RC 521
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
GAL ASPIRATION/INJECT INTERM
Coudersport, PA
Negotiated rates from the hospital’s own file: 7 payers, 24 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 | Highmark commercial - social mission indemnity facility · percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 2 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Highmark commercial - indemnity facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 4 | Highmark managed care facility · percent of total billed charges · outpatientfrom % of charges | $21 | $21 | — | — | — | $21 – $21 |
| 5 | Aetna chip/medicaid facility · fee schedule · outpatient | $24 | $24 | $1 | 4% | — | $23 – $25 |
| 6 | Highmark community blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $33 | $27 | $14 | 51% | — | $8 – $39 |
| 7 | Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges | $33 | $27 | $14 | 51% | — | $8 – $40 |
| 8 | Humana medicare facility · percent of total billed charges · outpatientfrom % of charges | $34 | $27 | $14 | 51% | — | $8 – $40 |
| 9 | Amerihealth Caritas community healthchoices (chc) facility · percent of total billed charges · outpatientfrom % of charges | $34 | $28 | $14 | 51% | — | $8 – $41 |
| 10 | Amerihealth Caritas medicaid facility · percent of total billed charges · outpatientfrom % of charges | $34 | $28 | $14 | 51% | — | $8 – $41 |
| 11 | Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges | $35 | $28 | $14 | 51% | — | $8 – $42 |
| 12 | Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges | $48 | $39 | $20 | 51% | — | $11 – $57 |
| 13 | Humana commercial facility · percent of total billed charges · inpatientfrom % of charges | $95 | $77 | $39 | 51% | — | $22 – $114 |
| 14 | Humana commercial facility · percent of total billed charges · outpatientfrom % of charges | $95 | $77 | $39 | 51% | — | $22 – $114 |
| 15 | MultiPlan ppo/auto facility · percent of total billed charges · inpatientfrom % of charges | $95 | $77 | $39 | 51% | — | $22 – $114 |
| 16 | MultiPlan ppo/auto facility · percent of total billed charges · outpatientfrom % of charges | $95 | $77 | $39 | 51% | — | $22 – $114 |
| 17 | MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges | $95 | $77 | $39 | 51% | — | $22 – $114 |
| 18 | MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges | $95 | $77 | $39 | 51% | — | $22 – $114 |
| 19 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $98 | $79 | $40 | 51% | — | $23 – $116 |
| 20 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 21 | Highmark commercial - social mission indemnity facility · fee schedule · outpatient | $264 | $264 | $21 | 8% | — | $243 – $285 |
| 22 | Highmark managed care - social mission facility · fee schedule · outpatient | $264 | $264 | $21 | 8% | — | $243 – $285 |
| 23 | Highmark commercial - indemnity facility · fee schedule · outpatient | $322 | $322 | $25 | 8% | — | $296 – $347 |
| 24 | Highmark managed care facility · fee schedule · outpatient | $322 | $322 | $25 | 8% | — | $296 – $347 |