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
US GUIDE NDL PLACEMENT IMG S+I
Tustin, CA
See all hospitals reporting RC 402 →Price type
Alta Newport Hospital, LLC’s median price of $108 is 64% below the median hospital's median price ($300), higher than 5% 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: 10 payers, 27 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 | Bcbs Ca covered california/ifp/ppo facility · fee schedule · outpatient | $2.44 | $2.33 | $1.59 – $2.44 |
| 2 | Bcbs Ca hmo facility · fee schedule · outpatient | $2.79 | $2.67 | $1.82 – $2.79 |
| 3 | Bcbs Ca epo/ppo/out of state facility · fee schedule · outpatient | $3.04 | $2.91 | $1.99 – $3.04 |
| 4 | UnitedHealthcare managed care facility · fee schedule · outpatient | $101.18 | $100.18 | $75.18 – $101.18 |
| 5 | Aetna medicare advantage facility · case rate · outpatient | $106.34 | $100.22 | $39.37 – $106.34 |
| 6 | Anthem medicare advantage facility · case rate · outpatient | $106.34 | $100.22 | $39.37 – $106.34 |
| 7 | Bcbs Ca medicare advantage facility · case rate · outpatient | $106.34 | $100.22 | $39.37 – $106.34 |
| 8 | Humana medicare advantage facility · case rate · outpatient | $106.34 | $100.22 | $39.37 – $106.34 |
| 9 | Optum commercial hmo facility · case rate · outpatient | $106.34 | $100.22 | $39.37 – $106.34 |
| 10 | Optum medicare advantage facility · case rate · outpatient | $108.47 | $102.22 | $40.16 – $108.47 |
| 11 | WellCare medicare advantage facility · case rate · outpatient | $108.47 | $102.22 | $40.16 – $108.47 |
| 12 | Aetna exchange facility · case rate · outpatient | $138.24 | $130.28 | $51.19 – $138.24 |
| 13 | Aetna all gatekeeper plans facility · fee schedule · outpatient | $218.44 | $219.85 | $26.54 – $433.64 |
| 14 | Anthem commercial hmo-ppo/covered california facility · case rate · outpatient | $274.21 | $272.40 | $227.03 – $274.21 |
| 15 | Bcbs Ca covered california/ifp/ppo facility · percent of total billed charges · outpatientfrom % of charges | $251.47 | $294.50 | $251.47 – $380.56 |
| 16 | Bcbs Ca epo/ppo/out of state facility · percent of total billed charges · outpatientfrom % of charges | $251.47 | $294.50 | $251.47 – $380.56 |
| 17 | Bcbs Ca hmo facility · percent of total billed charges · outpatientfrom % of charges | $251.47 | $294.50 | $251.47 – $380.56 |
| 18 | Anthem ppg facility · case rate · outpatient | $342.78 | $340.51 | $283.80 – $342.78 |
| 19 | Cigna hmo/ppo facility · fee schedule · outpatient | $359.42 | $357.04 | $297.60 – $359.42 |
| 20 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $436.84 | $511.59 | $436.84 – $661.08 |
| 21 | Aetna all non-gatekeeper plans facility · percent of total billed charges · outpatientfrom % of charges | $507.74 | $565.10 | $108.22 – $768.38 |
| 22 | Anthem commercial hmo-ppo/covered california facility · percent of total billed charges · outpatientfrom % of charges | $629.72 | $737.47 | $629.72 – $952.97 |
| 23 | Anthem ppg facility · percent of total billed charges · outpatientfrom % of charges | $787.21 | $921.91 | $787.21 – $1,191 |
| 24 | Phcs commercial ppo facility · percent of total billed charges · inpatientfrom % of charges | $933.30 | $1,039 | $198.93 – $1,412 |
| 25 | Phcs commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $933.30 | $1,039 | $198.93 – $1,412 |
Last updated: Mar 18, 2026
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