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
HC US XTR NON-VASC COMPLETE
Waterloo, IA
See all hospitals reporting RC 402 →Price type
Allen Memorial Hospital Corporation’s median price of $182 is 40% below the median hospital's median price ($300), higher than 25% 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, 14 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 | Aetna medicare advantage case rate · outpatient | $100.01 | $118.51 | $82.81 – $515.64 |
| 2 | Molina medicare advantage case rate · outpatient | $100.01 | $118.51 | $82.81 – $515.64 |
| 3 | Wellmark medicare advantage case rate · outpatient | $100.01 | $118.51 | $82.81 – $515.64 |
| 4 | Humana medicare advantage case rate · outpatient | $102.95 | $122.00 | $85.24 – $530.81 |
| 5 | UnitedHealthcare medicare advantage case rate · outpatient | $102.95 | $122.00 | $85.24 – $530.81 |
| 6 | Aetna hmo fee schedule · outpatient | $236.13 | $279.82 | $195.51 – $1,218 |
| 7 | Aetna ppo fee schedule · outpatient | $245.68 | $291.13 | $203.40 – $1,267 |
| 8 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $310.69 | $315.85 | $155.93 – $447.93 |
| 9 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $310.69 | $315.85 | $155.93 – $447.93 |
| 10 | Medica commercial percent of total billed charges · outpatientfrom % of charges | $285.83 | $316.11 | $32.09 – $1,202 |
| 11 | UnitedHealthcare hmo fee schedule · outpatient | $289.80 | $343.41 | $239.94 – $1,494 |
| 12 | UnitedHealthcare ppo fee schedule · outpatient | $289.80 | $343.41 | $239.94 – $1,494 |
| 13 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $371.42 | $409.86 | $44.08 – $1,475 |
| 14 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $371.42 | $409.86 | $44.08 – $1,475 |
Last updated: Jan 28, 2026
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