RC 490
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
INS/RPLC SPINL NPG/RCVR POCKET
Erie, PA
See all hospitals reporting RC 490 →Price type
UPMC Hamot’s median price of $2.9k is 25% above the median hospital's median price ($2.4k), higher than 59% of the 800 hospitals reporting RC 490. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 32 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 | UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient | $346 | $346 | — | — | — | $346 – $346 |
| 2 | Aetna medicaid facility · fee schedule · outpatient | $361 | $361 | — | — | — | $361 – $361 |
| 3 | Highmark medicaid facility · fee schedule · outpatient | $446 | $446 | — | — | — | $446 – $446 |
| 4 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $470 | $470 | — | — | — | $470 – $470 |
| 5 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $730 | $730 | — | — | — | $730 – $730 |
| 6 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 7 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 8 | Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 9 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 10 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 11 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 12 | Blue Cross Blue Shield commercial facility · case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 13 | Highmark commercial - indemnity/commercial - social mission indemnity/managed care/managed care - social mission facility · fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 14 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 15 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 16 | Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 17 | Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 18 | Highmark upmc emergent facility · fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 19 | Aetna axa/mmo facility · percent of total billed charges · inpatientfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 20 | Aetna axa/mmo facility · percent of total billed charges · outpatientfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 21 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 22 | MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 23 | MultiPlan complimentary network rate (includes multiplan as payer) facility · percent of total billed charges · inpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 24 | MultiPlan complimentary network rate (includes multiplan as payer) facility · percent of total billed charges · outpatientfrom % of charges | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 25 | UnitedHealthcare commercial facility · case rate · outpatient | $8.3k | $8.3k | — | — | — | $8.3k – $8.3k |
Last updated: Mar 6, 2026
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