RC 402
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
Limited ultrasound scan of 1 breast
Tehachapi, CA
See all hospitals reporting RC 402 →Price type
Adventist Health Medical Center Tehachapi’s median price of $176 is 41% below the median hospital's median price ($300), higher than 23% of the 1,982 hospitals reporting RC 402. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 15 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Kaiser kaiser medi-cal ip/op only fee schedule · outpatient | $112.49 | $111.31 | $37.65 – $446.00 |
| 2 | Medicaid medi-cal fee schedule · outpatient | $112.49 | $111.31 | $37.65 – $446.00 |
| 3 | Blue Cross Blue Shield tricare blue shield percent of total billed charges · outpatientfrom % of charges | $110.39 | $139.73 | $29.07 – $358.72 |
| 4 | Kaiser kaiser medicare ip/op only percent of total billed charges · outpatientfrom % of charges | $110.39 | $139.73 | $29.07 – $358.72 |
| 5 | UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges | $110.39 | $139.73 | $29.07 – $358.72 |
| 6 | Oscar oscar health plan- all plans other · outpatient | $170.90 | $169.50 | $68.64 – $390.03 |
| 7 | Kaiser kaiser ip/op only- all other plans percent of total billed charges · outpatientfrom % of charges | $189.87 | $240.33 | $50.00 – $617.00 |
| 8 | Blue Cross Blue Shield blue shield epn- all other plans percent of total billed charges · outpatientfrom % of charges | $245.76 | $311.08 | $64.72 – $798.62 |
| 9 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $270.40 | $342.26 | $71.21 – $878.68 |
| 10 | UnitedHealthcare uhc all payer- all other plans percent of total billed charges · outpatientfrom % of charges | $284.63 | $360.28 | $74.95 – $924.93 |
| 11 | Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges | $290.50 | $367.71 | $76.50 – $944.00 |
| 12 | Aetna aetna-all plans fee schedule · outpatient | $380.93 | $374.67 | $51.47 – $840.87 |
| 13 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $301.66 | $381.83 | $79.44 – $980.25 |
| 14 | Blue Cross Blue Shield blue cross non-mcs- all other plans case rate · outpatient | $335.18 | $424.26 | $88.27 – $1,089 |
| 15 | Cigna cigna- all plans percent of total billed charges · outpatientfrom % of charges | $453.76 | $574.36 | $119.49 – $1,475 |
Last updated: May 21, 2026
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