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
OPHTH US B & QUANT A BILATERAL
Chicago, IL
See all hospitals reporting RC 402 →Price type
Advocate Illinois Masonic Medical Center’s median price of $444 is 48% above the median hospital's median price ($300), higher than 74% 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: 8 payers, 18 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 | Ambetter medicare advantage case rate · outpatient | $160.73 | $229.38 | $37.02 – $1,316 |
| 2 | Molina medicare advantage case rate · outpatient | $160.73 | $229.38 | $37.02 – $1,316 |
| 3 | Oscar medicare advantage case rate · outpatient | $166.28 | $237.30 | $38.29 – $1,362 |
| 4 | Cigna commercial fee schedule · outpatient | $306.51 | $289.81 | $17.82 – $824.30 |
| 5 | UnitedHealthcare commercial case rate · outpatient | $246.00 | $301.33 | $214.00 – $444.00 |
| 6 | Aetna commercial fee schedule · outpatient | $299.80 | $317.60 | $15.08 – $693.18 |
| 7 | Aetna commercial other · outpatient | $334.47 | $334.47 | $334.47 – $334.47 |
| 8 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $437.00 | $455.52 | $145.67 – $695.96 |
| 9 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $450.45 | $482.14 | $140.40 – $864.60 |
| 10 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $537.59 | $495.82 | $200.61 – $804.00 |
| 11 | UnitedHealthcare hmo case rate · outpatient | $537.00 | $537.00 | $537.00 – $537.00 |
| 12 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $586.58 | $541.00 | $227.88 – $844.00 |
| 13 | Blue Cross Blue Shield commercial fee schedule · outpatient | $656.88 | $672.27 | $70.67 – $1,950 |
| 14 | Blue Cross Blue Shield ppo fee schedule · outpatient | $721.56 | $735.35 | $80.43 – $2,053 |
| 15 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $760.00 | $768.92 | $128.00 – $1,784 |
| 16 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $760.00 | $768.92 | $128.00 – $1,784 |
| 17 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $760.00 | $768.92 | $128.00 – $1,784 |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $773.30 | $782.38 | $130.24 – $1,815 |
Last updated: Nov 4, 2025
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