RC 459

Emergency room visit, other services at Texas Orthopedic Hospital

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

Emergency Room Other

HOUSTON, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Texas Orthopedic Hospital’s median price of $1.1k is 30% above the median hospital's median price ($857), higher than 69% of the 435 hospitals reporting RC 459. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 459 at Texas Orthopedic Hospital

Negotiated rates from the hospital’s own file: 10 payers, 35 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 Better Health mgmcd fee schedule · outpatient	$77	$77	—	—	—	$77 – $77
2	Molina chip case rate · outpatient	$200	$240	$104	43%	—	$140 – $400
3	Molina star case rate · outpatient	$200	$240	$104	43%	—	$140 – $400
4	Molina starkids case rate · outpatient	$200	$240	$104	43%	—	$140 – $400
5	Molina starplus case rate · outpatient	$200	$240	$104	43%	—	$140 – $400
6	Superior Healthplan chip case rate · outpatient	$261	$261	—	—	—	$261 – $261
7	Superior Healthplan chpfc case rate · outpatient	$261	$261	—	—	—	$261 – $261
8	Superior Healthplan star case rate · outpatient	$261	$261	—	—	—	$261 – $261
9	Superior Healthplan starkids case rate · outpatient	$261	$261	—	—	—	$261 – $261
10	Superior Healthplan starplus case rate · outpatient	$261	$261	—	—	—	$261 – $261
11	WellCare mcrhmo case rate · outpatient	$695	$695	—	—	—	$695 – $695
12	WellCare pffs case rate · outpatient	$695	$695	—	—	—	$695 – $695
13	WellCare pos case rate · outpatient	$695	$695	—	—	—	$695 – $695
14	WellCare ppo case rate · outpatient	$695	$695	—	—	—	$695 – $695
15	WellCare snp case rate · outpatient	$695	$695	—	—	—	$695 – $695
16	Aetna qhpexchange case rate · outpatient	$785	$785	—	—	—	$785 – $785
17	Molina mgmcr case rate · outpatient	$995	$995	—	—	—	$995 – $995
18	Aetna newbusiness case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Aetna comm case rate · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	Aetna oon case rate · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
21	Aetna asa case rate · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
22	Humana hmo case rate · outpatient	$1.2k	$1.7k	$1.0k	60%	—	$773 – $3.5k
23	Humana ppo case rate · outpatient	$1.2k	$1.7k	$1.0k	60%	—	$773 – $3.5k
24	UnitedHealthcare smallgroup case rate · outpatient	$1.5k	$1.8k	$1.4k	74%	—	$210 – $3.7k
25	Blue Cross Blue Shield mybluehealth case rate · outpatient	$1.3k	$2.1k	$1.8k	87%	—	$292 – $4.5k

Page 1 of 2 · 35 rates

Last updated: May 14, 2026

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