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
$55
Average
$4.3k
Median
$3.7k
High
$58.2k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1181 hospitals; the 90th percentile is 3.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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2,332 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $1.2k | $2.5k | $1.7k | 68% | 736 | $1.2k – $5.1k |
| 2 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $3.4k | $3.5k | $454 | 13% | 736 | $3.0k – $4.2k |
| 3 | HARTFORD HOSPITAL HARTFORD, CT other · outpatient | 1 | $599 | $645 | $113 | 18% | 321–339 | $599 – $923 |
| 4 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $599 | $664 | $129 | 20% | 226 | $599 – $923 |
| 5 | Mercy Hospital Springfield Ozark, MO facility · other · outpatient | 1 | $1.4k | $1.5k | $301 | 20% | 205–223 | $1.3k – $2.2k |
| 6 | Mercy Hospital Springfield Springfield, MO facility · other · outpatient | 1 | $1.4k | $1.5k | $301 | 20% | 205–223 | $1.3k – $2.2k |
| 7 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 2 | $1.3k | $3.9k | $3.6k | 91% | 204–240 | $159 – $11.0k |
| 8 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 1 | $599 | $707 | $153 | 22% | 199 | $599 – $923 |
| 9 | North Carolina Baptist Hospital Winston Salem, NC percent of total billed charges · outpatientfrom % of charges | 3 | $2.1k | $2.7k | $2.5k | 90% | 172–316 | $25 – $13.5k |
| 10 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $1.9k | $2.5k | $2.3k | 95% | 168–276 | $23 – $12.8k |
| 11 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 1 | $599 | $599 | — | — | 164–173 | $599 – $599 |
| 12 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 2 | $1.4k | $3.9k | $2.7k | 69% | 159–348 | $1.4k – $6.8k |
| 13 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 3 | $3.4k | $3.1k | $2.0k | 65% | 158–167 | $179 – $7.5k |
| 14 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $655 | $717 | $224 | 31% | 145–172 | $159 – $1.1k |
| 15 | North Carolina Baptist Hospital Winston Salem, NC other · outpatient | 1 | $1.4k | $1.6k | $307 | 20% | 137–164 | $1.4k – $2.2k |
| 16 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $900 | $986 | $308 | 31% | 135–162 | $219 – $1.5k |
| 17 | High Point Regional Health High Point, NC percent of total billed charges · outpatientfrom % of charges | 5 | $3.9k | $3.9k | $1.3k | 33% | 128–236 | $1.9k – $6.7k |
| 18 | BAPTIST HEALTHCARE SYSTEM INC Elizabethtown, KY percent of total billed charges · outpatientfrom % of charges | 3 | $1.5k | $1.7k | $933 | 56% | 122–158 | $179 – $3.9k |
| 19 | MIDSTATE MEDICAL CENTER MERIDEN, CT other · outpatient | 1 | $599 | $599 | — | — | 120–138 | $599 – $599 |
| 20 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 3 | $7.2k | $7.0k | $1.4k | 20% | 104–122 | $5.2k – $8.7k |
| 21 | UMass Memorial Health - Milford Regional Medical Center, Inc. Milford, MA percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | 102 | $1.7k – $1.7k |
| 22 | Shannon Medical Center San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.3k | $4.1k | $586 | 14% | 101 | $2.8k – $4.7k |
| 23 | Shannon Medical Center Big Spring Big Spring, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.3k | $4.1k | $586 | 14% | 101 | $2.8k – $4.7k |
| 24 | Shannon River Crest Hospital San Angelo, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $4.3k | $4.1k | $586 | 14% | 101 | $2.8k – $4.7k |
| 25 | High Point Regional Health High Point, NC other · outpatient | 1 | $1.4k | $1.4k | — | — | 97–115 | $1.4k – $1.4k |
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