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 IMAGE W/CT, SKULL-THIGH
Austin, TX
See all hospitals reporting RC 404 →Price type
Ascension Seton’s median price of $3.2k is 7% above the median hospital's median price ($3.0k), higher than 56% of the 1,496 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: 12 payers, 88 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 | Oscar 4511_oscar health plan 20251001 per diem · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 2 | Blue Cross Blue Shield 4093_blue cross blue shield bav exchange (chi,dcn) 20250101 percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 3 | Superior Healthplan 3510_chirp superior star (del) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 4 | Superior Healthplan 4376_chirp superior star plus (del) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 5 | Cigna 4475_cigna hmo (aus,nw,sw,hay) 20250701 percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 6 | Cigna 4476_cigna hmo (wil,del) 20250701 percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 7 | Aetna 3438_aetna aco ppo 20240701 percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 8 | Aetna 249_aetna ppo exchange 20140101 percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 9 | UnitedHealthcare 4501_united healthcare nexus city hmo (aus,nw,sw,bas) 20250701 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 10 | UnitedHealthcare 4502_united healthcare nexus city hmo (del) 20250701 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 11 | UnitedHealthcare 4503_united healthcare nexus city hmo (wil,hays) 20250701 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 12 | UnitedHealthcare 4504_united healthcare nexus city ppo (aus,nw,sw,bas) 20250401 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 13 | UnitedHealthcare 4505_united healthcare nexus city ppo (del) 20250701 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 14 | UnitedHealthcare 4506_united healthcare nexus city ppo (wil,hays) 20250701 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 15 | UnitedHealthcare 4507_united healthcare standard nexus aco (aus,nw,sw,bas) 20250701 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 16 | UnitedHealthcare 4508_united healthcare standard nexus aco (del) 20250701 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | UnitedHealthcare 4509_united healthcare standard nexus aco (wil,hays) 20250701 case rate · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 18 | Humana 387_humana exchange 20160101 percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 19 | Aetna 4488_aetna ppo 20250801 percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 20 | Blue Cross Blue Shield 4440_blue cross blue shield hpn 20250501 percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 21 | Blue Cross Blue Shield 4497_blue cross blue shield hpn (dell, williamson,hays) 20250501 percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 22 | Humana 206_humana hmo custom 20140201 percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 23 | Aetna 551_aetna hmo exchange (chi,dcn) 20170415 percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 24 | Aetna 552_aetna ppo exchange (chi,dcn) 20170415 percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 25 | Blue Cross Blue Shield 4095_blue cross blue shield hmo essentials 20250101 percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
Last updated: Jan 1, 2026
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