RC 905
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
TC INTSV OTPT PROG DAILY 3 HRS
Houston, TX
See all hospitals reporting RC 905 →Price type
Texas Children's Hospital’s median price of $1.4k is 362% above the median hospital's median price ($299), higher than 95% of the 704 hospitals reporting RC 905. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 23 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 | Molina molina chip/molina star mcd/molina star plus mcd facility · per diem · outpatient | $250.00 | $250.00 | $250.00 – $250.00 |
| 2 | Aetna aetna behavioral health facility · per diem · outpatient | $270.00 | $270.00 | $270.00 – $270.00 |
| 3 | Aetna aetna epo/aetna pos/aetna ppo facility · per diem · outpatient | $270.00 | $270.00 | $270.00 – $270.00 |
| 4 | Aetna aetna hmo facility · per diem · outpatient | $270.00 | $270.00 | $270.00 – $270.00 |
| 5 | Blue Cross Blue Shield bcbs hmo blue essentials tx facility · per diem · outpatient | $300.00 | $300.00 | $300.00 – $300.00 |
| 6 | Blue Cross Blue Shield bcbs ppo facility · per diem · outpatient | $300.00 | $300.00 | $300.00 – $300.00 |
| 7 | Blue Cross Blue Shield bcbs traditional facility · per diem · outpatient | $300.00 | $300.00 | $300.00 – $300.00 |
| 8 | UnitedHealthcare united healthcare chip facility · percent of total billed charges · outpatientfrom % of charges | $778.14 | $745.38 | $583.20 – $874.80 |
| 9 | UnitedHealthcare united healthcare star kids mcd/united healthcare star mcd/united healthcare star plus mcd facility · percent of total billed charges · outpatientfrom % of charges | $778.14 | $745.38 | $583.20 – $874.80 |
| 10 | Blue Cross Blue Shield bcbs star kids mcd/bcbs tx star mcd/bcbs tx star plus mcd facility · percent of total billed charges · outpatientfrom % of charges | $1,009 | $966.23 | $756.00 – $1,134 |
| 11 | First Health community first chip/community first health perinate chip/community first star mcd/community first start kids mcd facility · percent of total billed charges · outpatientfrom % of charges | $1,153 | $1,104 | $864.00 – $1,296 |
| 12 | Cigna cigna tch employee plan facility · percent of total billed charges · inpatientfrom % of charges | $1,643 | $1,574 | $1,231 – $1,847 |
| 13 | Cigna cigna tch employee plan facility · percent of total billed charges · outpatientfrom % of charges | $1,643 | $1,574 | $1,231 – $1,847 |
| 14 | Cigna cigna local plus/cigna sure fit hmo facility · percent of total billed charges · inpatientfrom % of charges | $1,672 | $1,601 | $1,253 – $1,879 |
| 15 | Cigna cigna local plus/cigna sure fit hmo facility · percent of total billed charges · outpatientfrom % of charges | $1,672 | $1,601 | $1,253 – $1,879 |
| 16 | Cigna cigna harris county ppo/hmo/cigna ppo facility · percent of total billed charges · inpatientfrom % of charges | $1,844 | $1,767 | $1,382 – $2,074 |
| 17 | Cigna cigna harris county ppo/hmo/cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $1,844 | $1,767 | $1,382 – $2,074 |
| 18 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $2,536 | $2,429 | $1,901 – $2,851 |
| 19 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $2,594 | $2,485 | $1,944 – $2,916 |
| 20 | MultiPlan multiplan other facility · percent of total billed charges · inpatientfrom % of charges | $2,594 | $2,485 | $1,944 – $2,916 |
| 21 | MultiPlan multiplan other facility · percent of total billed charges · outpatientfrom % of charges | $2,594 | $2,485 | $1,944 – $2,916 |
| 22 | First Health ccn network facility · percent of total billed charges · inpatientfrom % of charges | $2,738 | $2,623 | $2,052 – $3,078 |
| 23 | First Health ccn network facility · percent of total billed charges · outpatientfrom % of charges | $2,738 | $2,623 | $2,052 – $3,078 |
Last updated: Mar 5, 2026
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