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)

Highmark pricing summary

Low

$24

Average

$302

Median

$189

High

$1.2k

Highmark rate distribution

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44 hospital rates

#		Plans
1	Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · other · outpatient	2	$31	$38	$18	48%	1–10	$12 – $59
2	West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient	5	$37	$41	$16	39%	1–10	$6 – $59
3	Broaddus Hospital Association Inc Philippi, WV facility · case rate · outpatient	1	$120	$120	—	—	—	$120 – $120
4	Broaddus Hospital Association Inc Philippi, WV facility · percent of total billed charges · outpatientfrom % of charges	2	$1.3k	$1.3k	$39	3%	—	$1.2k – $1.3k
5	Camden-Clark Memorial Hospital Corporation Parkersburg, WV facility · fee schedule · outpatient	2	$20	$20	$8	41%	—	$12 – $28
6	City Hospital, Inc. Martinsburg, WV facility · fee schedule · outpatient	2	$28	$23	$8	34%	—	$12 – $28
7	City Hospital, Inc. Martinsburg, WV facility · other · outpatient	2	$38	$42	$8	20%	—	$38 – $59
8	Fox Chase Cancer Center Philadelphia, PA facility · fee schedule · outpatient	2	$296	$305	$182	60%	—	$131 – $676
9	HERITAGE VALLEY BEAVER BEAVER, PA fee schedule · both	10	$54	$55	$25	46%	—	$15 – $111
10	HERITAGE VALLEY SEWICKLEY SEWICKLEY, PA fee schedule · both	10	$54	$55	$25	46%	—	$15 – $111
11	Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · fee schedule · outpatient	2	$20	$20	$8	41%	—	$12 – $28
12	Herbert J Thomas Memorial Hospital Association South Charleston, WV facility · other · outpatient	1	$48	$48	$10	21%	—	$38 – $59
13	Penn State Health Hampden Medical Center Enola, PA fee schedule · both	4	$85	$184	$120	65%	—	$72 – $364
14	Penn State Health Holy Spirit Medical Center Camp Hill, PA fee schedule · both	4	$85	$183	$119	65%	—	$72 – $368
15	Penn State Health Lancaster Medical Center Lancaster, PA fee schedule · both	4	$85	$188	$124	66%	—	$73 – $373
16	Penn State Health Milton S. Hershey Medical Center Hershey, PA fee schedule · both	4	$92	$191	$146	77%	—	$53 – $496
17	Pennsylvania Hospital of the University of Pennsylvania Health System Philadelphia, PA facility · other · outpatient	2	$892	$892	$309	35%	—	$583 – $1.2k
18	Presbyterian Medical Center of the University of Pennsylvania Health System D/B/A Penn Presbyterian Medical Center Philadelphia, PA facility · other · outpatient	2	$892	$892	$309	35%	—	$583 – $1.2k
19	Princeton Community Hospital Assn Inc. Princeton, WV facility · fee schedule · outpatient	2	$12	$12	—	—	—	$12 – $12
20	Princeton Community Hospital Assn Inc. Princeton, WV facility · other · outpatient	1	$63	$63	—	—	—	$63 – $63
21	Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · fee schedule · outpatient	2	$15	$15	$3	18%	—	$12 – $17
22	Reynolds Memorial Hospital, Inc. Glen Dale, WV facility · other · outpatient	3	$58	$51	$10	20%	—	$37 – $59
23	ST. CLAIR MEMORIAL HOSPITAL PITTSBURGH, PA fee schedule · both	24	$1.5k	$1.2k	$509	43%	—	$41 – $1.5k
24	St Joseph Regional Health Network Reading, PA fee schedule · both	4	$89	$230	$170	74%	—	$75 – $481
25	Temple Health - Chestnut Hill Hospital Philadelphia, PA facility · fee schedule · outpatient	2	$296	$322	$226	70%	—	$110 – $781

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