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-BRAIN IMG PERF
Park, TX
See all hospitals reporting RC 404 →Price type
Ascension Cedar Park’s median price of $5.9k is 97% above the median hospital's median price ($3.0k), higher than 90% 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, 96 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 3879_superior ambetter (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 2 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 3 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 6 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 7 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 8 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 9 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 10 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 11 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 12 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 13 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Oscar 4511_oscar health plan 20251001 per diem · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | UnitedHealthcare 4501_united healthcare nexus city hmo (aus,nw,sw,bas) 20250701 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | UnitedHealthcare 4503_united healthcare nexus city hmo (wil,hays) 20250701 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 18 | UnitedHealthcare 4504_united healthcare nexus city ppo (aus,nw,sw,bas) 20250401 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 19 | UnitedHealthcare 4506_united healthcare nexus city ppo (wil,hays) 20250701 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 20 | UnitedHealthcare 4507_united healthcare standard nexus aco (aus,nw,sw,bas) 20250701 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 21 | UnitedHealthcare 4509_united healthcare standard nexus aco (wil,hays) 20250701 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 22 | Blue Cross Blue Shield 4093_blue cross blue shield bav exchange (chi,dcn) 20250101 percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.7k | $344 | 13% | — | $2.5k – $3.3k |
| 23 | Aetna 1377_aetna hmo exchange 20200101 case rate · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 24 | UnitedHealthcare 4498_united healthcare (aus,nw,sw, bas) 20250701 per diem · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 25 | UnitedHealthcare 4500_united healthcare (wil,hays) 20250701 per diem · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
Last updated: Jan 1, 2026
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