RC 404
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.
Original text from hospital filings
POSITRON EMISSION TOMOGRAPHY
Low
$284
Average
$4.1k
Median
$3.9k
High
$12.3k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
71 payers; the 90th percentile is 3.6× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Medicare other · both · +17 other terms | 38 | $1.5k | $1.6k | $275 | 18% | 2,604–2,865 | $1.2k – $2.7k |
| 2 | Bcbs Al facility · other · outpatient · +1 other terms | 3 | $1.9k | $2.1k | $196 | 9% | 457–475 | $1.8k – $2.3k |
| 3 | UnitedHealthcare fee schedule · outpatient · +34 other terms | 452 | $2.9k | $1.7k | $1.9k | 114% | 395–530 | $1 – $66.1k |
| 4 | Cigna case rate · outpatient · +30 other terms | 207 | $4.8k | $4.3k | $2.1k | 49% | 253–343 | $1 – $18.8k |
| 5 | Anthem fee schedule · outpatient · +29 other terms | 88 | $1.8k | $2.5k | $1.8k | 73% | 130–175 | $29 – $14.0k |
| 6 | Bcbs Wy percent of total billed charges · outpatientfrom % of charges · +1 other terms | 1 | $7.8k | $7.8k | $1.1k | 14% | 124 | $5.7k – $8.8k |
| 7 | Molina fee schedule · outpatient · +25 other terms | 79 | $1.7k | $1.7k | $840 | 48% | 97–241 | $1 – $6.6k |
| 8 | Humana facility · fee schedule · outpatient · +29 other terms | 200 | $1.5k | $1.5k | $547 | 35% | 28–280 | $70 – $7.3k |
| 9 | Bcbs Mt fee schedule · outpatient · +2 other terms | 1 | $3.3k | $3.3k | — | — | 26 | $3.3k – $3.3k |
| 10 | Aetna facility · fee schedule · outpatient · +30 other terms | 261 | $1.5k | $1.9k | $1.3k | 71% | 22–220 | $0 – $17.5k |
| 11 | Medica fee schedule · outpatient · +20 other terms | 27 | $2.5k | $2.6k | $1.4k | 52% | 13–31 | $640 – $9.1k |
| 12 | Blue Cross Blue Shield facility · fee schedule · outpatient · +27 other terms | 196 | $1.8k | $2.9k | $3.5k | 120% | 10–100 | $1 – $44.6k |
| 13 | Caresource fee schedule · outpatient · +17 other terms | 32 | $2.8k | $3.2k | $1.3k | 40% | 2–20 | $1 – $8.8k |
| 14 | Bcbs In other · both · +1 other terms | 11 | $5.2k | $5.3k | $1.1k | 21% | 1–10 | $2.3k – $7.7k |
| 15 | Oscar case rate · outpatient · +15 other terms | 88 | $2.6k | $2.4k | $493 | 20% | — | $2.0k – $4.4k |
| 16 | WellCare fee schedule · outpatient · +19 other terms | 84 | $1.5k | $1.6k | $486 | 31% | — | $76 – $4.9k |
| 17 | MultiPlan fee schedule · outpatient · +15 other terms | 76 | $6.2k | $6.5k | $3.1k | 49% | — | $1 – $24.4k |
| 18 | Devoted facility · fee schedule · outpatient · +16 other terms | 72 | $1.3k | $1.4k | $308 | 22% | — | $70 – $2.5k |
| 19 | Kaiser fee schedule · outpatient · +21 other terms | 70 | $2.0k | $2.5k | $2.4k | 96% | — | $1 – $21.6k |
| 20 | Tricare facility · fee schedule · outpatient · +15 other terms | 60 | $1.4k | $1.7k | $994 | 60% | — | $1 – $9.8k |
| 21 | Ambetter facility · fee schedule · outpatient · +17 other terms | 55 | $2.5k | $2.6k | $924 | 36% | — | $0 – $4.8k |
| 22 | Highmark facility · fee schedule · outpatient · +17 other terms | 55 | $2.4k | $2.7k | $2.9k | 109% | — | $11 – $27.5k |
| 23 | Optum facility · fee schedule · outpatient · +20 other terms | 46 | $1.4k | $2.0k | $1.3k | 69% | — | $134 – $9.2k |
| 24 | Amerihealth Caritas facility · fee schedule · outpatient · +13 other terms | 43 | $1.5k | $1.5k | $646 | 42% | — | $12 – $4.9k |
| 25 | Healthcare Highways other · outpatient · +5 other terms | 29 | $4.3k | $4.2k | $102 | 2% | — | $4.1k – $4.4k |
← Hospitals reporting RC 404 · Snapshot 20261111T120946Z-9134e7f7