RC 920

Sleep study for young child starting positive airway pressure at UPMC Mercy

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

Original text from hospital filings

GEN ANALYSIS/REPR-SIMPLE

Pittsburgh, PA

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Pricing by billing methodology

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How this price compares nationally

UPMC Mercy’s median price of $305 is 9% below the median hospital's median price ($333), higher than 45% of the 1,932 hospitals reporting RC 920. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 920 at UPMC Mercy

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	UnitedHealthcare pa medicaid facility · fee schedule · outpatient	$61	$118	$199	169%	—	$20 – $745
2	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$107	$142	$141	100%	—	$25 – $567
3	Highmark medicaid facility · fee schedule · outpatient	$79	$153	$257	169%	—	$26 – $960
4	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$84	$163	$274	169%	—	$28 – $1.0k
5	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$235	$235	$34	14%	—	$201 – $268
6	Aetna medicare facility · fee schedule · outpatient	$135	$253	$277	109%	—	$59 – $1.1k
7	Amerihealth Caritas medicare facility · fee schedule · outpatient	$133	$254	$278	109%	—	$61 – $1.0k
8	Highmark medicare facility · fee schedule · outpatient	$133	$254	$278	109%	—	$61 – $1.0k
9	Highmark managed care - social mission facility · fee schedule · outpatient	$240	$319	$318	100%	—	$55 – $1.3k
10	Highmark managed care facility · fee schedule · outpatient	$322	$427	$425	100%	—	$74 – $1.7k
11	Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges	$470	$470	$67	14%	—	$403 – $537
12	Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges	$220	$488	$811	166%	—	$47 – $3.1k
13	Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges	$240	$532	$885	166%	—	$52 – $3.4k
14	Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges	$242	$535	$889	166%	—	$52 – $3.4k
15	Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$245	$542	$901	166%	—	$53 – $3.5k
16	Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges	$263	$582	$967	166%	—	$57 – $3.7k
17	Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$268	$595	$988	166%	—	$58 – $3.8k
18	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$268	$595	$988	166%	—	$58 – $3.8k
19	Highmark commercial - social mission indemnity facility · fee schedule · outpatient	$452	$600	$597	100%	—	$104 – $2.4k
20	Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges	$300	$665	$1.1k	166%	—	$65 – $4.2k
21	Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges	$300	$665	$1.1k	166%	—	$65 – $4.2k
22	Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges	$316	$700	$1.2k	166%	—	$68 – $4.5k
23	Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges	$316	$700	$1.2k	166%	—	$68 – $4.5k
24	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$324	$717	$1.2k	166%	—	$70 – $4.6k
25	First Health commercial facility · percent of total billed charges · inpatientfrom % of charges	$347	$769	$1.3k	166%	—	$75 – $4.9k

Page 1 of 2 · 31 rates

Last updated: Mar 6, 2026

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