RC 981

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

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

PRO FEE LEVEL 3

Kane, PA

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Pricing by billing methodology

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How this price compares nationally

UPMC Kane’s median price of $130 is 44% below the median hospital's median price ($232), higher than 26% of the 391 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 Kane

Negotiated rates from the hospital’s own file: 6 payers, 22 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 chip/medicaid facility · fee schedule · outpatient	$62	$62	—	—	—	$62 – $62
2	UnitedHealthcare unison kids facility · fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
3	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$88	$88	—	—	—	$88 – $88
4	Highmark community blue medicare advantage/complete blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
5	Highmark freedom blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
6	Highmark security blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
7	Highmark together blue medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$114	$114	—	—	—	$114 – $114
8	Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
9	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$118	$118	—	—	—	$118 – $118
10	UnitedHealthcare unison advantage non special needs facility · percent of total billed charges · outpatientfrom % of charges	$119	$119	—	—	—	$119 – $119
11	Amerihealth Caritas medicare facility · percent of total billed charges · outpatientfrom % of charges	$123	$123	—	—	—	$123 – $123
12	UnitedHealthcare unison advantage special needs facility · percent of total billed charges · outpatientfrom % of charges	$125	$125	—	—	—	$125 – $125
13	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$215	$215	—	—	—	$215 – $215
14	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$215	$215	—	—	—	$215 – $215
15	MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · inpatientfrom % of charges	$230	$230	—	—	—	$230 – $230
16	MultiPlan auto/ppo/worker's compensation facility · percent of total billed charges · outpatientfrom % of charges	$230	$230	—	—	—	$230 – $230
17	Highmark medicaid facility · case rate · outpatient	$240	$240	—	—	—	$240 – $240
18	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
19	Highmark managed care - social mission facility · fee schedule · outpatient	$306	$306	—	—	—	$306 – $306
20	Highmark commercial - indemnity facility · fee schedule · outpatient	$374	$374	—	—	—	$374 – $374
21	Highmark managed care facility · fee schedule · outpatient	$374	$374	—	—	—	$374 – $374
22	Cigna medicare facility · percent of total billed charges · outpatientfrom % of charges	$6.9k	$6.9k	—	—	—	$6.9k – $6.9k

Last updated: Mar 6, 2026

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