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
HC PET TUMOR IMAGING/CT LTD
Buda, TX
See all hospitals reporting RC 404 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $2.9k is 3% below the median hospital's median price ($3.0k), higher than 48% of the 1,508 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: 8 payers, 26 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 medicaid facility · percent of total billed charges · outpatientfrom % of charges | $540 | $487 | $222 | 46% | — | $26 – $726 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $578 | $521 | $238 | 46% | — | $28 – $776 |
| 3 | Superior Healthplan medicaid facility · fee schedule · outpatient | $1.5k | $1.4k | $54 | 4% | — | $1.3k – $1.5k |
| 4 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $1.4k | $1.5k | $268 | 18% | — | $1.2k – $2.1k |
| 5 | Humana medicare facility · fee schedule · outpatient | $1.4k | $1.5k | $282 | 18% | — | $1.3k – $2.2k |
| 6 | Superior Healthplan medicare hmo/medicare ppo facility · fee schedule · outpatient | $1.4k | $1.5k | $282 | 18% | — | $1.3k – $2.2k |
| 7 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $1.6k | $1.5k | $57 | 4% | — | $1.4k – $1.6k |
| 8 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $1.5k | $1.6k | $297 | 18% | — | $1.4k – $2.3k |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $1.6k | $1.7k | $316 | 18% | — | $1.5k – $2.5k |
| 10 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $1.7k | $1.8k | $339 | 18% | — | $1.6k – $2.7k |
| 11 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $1.8k | $1.9k | $354 | 18% | — | $1.6k – $2.8k |
| 12 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $2.4k | $2.5k | $466 | 18% | — | $2.1k – $3.7k |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $3.3k | $3.2k | $1.4k | 43% | — | $118 – $5.5k |
| 14 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $4.6k | $3.3k | $2.5k | 76% | — | $107 – $5.8k |
| 15 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $4.7k | $3.4k | $2.6k | 76% | — | $108 – $5.8k |
| 16 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.8k | $1.6k | 43% | — | $139 – $6.4k |
| 17 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $5.4k | $3.9k | $2.9k | 76% | — | $123 – $6.7k |
| 18 | UnitedHealthcare commercial facility · fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 19 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $5.6k | $4.1k | $3.1k | 76% | — | $130 – $7.0k |
| 20 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $4.2k | $4.1k | $1.8k | 43% | — | $150 – $6.9k |
| 21 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.1k | $1.8k | 43% | — | $150 – $6.9k |
| 22 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.1k | $1.8k | 43% | — | $150 – $6.9k |
| 23 | Cigna local plus facility · fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 24 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 25 | Cigna hmo/ppo facility · fee schedule · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
Last updated: Jun 13, 2026
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