RC 921
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
HC DUPLEX ART INFLW/VEN OUTFLW PREOP VES ASS HEMODIALYSIS BILAT
Lititz, PA
See all hospitals reporting RC 921 →Price type
UPMC Lititz’s median price of $307 is 35% below the median hospital's median price ($476), higher than 33% of the 1,957 hospitals reporting RC 921. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 21 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 medicaid facility · fee schedule · outpatient | $103 | $119 | $34 | 28% | — | $49 – $228 |
| 2 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $127 | $147 | $45 | 31% | — | $47 – $261 |
| 3 | Aetna medicare facility · fee schedule · outpatient | $114 | $147 | $60 | 41% | — | $66 – $242 |
| 4 | Highmark medicare facility · fee schedule · outpatient | $101 | $158 | $62 | 39% | — | $101 – $230 |
| 5 | Cigna medicare facility · fee schedule · outpatient | $107 | $167 | $66 | 39% | — | $107 – $244 |
| 6 | UnitedHealthcare medicare facility · fee schedule · outpatient | $109 | $171 | $67 | 39% | — | $109 – $248 |
| 7 | Blue Cross Blue Shield medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $131 | $177 | $77 | 44% | — | $67 – $364 |
| 8 | Highmark medicaid facility · fee schedule · outpatient | $186 | $283 | $211 | 74% | — | $47 – $715 |
| 9 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $313 | $313 | — | — | — | $313 – $313 |
| 10 | Aetna aco facility · percent of total billed charges · inpatientfrom % of charges | $246 | $330 | $144 | 44% | — | $125 – $680 |
| 11 | Aetna aco facility · percent of total billed charges · outpatientfrom % of charges | $258 | $347 | $152 | 44% | — | $131 – $715 |
| 12 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $292 | $393 | $172 | 44% | — | $148 – $809 |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $307 | $414 | $180 | 44% | — | $156 – $851 |
| 14 | Blue Cross Blue Shield chip facility · percent of total billed charges · outpatientfrom % of charges | $308 | $415 | $181 | 44% | — | $156 – $853 |
| 15 | Blue Cross Blue Shield commercial facility · percent of total billed charges · outpatientfrom % of charges | $308 | $415 | $181 | 44% | — | $156 – $853 |
| 16 | Highmark commercial - children's health insurance facility · fee schedule · outpatient | $302 | $471 | $186 | 39% | — | $302 – $686 |
| 17 | Highmark commercial facility · fee schedule · outpatient | $321 | $501 | $198 | 39% | — | $321 – $730 |
| 18 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · inpatientfrom % of charges | $558 | $751 | $328 | 44% | — | $283 – $1.5k |
| 19 | MultiPlan ppo (includes phcs and humana as payers) facility · percent of total billed charges · outpatientfrom % of charges | $558 | $751 | $328 | 44% | — | $283 – $1.5k |
| 20 | Cigna commercial facility · fee schedule · outpatient | $589 | $780 | $284 | 36% | — | $573 – $1.2k |
| 21 | UnitedHealthcare commercial facility · fee schedule · outpatient | $801 | $801 | — | — | — | $801 – $801 |
Last updated: Mar 6, 2026
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