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RHC/FQHC Practitioner Visit in a Residential Facility

Pennsylvania 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 rates vary

Facilitymedian $95 · 10th to 90th $39 to $100
$50$100facility $95

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$95.50
Typical High
$100.00