 | Cigna 5557_cigna existing business non-contracted stin 20210101 per diem · both | $762.00 | $762.00 | $762.00 – $762.00 |
| 15 | Magellan 3180_magellan behavioral health 20120101 per diem · inpatient | $926.00 | $926.00 | $926.00 – $926.00 |
| 16 | Humana 8683_humana ppo medicare replacement inpatient svin 20241001 per diem · inpatient | $1,083 | $1,083 | $1,083 – $1,083 |
| 17 | Cigna 8821_cigna vein 20241001 per diem · inpatient | $1,757 | $1,757 | $1,757 – $1,757 |
| 18 | Anthem 9399_anthem healthsync hmo vein 20250101 per diem · inpatient | $1,834 | $1,834 | $1,834 – $1,834 |
| 19 | Anthem 9401_anthem healthsync pos vein 20250101 per diem · inpatient | $1,834 | $1,834 | $1,834 – $1,834 |
| 20 | Anthem 9407_anthem short term limited duration vein 20250101 per diem · inpatient | $1,999 | $1,999 | $1,999 – $1,999 |
| 21 | Anthem 9405_anthem pathway x vein 20250101 per diem · inpatient | $2,076 | $2,076 | $2,076 – $2,076 |
| 22 | UnitedHealthcare 6575_united health care self funded non-contracted vein 20221002 per diem · both | $2,365 | $2,365 | $2,365 – $2,365 |
| 23 | UnitedHealthcare 9470_united healthcare vein 20250101 per diem · inpatient | $2,421 | $2,421 | $2,421 – $2,421 |
| 24 | Anthem 9403_anthem hmo pos vein 20250101 per diem · inpatient | $2,594 | $2,594 | $2,594 – $2,594 |
| 25 | Anthem 9404_anthem pathway vein 20250101 per diem · inpatient | $2,594 | $2,594 | $2,594 – $2,594 |
Last updated: Jan 1, 2026
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