RC 922
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
SEP UPPER AND LOWER
Erie, PA
See all hospitals reporting RC 922 →Price type
UPMC Hamot’s median price of $286 is 24% below the median hospital's median price ($374), higher than 31% of the 1,538 hospitals reporting RC 922. 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, 34 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 facility · percent of total billed charges · outpatientfrom % of charges | $85 | $85 | — | — | — | $85 – $85 |
| 2 | Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient | $70 | $96 | $86 | 90% | — | $25 – $405 |
| 3 | Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges | $107 | $107 | — | — | — | $107 – $107 |
| 4 | UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient | $83 | $116 | $95 | 82% | — | $23 – $396 |
| 5 | Aetna medicaid facility · fee schedule · outpatient | $86 | $121 | $99 | 82% | — | $24 – $413 |
| 6 | Highmark medicaid facility · fee schedule · outpatient | $106 | $149 | $123 | 82% | — | $29 – $511 |
| 7 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $112 | $157 | $129 | 82% | — | $31 – $537 |
| 8 | Highmark commercial - indemnity/commercial - social mission indemnity/managed care/managed care - social mission facility · fee schedule · outpatient | $212 | $290 | $259 | 90% | — | $75 – $1.2k |
| 9 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $197 | $324 | $336 | 104% | — | $53 – $1.3k |
| 10 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $213 | $350 | $363 | 104% | — | $58 – $1.4k |
| 11 | Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $237 | $389 | $404 | 104% | — | $64 – $1.5k |
| 12 | Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $237 | $389 | $404 | 104% | — | $64 – $1.5k |
| 13 | Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges | $237 | $389 | $404 | 104% | — | $64 – $1.5k |
| 14 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $237 | $389 | $404 | 104% | — | $64 – $1.5k |
| 15 | Blue Cross Blue Shield commercial facility · fee schedule · outpatient | $341 | $413 | $230 | 56% | — | $96 – $1.2k |
| 16 | Aetna medicare facility · fee schedule · outpatient | $349 | $424 | $275 | 65% | — | $145 – $1.1k |
| 17 | WellCare medicare advantage facility · fee schedule · outpatient | $353 | $429 | $278 | 65% | — | $146 – $1.2k |
| 18 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $360 | $437 | $283 | 65% | — | $149 – $1.2k |
| 19 | UnitedHealthcare medicare facility · fee schedule · outpatient | $367 | $445 | $288 | 65% | — | $152 – $1.2k |
| 20 | Highmark medicare facility · fee schedule · outpatient | $370 | $449 | $291 | 65% | — | $153 – $1.2k |
| 21 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $370 | $449 | $291 | 65% | — | $153 – $1.2k |
| 22 | Cigna medicare facility · fee schedule · outpatient | $370 | $449 | $291 | 65% | — | $153 – $1.2k |
| 23 | Highmark upmc emergent facility · fee schedule · outpatient | $339 | $463 | $415 | 90% | — | $119 – $2.0k |
| 24 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $316 | $519 | $538 | 104% | — | $85 – $2.1k |
| 25 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $316 | $519 | $538 | 104% | — | $85 – $2.1k |
Last updated: Mar 6, 2026
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