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
PET-TUMR IMG SKL-THI
Birmingham, AL
See all hospitals reporting RC 404 →Price type
Affinity Hospital LLC’s median price of $7.0k is 133% above the median hospital's median price ($3.0k), higher than 95% of the 1,498 hospitals reporting RC 404. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 22 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 | Tricare node tricare facility · fee schedule · outpatient | $1.2k | $1.2k | $47 | 4% | — | $1.1k – $1.2k |
| 2 | Humana node humana mcr adv facility · fee schedule · outpatient | $1.3k | $1.3k | $49 | 4% | — | $1.2k – $1.3k |
| 3 | UnitedHealthcare node uhc mcr adv facility · per diem · outpatient | $1.3k | $1.3k | $49 | 4% | — | $1.2k – $1.3k |
| 4 | Optum node united optum va ccn facility · fee schedule · outpatient | $1.3k | $1.3k | $50 | 4% | — | $1.2k – $1.3k |
| 5 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $1.3k | $1.3k | $50 | 4% | — | $1.2k – $1.3k |
| 6 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $1.3k | $1.3k | $50 | 4% | — | $1.2k – $1.3k |
| 7 | Clover node clover health mcr adv facility · fee schedule · outpatient | $1.3k | $1.3k | $50 | 4% | — | $1.2k – $1.3k |
| 8 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $1.3k | $1.3k | $50 | 4% | — | $1.2k – $1.3k |
| 9 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $1.3k | $1.3k | $51 | 4% | — | $1.2k – $1.3k |
| 10 | WellCare node wellcare ambetter marketplace facility · fee schedule · outpatient | $2.0k | $1.9k | $74 | 4% | — | $1.8k – $2.0k |
| 11 | Bcbs Al bcbs al all facility · other · outpatient | $2.3k | $2.3k | — | — | 381 | $2.3k – $2.3k |
| 12 | Cigna cigna all facility · fee schedule · outpatient | $2.3k | $2.3k | $98 | 4% | — | $2.1k – $2.3k |
| 13 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $2.9k | $2.8k | $137 | 5% | — | $2.5k – $2.9k |
| 14 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $2.9k | $2.8k | $137 | 5% | — | $2.5k – $2.9k |
| 15 | First Health first health facility · other · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 16 | Aetna aetna all facility · other · outpatient | $5.6k | $6.1k | $832 | 14% | — | $5.6k – $7.4k |
| 17 | Optum optum health facility · percent of total billed charges · outpatientfrom % of charges | $9.0k | $9.9k | $1.3k | 14% | — | $9.0k – $12.0k |
| 18 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $12.2k | $13.4k | $1.8k | 14% | — | $12.2k – $16.2k |
| 19 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $12.4k | $13.7k | $1.9k | 14% | — | $12.4k – $16.5k |
| 20 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $14.1k | $15.4k | $2.1k | 14% | — | $14.1k – $18.6k |
| 21 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $14.1k | $15.4k | $2.1k | 14% | — | $14.1k – $18.6k |
| 22 | First Health first health work comp al facility · percent of total billed charges · outpatientfrom % of charges | $15.7k | $17.2k | $2.3k | 14% | — | $15.7k – $20.8k |
Last updated: Apr 1, 2026
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