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
OB US < 14 WKS SINGLE FETUS
Smithville, TX
See all hospitals reporting RC 402 →Price type
Ascension Seton’s median price of $356 is 19% above the median hospital's median price ($300), higher than 61% 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: 14 payers, 151 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 | Blue Cross Blue Shield 4174_blue cross chip (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $44.05 | $64.17 | $8.12 – $510.39 |
| 2 | Blue Cross Blue Shield 4174_blue cross chip/star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $44.05 | $64.17 | $8.12 – $510.39 |
| 3 | Blue Cross Blue Shield 4225_chirp blue cross star (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $44.05 | $64.17 | $8.12 – $510.39 |
| 4 | Blue Cross Blue Shield 5015_blue cross star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $44.05 | $64.17 | $8.12 – $510.39 |
| 5 | UnitedHealthcare 4259_chirp uhc star (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $44.05 | $64.17 | $8.12 – $510.39 |
| 6 | UnitedHealthcare 4270_chirp uhc star plus (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $44.05 | $64.17 | $8.12 – $510.39 |
| 7 | UnitedHealthcare 4317_uhc star kids (smv) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $44.05 | $64.17 | $8.12 – $510.39 |
| 8 | Oscar 4511_oscar health plan 20251001 percent of total billed charges · outpatientfrom % of charges | $92.20 | $80.63 | $37.91 – $108.89 |
| 9 | Aetna 4658_medicare advantage aetna (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $78.51 | $98.93 | $9.93 – $623.81 |
| 10 | Devoted 4920_medicare advantage devoted health smv 20250811 percent of total billed charges · inpatientfrom % of charges | $78.51 | $98.93 | $9.93 – $623.81 |
| 11 | Humana 4663_medicare advantage humana (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $78.51 | $98.93 | $9.93 – $623.81 |
| 12 | Tricare 4964_tricare smv 20280811 percent of total billed charges · outpatientfrom % of charges | $78.51 | $98.93 | $9.93 – $623.81 |
| 13 | UnitedHealthcare 4689_medicare advantage united healthcare (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $78.51 | $98.93 | $9.93 – $623.81 |
| 14 | WellCare 4690_medicare advantage wellcare (smv) 20250811 percent of total billed charges · outpatientfrom % of charges | $78.51 | $98.93 | $9.93 – $623.81 |
| 15 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $68.53 | $99.82 | $12.63 – $793.94 |
| 16 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $68.53 | $99.82 | $12.63 – $793.94 |
| 17 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $68.53 | $99.82 | $12.63 – $793.94 |
| 18 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $68.53 | $99.82 | $12.63 – $793.94 |
| 19 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $68.53 | $99.82 | $12.63 – $793.94 |
| 20 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges | $68.53 | $99.82 | $12.63 – $793.94 |
| 21 | Blue Cross Blue Shield 3600_blue cross chip/star kids (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $57.89 | $107.48 | $9.93 – $623.81 |
| 22 | Blue Cross Blue Shield 3699_chirp blue cross star (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $57.89 | $107.48 | $9.93 – $623.81 |
| 23 | UnitedHealthcare 3743_chirp uhc star (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $57.89 | $107.48 | $9.93 – $623.81 |
| 24 | UnitedHealthcare 3754_chirp uhc star plus (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $57.89 | $107.48 | $9.93 – $623.81 |
| 25 | UnitedHealthcare 4328_uhc star kids (smv) inpatient 20240901 percent of total billed charges · bothfrom % of charges | $57.89 | $107.48 | $9.93 – $623.81 |
Last updated: Jan 1, 2026
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