RC 940
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 PROLOZONE/PROLOTHERAPY PELVIC FLOOR W/O US
Elyria, OH
See all hospitals reporting RC 940 →Price type
University Hospitals Health System’s median price of $125 is 31% below the median hospital's median price ($182), higher than 30% of the 1,958 hospitals reporting RC 940. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 31 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 medicare advantage facility · fee schedule · outpatient | $96 | $86 | $37 | 43% | — | $35 – $126 |
| 2 | Anthem medicare advantage facility · fee schedule · outpatient | $96 | $86 | $37 | 43% | — | $35 – $126 |
| 3 | Cigna medicare advantage facility · fee schedule · outpatient | $96 | $86 | $37 | 43% | — | $35 – $126 |
| 4 | Devoted medicare advantage facility · fee schedule · outpatient | $96 | $86 | $37 | 43% | — | $35 – $126 |
| 5 | Humana medicare advantage facility · fee schedule · outpatient | $96 | $86 | $37 | 43% | — | $35 – $126 |
| 6 | Medical Mutual medicare advantage facility · fee schedule · outpatient | $96 | $86 | $37 | 43% | — | $35 – $126 |
| 7 | Molina medicare advantage facility · fee schedule · outpatient | $96 | $86 | $37 | 43% | — | $35 – $126 |
| 8 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $96 | $86 | $37 | 43% | — | $35 – $126 |
| 9 | WellCare medicare advantage facility · fee schedule · outpatient | $96 | $86 | $37 | 43% | — | $35 – $126 |
| 10 | Ambetter commercial facility · fee schedule · outpatient | $173 | $155 | $66 | 43% | — | $64 – $227 |
| 11 | Caresource marketplace facility · fee schedule · outpatient | $173 | $155 | $66 | 43% | — | $64 – $227 |
| 12 | Medical Mutual medflex commercial facility · percent of total billed charges · outpatientfrom % of charges | $69 | $172 | $264 | 153% | — | $23 – $1.2k |
| 13 | Medical Mutual northern ohio commercial facility · percent of total billed charges · outpatientfrom % of charges | $75 | $187 | $286 | 153% | — | $25 – $1.3k |
| 14 | Medical Mutual supermed ppo facility · percent of total billed charges · outpatientfrom % of charges | $76 | $189 | $290 | 153% | — | $25 – $1.3k |
| 15 | Medical Mutual supermed hmo facility · percent of total billed charges · outpatientfrom % of charges | $77 | $191 | $293 | 153% | — | $25 – $1.3k |
| 16 | Medical Mutual nas commercial facility · percent of total billed charges · outpatientfrom % of charges | $85 | $211 | $323 | 153% | — | $28 – $1.5k |
| 17 | Anthem traditional commercial facility · percent of total billed charges · outpatientfrom % of charges | $96 | $240 | $368 | 153% | — | $32 – $1.7k |
| 18 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $92 | $244 | $373 | 153% | — | $32 – $1.7k |
| 19 | Medical Mutual northern ohio commercial facility · percent of total billed charges · inpatientfrom % of charges | $104 | $258 | $396 | 153% | — | $34 – $1.8k |
| 20 | UnitedHealthcare nexus commercial facility · percent of total billed charges · outpatientfrom % of charges | $113 | $281 | $431 | 153% | — | $37 – $2.0k |
| 21 | Cigna ppo commercial facility · percent of total billed charges · inpatientfrom % of charges | $116 | $289 | $444 | 153% | — | $38 – $2.0k |
| 22 | Cigna ppo commercial facility · percent of total billed charges · outpatientfrom % of charges | $116 | $289 | $444 | 153% | — | $38 – $2.0k |
| 23 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $125 | $312 | $479 | 153% | — | $41 – $2.2k |
| 24 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $140 | $348 | $533 | 153% | — | $46 – $2.4k |
| 25 | Medical Mutual hmo facility · percent of total billed charges · inpatientfrom % of charges | $147 | $365 | $559 | 153% | — | $48 – $2.5k |
Last updated: Jul 14, 2026
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