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
Bragg, CA
See all hospitals reporting RC 402 →Price type
Adventist Health Mendocino Coast’s median price of $504 is 68% above the median hospital's median price ($300), higher than 81% 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: 5 payers, 13 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 | Medicaid medi-cal fee schedule · outpatient | $112.49 | $139.11 | $37.65 – $943.00 |
| 2 | Blue Cross Blue Shield blue shield epn percent of total billed charges · outpatientfrom % of charges | $331.51 | $372.35 | $103.95 – $2,023 |
| 3 | Blue Cross Blue Shield blue cross exchange fee schedule · outpatient | $358.67 | $375.93 | $62.52 – $871.92 |
| 4 | Blue Cross Blue Shield blue cross - all other plans fee schedule · outpatient | $398.52 | $417.70 | $69.46 – $968.79 |
| 5 | Blue Cross Blue Shield tricare blue shield percent of total billed charges · outpatientfrom % of charges | $429.73 | $482.68 | $134.75 – $2,623 |
| 6 | UnitedHealthcare uhc mcr adv percent of total billed charges · outpatientfrom % of charges | $472.70 | $530.94 | $148.23 – $2,885 |
| 7 | MultiPlan multiplan - all plans percent of total billed charges · outpatientfrom % of charges | $613.90 | $689.54 | $192.50 – $3,747 |
| 8 | Blue Cross Blue Shield blue shield - all other plans percent of total billed charges · outpatientfrom % of charges | $673.54 | $756.52 | $211.20 – $4,111 |
| 9 | UnitedHealthcare uhc jll csp percent of total billed charges · outpatientfrom % of charges | $674.33 | $757.41 | $211.45 – $4,116 |
| 10 | Cigna cigna - all plans percent of total billed charges · outpatientfrom % of charges | $684.06 | $768.34 | $214.50 – $4,175 |
| 11 | UnitedHealthcare uhc all payer - all other plans percent of total billed charges · outpatientfrom % of charges | $709.84 | $797.30 | $222.59 – $4,333 |
| 12 | Blue Cross Blue Shield blue cross exchange case rate · outpatient | $4,368 | $4,368 | $4,368 – $4,368 |
| 13 | Blue Cross Blue Shield blue cross - all other plans case rate · outpatient | $4,852 | $4,852 | $4,852 – $4,852 |
Last updated: Aug 2, 2026
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