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 CHG HEART MUSCLE IMAGING (PET) - PET MYOCARDIAL METABOLIC EVAL
Boulder, CO
See all hospitals reporting RC 404 →Price type
Boulder Community Health’s median price of $10.7k is 255% above the median hospital's median price ($3.0k), higher than 99% 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: 9 payers, 25 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 | Aetna medicare advantage facility · case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 2 | Anthem medicare advantage facility · case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 3 | Humana medicare advantage facility · case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 4 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 5 | Kaiser medicare advantage facility · case rate · outpatient | $1.4k | $1.4k | $7 | 0% | — | $1.4k – $1.4k |
| 6 | Devoted medicare advantage facility · case rate · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Aetna ppo facility · case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | Aetna commercial facility · case rate · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | Kaiser commercial facility · case rate · outpatient | $3.0k | $3.0k | $365 | 12% | — | $2.6k – $3.4k |
| 10 | Kaiser managed care facility · case rate · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 11 | Anthem commercial facility · case rate · outpatient | $3.1k | $3.5k | $851 | 24% | — | $2.7k – $4.9k |
| 12 | Cigna commercial facility · case rate · outpatient | $4.0k | $4.0k | $723 | 18% | — | $3.3k – $4.7k |
| 13 | Anthem managed care facility · case rate · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 14 | UnitedHealthcare commercial facility · case rate · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 15 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 16 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $12.7k | $12.7k | — | — | — | $12.7k – $12.7k |
| 17 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $13.1k | $13.1k | — | — | — | $13.1k – $13.1k |
| 18 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $14.2k | $14.2k | — | — | — | $14.2k – $14.2k |
| 19 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
| 20 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $15.2k | $15.2k | — | — | — | $15.2k – $15.2k |
| 21 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $15.4k | $15.4k | — | — | — | $15.4k – $15.4k |
| 22 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $15.4k | $15.4k | — | — | — | $15.4k – $15.4k |
| 23 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 24 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $17.6k | $17.6k | — | — | — | $17.6k – $17.6k |
| 25 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $19.1k | $19.1k | — | — | — | $19.1k – $19.1k |
Last updated: Sep 16, 2026
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