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 EXTREMITY NON-VASCULAR BILA
Waco, TX
See all hospitals reporting RC 402 →Price type
Ascension Providence’s median price of $127 is 58% below the median hospital's median price ($300), higher than 10% 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: 9 payers, 24 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 | Superior Healthplan 907_superior star plus outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $77.85 | $90.48 | $7.70 – $568.06 |
| 2 | Molina 908_molina chip outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $77.46 | $90.49 | $8.46 – $568.06 |
| 3 | UnitedHealthcare 909_uhc star kids outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $77.31 | $90.57 | $8.46 – $624.87 |
| 4 | UnitedHealthcare 928_uhc star outpatient 20250701 percent of total billed charges · outpatientfrom % of charges | $79.11 | $90.61 | $8.46 – $624.87 |
| 5 | Blue Cross Blue Shield 975_bcbs star outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $76.12 | $90.81 | $7.70 – $568.06 |
| 6 | UnitedHealthcare 906_uhc star plus outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $77.08 | $90.94 | $8.46 – $624.87 |
| 7 | Superior Healthplan 904_superior star outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $79.11 | $91.05 | $8.46 – $568.06 |
| 8 | UnitedHealthcare 852_uhc star plus inpatient 20240901 percent of total billed charges · bothfrom % of charges | $79.44 | $94.05 | $8.46 – $568.06 |
| 9 | Superior Healthplan 856_superior star plus inpatient 20240901 percent of total billed charges · bothfrom % of charges | $79.11 | $94.07 | $7.70 – $624.87 |
| 10 | UnitedHealthcare 894_uhc star kids inpatient 20240901 percent of total billed charges · bothfrom % of charges | $79.44 | $94.29 | $7.70 – $568.06 |
| 11 | UnitedHealthcare 929_uhc star inpatient 20250701 percent of total billed charges · bothfrom % of charges | $79.11 | $94.37 | $7.70 – $624.87 |
| 12 | Superior Healthplan 817_superior star inpatient 20240901 percent of total billed charges · bothfrom % of charges | $79.76 | $94.60 | $8.46 – $568.06 |
| 13 | Molina 891_molina chip inpatient 20240901 percent of total billed charges · bothfrom % of charges | $79.11 | $94.64 | $8.46 – $624.87 |
| 14 | Blue Cross Blue Shield 974_bcbs star inpatient 20240901 percent of total billed charges · bothfrom % of charges | $79.11 | $94.92 | $8.46 – $624.87 |
| 15 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 percent of total billed charges · outpatientfrom % of charges | $289.94 | $359.35 | $33.84 – $2,272 |
| 16 | UnitedHealthcare 943_united healthcare 20250701 per diem · outpatient | $412.00 | $412.00 | $412.00 – $412.00 |
| 17 | Aetna 935_aetna 20250801 percent of total billed charges · outpatientfrom % of charges | $354.38 | $419.68 | $39.48 – $2,651 |
| 18 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 percent of total billed charges · outpatientfrom % of charges | $351.56 | $435.12 | $41.36 – $2,777 |
| 19 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 percent of total billed charges · outpatientfrom % of charges | $372.36 | $457.12 | $44.18 – $2,967 |
| 20 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 percent of total billed charges · outpatientfrom % of charges | $416.20 | $520.75 | $46.17 – $3,749 |
| 21 | Cigna 930_cigna 20250701 percent of total billed charges · outpatientfrom % of charges | $460.13 | $570.62 | $48.73 – $3,598 |
| 22 | Humana 644_humana hmo ppo 20230701 percent of total billed charges · outpatientfrom % of charges | $582.19 | $696.33 | $58.99 – $4,355 |
| 23 | First Health 102_firsthealth 20130101 percent of total billed charges · outpatientfrom % of charges | $618.86 | $732.06 | $68.62 – $5,068 |
| 24 | Phcs 376_phcs 20191001 percent of total billed charges · outpatientfrom % of charges | $634.31 | $758.54 | $64.13 – $5,207 |
Last updated: Jan 1, 2026
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