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RHC/FQHC Practitioner Visit in a Residential Facility

New York rates for RC 0525

Freestanding Clinic-Visit by RHC/FQHC Practitioner to a Member in a SNF (Not in a Covered Part A Stay) or NF or ICF MR or Other Residential Facility

Rates data updated July 2026.

How much does RHC/FQHC Practitioner Visit in a Residential Facility cost?

$339

Typical facility fee. In New York, July 2026.

Insurers have agreed to pay about $339 for this service. Most negotiated rates run $339 to $372.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $339 · 10th to 90th $316 to $372
$200$500$1K$2Kfacility $339

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$338.84
Typical High
$371.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$186.21
Median
$218.78
Typical High
$302.00
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$3,019.95
Median
$3,162.28
Typical High
$3,162.28
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$331.13
Median
$457.09
Typical High
$1,047.13

Where New York sits

The same service costs 1000.0 times more in Iowa than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 6th of 29

$339

IA $19,055TX $19.05

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.