RC 400

Other imaging services

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

Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation, compression of lesion and imaging)

Payers reporting RC 400

Payer pricing summary

Low

$14

Average

$545

Median

$378

High

$2.4k

Payer rate distribution

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Filter by billing class

#
1	UnitedHealthcare fee schedule · outpatient · +26 other terms	256	$979	$1.1k	$2.8k	252%	—	$1 – $39.4k
2	Blue Cross Blue Shield case rate · outpatient · +21 other terms	61	$248	$272	$146	54%	—	$40 – $993
3	Cigna fee schedule · outpatient · +19 other terms	46	$1.2k	$1.2k	$3.5k	299%	—	$0 – $63.6k
4	Anthem fee schedule · outpatient · +13 other terms	45	$265	$466	$630	135%	—	$7 – $10.7k
5	Aetna facility · fee schedule · outpatient · +18 other terms	44	$96	$122	$119	97%	—	$7 – $609
6	Humana fee schedule · outpatient · +19 other terms	41	$408	$412	$465	113%	—	$8 – $4.8k
7	WellCare fee schedule · outpatient · +11 other terms	22	$436	$441	$397	90%	—	$71 – $2.0k
8	Highmark facility · fee schedule · outpatient · +4 other terms	19	$20	$188	$227	121%	—	$7 – $799
9	Ambetter fee schedule · outpatient · +8 other terms	14	$893	$589	$1.1k	179%	—	$5 – $11.0k
10	Baylor Scott White Health Plan facility · percent of total billed charges · outpatientfrom % of charges	14	$49	$49	$4	8%	—	$45 – $53
11	Kaiser fee schedule · outpatient · +9 other terms	14	$67	$1.1k	$2.5k	229%	—	$1 – $16.8k
12	Medical Mutual percent of total billed charges · outpatientfrom % of charges · +3 other terms	14	$565	$583	$161	28%	—	$310 – $932
13	Aetna Better Health facility · fee schedule · outpatient · +11 other terms	13	$15	$24	$27	111%	—	$7 – $120
14	Superior Healthplan facility · percent of total billed charges · outpatientfrom % of charges	13	$14	$14	$4	32%	—	$7 – $26
15	Molina facility · fee schedule · outpatient · +14 other terms	12	$49	$54	$33	61%	—	$13 – $163
16	Devoted fee schedule · outpatient · +3 other terms	11	$67	$67	$34	51%	—	$26 – $111
17	MultiPlan fee schedule · outpatient · +9 other terms	10	$2.3k	$2.3k	$1.5k	65%	—	$1 – $5.1k
18	Oscar per diem · outpatient · +4 other terms	10	$140	$140	—	—	—	$140 – $140
19	Caresource fee schedule · outpatient · +8 other terms	9	$1.1k	$1.1k	$663	59%	—	$236 – $2.3k
20	Medcost fee schedule · outpatient · +2 other terms	9	$2.5k	$2.5k	$1.4k	59%	—	$501 – $5.3k
21	Phcs fee schedule · outpatient · +7 other terms	9	$2.5k	$2.4k	$1.5k	63%	—	$469 – $5.2k
22	Tricare facility · fee schedule · outpatient · +8 other terms	9	$561	$369	$562	152%	—	$111 – $2.9k
23	Bcbs Nj facility · fee schedule · outpatient · +3 other terms	8	$157	$155	$66	42%	—	$107 – $251
24	Bcbs Pa facility · fee schedule · outpatient · +1 other terms	8	$582	$602	$521	86%	—	$107 – $1.6k
25	Amerihealth Caritas facility · fee schedule · outpatient · +3 other terms	7	$91	$197	$113	58%	—	$11 – $357

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