RC 420
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
HC PT VAC WOUND AREA<50CM P/SES
Philadelphia, PA
See all hospitals reporting RC 420 →Price type
Temple University Hospital - Fox Chase Campus’s median price of $156 is 55% above the median hospital's median price ($101), higher than 76% of the 1,969 hospitals reporting RC 420. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 33 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 coventry facility · percent of total billed charges · outpatientfrom % of charges | $42.52 | $42.76 | $5.25 – $140.54 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $42.52 | $42.76 | $5.25 – $140.54 |
| 3 | Bcbs Nj medicare advantage facility · fee schedule · outpatient | $30.23 | $67.51 | $5.18 – $427.28 |
| 4 | Cigna medicare dsnp/medicare hmo/medicare ppo facility · percent of total billed charges · outpatientfrom % of charges | $76.88 | $77.31 | $9.49 – $254.13 |
| 5 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $94.79 | $104.86 | $11.70 – $313.34 |
| 6 | Bcbs Nj indemnity facility · percent of total billed charges · outpatientfrom % of charges | $104.55 | $117.49 | $12.90 – $417.75 |
| 7 | Bcbs Nj managed care facility · percent of total billed charges · outpatientfrom % of charges | $104.55 | $117.49 | $12.90 – $417.75 |
| 8 | Bcbs Nj ppo facility · percent of total billed charges · outpatientfrom % of charges | $104.55 | $117.49 | $12.90 – $417.75 |
| 9 | Oscar pennsylvania health plan facility · percent of total billed charges · outpatientfrom % of charges | $118.49 | $119.15 | $14.62 – $391.68 |
| 10 | Bcbs Pa medicare advantage hmo/medicare advantage ppo facility · percent of total billed charges · outpatientfrom % of charges | $124.41 | $139.80 | $15.35 – $497.12 |
| 11 | Bcbs Pa medicare advantage select 65 facility · percent of total billed charges · outpatientfrom % of charges | $124.41 | $139.80 | $15.35 – $497.12 |
| 12 | Cigna commercial facility · per diem · outpatient | $156.00 | $156.00 | $156.00 – $156.00 |
| 13 | Highmark medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $174.25 | $175.22 | $21.50 – $576.00 |
| 14 | Highmark commercial facility · percent of total billed charges · outpatientfrom % of charges | $179.27 | $180.27 | $22.12 – $592.59 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $187.49 | $210.69 | $23.13 – $749.16 |
| 16 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $187.49 | $210.69 | $23.13 – $749.16 |
| 17 | Aetna workers' comp facility · percent of total billed charges · outpatientfrom % of charges | $187.49 | $210.69 | $23.13 – $749.16 |
| 18 | Bcbs Pa hmo facility · percent of total billed charges · outpatientfrom % of charges | $206.45 | $231.99 | $25.47 – $824.92 |
| 19 | Humana medicare advantage facility · fee schedule · outpatient | $210.88 | $251.09 | $139.84 – $427.28 |
| 20 | UnitedHealthcare vaccn facility · fee schedule · outpatient | $210.88 | $251.09 | $139.84 – $427.28 |
| 21 | Bcbs Pa ppo facility · percent of total billed charges · outpatientfrom % of charges | $225.48 | $253.38 | $27.82 – $900.95 |
| 22 | Bcbs Pa temple member facility · percent of total billed charges · outpatientfrom % of charges | $225.48 | $253.38 | $27.82 – $900.95 |
| 23 | Highmark medicare advantage facility · fee schedule · outpatient | $215.10 | $256.12 | $142.64 – $435.83 |
| 24 | Aetna coventry facility · fee schedule · outpatient | $217.21 | $258.63 | $144.04 – $440.10 |
| 25 | Cigna medicare dsnp/medicare hmo/medicare ppo facility · fee schedule · outpatient | $221.42 | $263.64 | $146.83 – $448.64 |
Last updated: Apr 13, 2026
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