RC 921
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 Abi/Pvr Unilateral
Gary, IN
See all hospitals reporting RC 921 →Price type
The Methodist Hospitals, Inc.’s median price of $375 is 21% below the median hospital's median price ($475), higher than 40% of the 2,007 hospitals reporting RC 921. 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, 22 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 hmo_and_ppo_contracted_plans facility · fee schedule · outpatient | $25 | $32 | $14 | 43% | — | $0 – $50 |
| 2 | Aetna medicare advantage facility · fee schedule · outpatient | $140 | $169 | $63 | 37% | — | $110 – $251 |
| 3 | Anthem medicare advantage facility · fee schedule · outpatient | $140 | $169 | $63 | 37% | — | $110 – $251 |
| 4 | Humana medicare advantage facility · fee schedule · outpatient | $140 | $169 | $63 | 37% | — | $110 – $251 |
| 5 | Medicare medicare facility · fee schedule · outpatient | $140 | $169 | $63 | 37% | — | $110 – $251 |
| 6 | Anthem pathway essentials facility · fee schedule · outpatient | $188 | $244 | $105 | 43% | — | $0 – $377 |
| 7 | Caresource caresource facility · fee schedule · outpatient | $231 | $279 | $104 | 37% | — | $182 – $414 |
| 8 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $259 | $286 | $96 | 33% | — | $13 – $474 |
| 9 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $281 | $310 | $104 | 33% | — | $15 – $515 |
| 10 | UnitedHealthcare navigate and core payer facility · percent of total billed charges · outpatientfrom % of charges | $281 | $310 | $104 | 33% | — | $15 – $515 |
| 11 | Ambetter ambetter healthplan facility · fee schedule · outpatient | $250 | $326 | $140 | 43% | — | $0 – $502 |
| 12 | UnitedHealthcare hmo_and_ppo_contracted_plans facility · percent of total billed charges · outpatientfrom % of charges | $302 | $333 | $111 | 33% | — | $16 – $553 |
| 13 | Anthem indiana hmo medicaid facility · fee schedule · outpatient | $380 | $414 | $190 | 46% | — | $131 – $898 |
| 14 | Caresource indiana hmo medicaid facility · fee schedule · outpatient | $380 | $414 | $190 | 46% | — | $131 – $898 |
| 15 | Humana indiana hmo medicaid facility · fee schedule · outpatient | $380 | $414 | $190 | 46% | — | $131 – $898 |
| 16 | UnitedHealthcare indiana hmo medicaid facility · fee schedule · outpatient | $380 | $414 | $190 | 46% | — | $131 – $898 |
| 17 | Anthem individual on exchange facility · fee schedule · outpatient | $333 | $433 | $186 | 43% | — | $0 – $669 |
| 18 | Aetna firsthealth facility · percent of total billed charges · outpatientfrom % of charges | $420 | $464 | $155 | 33% | — | $22 – $769 |
| 19 | Phcs ppo facility · percent of total billed charges · outpatientfrom % of charges | $458 | $506 | $169 | 33% | — | $24 – $839 |
| 20 | Anthem traditonal,hmo,ppo contracted plans and individual off exchange facility · fee schedule · outpatient | $416 | $542 | $232 | 43% | — | $0 – $836 |
| 21 | MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges | $492 | $543 | $182 | 33% | — | $26 – $901 |
| 22 | Aetna coventry facility · percent of total billed charges · outpatientfrom % of charges | $499 | $551 | $184 | 33% | — | $26 – $913 |
Last updated: Aug 18, 2026
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