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 LMTD JT/FCL EVL NVASC XTR
BOYNTON BEACH, FL
See all hospitals reporting RC 402 →Price type
Bethesda Hospital’s median price of $272 is 9% below the median hospital's median price ($300), higher than 45% 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: 10 payers, 36 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 | Medicaid simplyhlth md hmo nc fee schedule · both | $69.11 | $73.88 | $34.55 – $129.63 |
| 2 | UnitedHealthcare united healthy kids fee schedule · both | $69.11 | $73.88 | $34.55 – $129.63 |
| 3 | UnitedHealthcare united md hmo fee schedule · both | $69.11 | $73.88 | $34.55 – $129.63 |
| 4 | WellCare well care md hmonc fee schedule · both | $69.11 | $73.88 | $34.55 – $129.63 |
| 5 | Aetna aetna better health healthy kids fee schedule · both | $72.56 | $77.57 | $36.28 – $136.11 |
| 6 | Aetna aetna better health medicaid fee schedule · both | $72.56 | $77.57 | $36.28 – $136.11 |
| 7 | Medicaid prestige md hmo nc fee schedule · both | $76.02 | $81.27 | $38.01 – $142.59 |
| 8 | Blue Cross Blue Shield bcbs medicare ppo fee schedule · both | $109.17 | $120.66 | $54.59 – $570.61 |
| 9 | Medica medica mcr hmo fee schedule · both | $109.17 | $120.66 | $54.59 – $570.61 |
| 10 | Medicare simplyhlth mc hmo nc fee schedule · both | $109.17 | $120.66 | $54.59 – $570.61 |
| 11 | UnitedHealthcare united hlth mc hmo fee schedule · both | $111.36 | $123.07 | $55.68 – $582.02 |
| 12 | Humana careplus mc hmo fee schedule · both | $113.54 | $125.48 | $56.77 – $593.43 |
| 13 | Humana humana medicare fee schedule · both | $113.54 | $125.48 | $56.77 – $593.43 |
| 14 | Cigna cigna medicare advantage fee schedule · both | $114.63 | $126.69 | $57.32 – $599.14 |
| 15 | Aetna aetna medicare fee schedule · both | $122.28 | $135.14 | $61.14 – $639.08 |
| 16 | Medicare devoted health mc hmo fee schedule · both | $147.39 | $162.72 | $73.69 – $770.32 |
| 17 | Cigna cigna connect network exchange percent of total billed charges · bothfrom % of charges | $226.53 | $262.37 | $28.54 – $1,080 |
| 18 | Cigna cigna hmo percent of total billed charges · bothfrom % of charges | $226.53 | $262.37 | $28.54 – $1,080 |
| 19 | Cigna cigna ppo percent of total billed charges · bothfrom % of charges | $226.53 | $262.37 | $28.54 – $1,080 |
| 20 | Blue Cross Blue Shield bcbs fl simplyblue hmo case rate · both | $379.00 | $368.05 | $142.00 – $379.00 |
| 21 | Aetna aetna hmo percent of total billed charges · bothfrom % of charges | $317.81 | $368.10 | $40.04 – $1,515 |
| 22 | Aetna aetna tier 2 percent of total billed charges · bothfrom % of charges | $317.81 | $368.10 | $40.04 – $1,515 |
| 23 | Blue Cross Blue Shield blue care hmo case rate · both | $390.00 | $378.25 | $142.00 – $390.00 |
| 24 | Blue Cross Blue Shield blue select case rate · both | $390.00 | $378.25 | $142.00 – $390.00 |
| 25 | Blue Cross Blue Shield my blue ex case rate · both | $390.00 | $378.25 | $142.00 – $390.00 |
Last updated: Mar 30, 2026
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