RC 402

Ultrasound imaging service at Ascension Seton

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

US ABDOMEN CMPLT

Burnet, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $396 is 32% above the median hospital's median price ($300), higher than 68% of the 1,982 hospitals reporting RC 402. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 402 at Ascension Seton

Negotiated rates from the hospital’s own file: 14 payers, 138 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 percent of total billed charges · outpatientfrom % of charges	$45.26	$45.26	$45.26 – $45.26
2	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$71.72	$87.06	$43.54 – $155.29
3	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$71.72	$87.06	$43.54 – $155.29
4	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$71.72	$87.06	$43.54 – $155.29
5	UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$71.72	$87.06	$43.54 – $155.29
6	UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$71.72	$87.06	$43.54 – $155.29
7	UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$71.72	$87.06	$43.54 – $155.29
8	Blue Cross Blue Shield 4173_blue cross chip (shl) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$86.93	$102.60	$18.32 – $188.57
9	Blue Cross Blue Shield 4173_blue cross chip/star kids (shl) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$86.93	$102.60	$18.32 – $188.57
10	Blue Cross Blue Shield 5013_blue cross star kids (shl) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$86.93	$102.60	$18.32 – $188.57
11	Blue Cross Blue Shield 4224_chirp blue cross star (shl) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$87.08	$105.72	$52.87 – $188.57
12	UnitedHealthcare 4258_chirp uhc star (shl) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$87.08	$105.72	$52.87 – $188.57
13	UnitedHealthcare 4269_chirp uhc star plus (shl) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$87.08	$105.72	$52.87 – $188.57
14	UnitedHealthcare 4316_uhc star kids (shl) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$87.08	$105.72	$52.87 – $188.57
15	Aetna 4339_medicare advantage aetna (shl) 20250304 percent of total billed charges · outpatientfrom % of charges	$87.72	$110.30	$12.93 – $680.52
16	Devoted 4415_medicare advantage devoted health (shl) 20250101 percent of total billed charges · outpatientfrom % of charges	$95.03	$119.49	$14.01 – $737.23
17	WellCare 4409_medicare advantage wellcare (shl) 20250101 percent of total billed charges · outpatientfrom % of charges	$95.03	$119.49	$14.01 – $737.23
18	UnitedHealthcare 4501_united healthcare nexus city hmo (aus,nw,sw,bas) 20250701 percent of total billed charges · bothfrom % of charges	$127.72	$127.72	$65.73 – $189.71
19	UnitedHealthcare 4503_united healthcare nexus city hmo (wil,hays) 20250701 percent of total billed charges · bothfrom % of charges	$127.72	$127.72	$65.73 – $189.71
20	UnitedHealthcare 4504_united healthcare nexus city ppo (aus,nw,sw,bas) 20250401 percent of total billed charges · bothfrom % of charges	$127.72	$127.72	$65.73 – $189.71
21	UnitedHealthcare 4506_united healthcare nexus city ppo (wil,hays) 20250701 percent of total billed charges · bothfrom % of charges	$127.72	$127.72	$65.73 – $189.71
22	UnitedHealthcare 4507_united healthcare standard nexus aco (aus,nw,sw,bas) 20250701 percent of total billed charges · bothfrom % of charges	$127.72	$127.72	$65.73 – $189.71
23	UnitedHealthcare 4509_united healthcare standard nexus aco (wil,hays) 20250701 percent of total billed charges · bothfrom % of charges	$127.72	$127.72	$65.73 – $189.71
24	Humana 781_humana mcr replacement (shl) 20161001 percent of total billed charges · outpatientfrom % of charges	$102.34	$128.68	$15.09 – $793.94
25	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$90.13	$137.27	$15.09 – $793.94

Page 1 of 6 · 138 rates

Last updated: Jan 1, 2026

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