RC 981

Emergency department visit, professional fee, minor level at UPMC Cole

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TREAT CLAV DISLO W/O MANIPU

Coudersport, PA

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Pricing by billing methodology

Price type

How this price compares nationally

UPMC Cole’s median price of $233 is about the same as the median hospital's median price ($232), higher than 50% of the 415 hospitals reporting RC 981. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 981 at UPMC Cole

Negotiated rates from the hospital’s own file: 7 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	Amerihealth Caritas community healthchoices (chc) facility · case rate · outpatient	$39	$40	$15	37%	—	$18 – $56
2	Amerihealth Caritas medicaid facility · case rate · outpatient	$39	$40	$15	37%	—	$18 – $56
3	Aetna chip/medicaid facility · fee schedule · outpatient	$65	$83	$84	101%	—	$8 – $1.0k
4	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	$125	$157	$125	80%	—	$2 – $731
5	Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges	$127	$159	$127	80%	—	$3 – $738
6	Humana medicare facility · percent of total billed charges · outpatientfrom % of charges	$128	$160	$128	80%	—	$3 – $746
7	Amerihealth Caritas community healthchoices (chc) facility · percent of total billed charges · outpatientfrom % of charges	$132	$164	$130	79%	—	$3 – $757
8	Amerihealth Caritas medicaid facility · percent of total billed charges · outpatientfrom % of charges	$132	$164	$130	79%	—	$3 – $757
9	Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges	$133	$167	$133	80%	—	$3 – $775
10	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$138	$173	$138	80%	—	$3 – $804
11	Highmark commercial - social mission indemnity facility · percent of total billed charges · outpatientfrom % of charges	$154	$200	$123	61%	—	$37 – $397
12	Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges	$154	$200	$123	61%	—	$37 – $397
13	Highmark medicaid facility · percent of total billed charges · outpatientfrom % of charges	$181	$227	$181	80%	—	$4 – $1.1k
14	Highmark commercial - indemnity facility · percent of total billed charges · outpatientfrom % of charges	$185	$241	$148	61%	—	$45 – $478
15	Highmark managed care facility · percent of total billed charges · outpatientfrom % of charges	$185	$241	$148	61%	—	$45 – $478
16	Blue Cross Blue Shield cc/chp/fhp/chip facility · case rate · outpatient	$273	$313	$161	51%	—	$104 – $554
17	Blue Cross Blue Shield commercial/medicaid facility · case rate · outpatient	$375	$430	$221	51%	—	$142 – $761
18	Blue Cross Blue Shield medicare advantage facility · case rate · outpatient	$375	$430	$221	51%	—	$142 – $761
19	Humana commercial facility · percent of total billed charges · inpatientfrom % of charges	$362	$454	$362	80%	—	$7 – $2.1k
20	Humana commercial facility · percent of total billed charges · outpatientfrom % of charges	$362	$454	$362	80%	—	$7 – $2.1k
21	MultiPlan ppo/auto facility · percent of total billed charges · inpatientfrom % of charges	$362	$454	$362	80%	—	$7 – $2.1k
22	MultiPlan ppo/auto facility · percent of total billed charges · outpatientfrom % of charges	$362	$454	$362	80%	—	$7 – $2.1k
23	MultiPlan worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$362	$454	$362	80%	—	$7 – $2.1k
24	MultiPlan worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$362	$454	$362	80%	—	$7 – $2.1k
25	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$374	$468	$372	79%	—	$7 – $2.2k

Page 1 of 2 · 31 rates

Last updated: Mar 6, 2026

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