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
HC US Fetal Biophysical Profile W/O Non-Stress Testing
Des Moines, IA
See all hospitals reporting RC 402 →Price type
Catholic Health Initiatives-Iowa Corp’s median price of $134 is 55% below the median hospital's median price ($300), higher than 11% 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: 17 payers, 56 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 | Molina molina medicaid facility · fee schedule · both | $49.80 | $49.29 | $9.23 – $72.54 |
| 2 | Aetna aetna medicare advantage facility · fee schedule · both | $49.55 | $55.12 | $28.59 – $87.11 |
| 3 | Wellmark wellmark medicare advantage facility · fee schedule · both | $50.05 | $55.67 | $28.87 – $87.98 |
| 4 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · both | $50.54 | $56.22 | $29.16 – $88.85 |
| 5 | Molina molina medicaid facility · fee schedule · outpatient | $49.08 | $60.11 | $48.36 – $167.91 |
| 6 | Aetna aetna medicare advantage facility · fee schedule · outpatient | $49.55 | $66.52 | $46.55 – $184.11 |
| 7 | Wellmark wellmark medicare advantage facility · fee schedule · outpatient | $50.05 | $67.19 | $47.02 – $185.95 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $50.54 | $67.85 | $47.48 – $187.79 |
| 9 | Oscar oscar facility · fee schedule · both | $71.85 | $79.92 | $41.45 – $126.31 |
| 10 | Ambetter ambetter marketplace facility · fee schedule · both | $84.94 | $94.49 | $49.01 – $149.34 |
| 11 | Oscar oscar facility · fee schedule · outpatient | $71.85 | $96.46 | $67.50 – $266.96 |
| 12 | Ambetter ambetter marketplace facility · fee schedule · outpatient | $84.94 | $114.04 | $79.80 – $315.62 |
| 13 | Molina molina medicaid facility · other · both | $99.65 | $115.81 | $56.23 – $520.81 |
| 14 | Aetna aetna medicare advantage facility · other · both | $98.96 | $116.80 | $55.84 – $517.21 |
| 15 | Wellmark wellmark medicare advantage facility · other · both | $99.95 | $117.97 | $56.40 – $522.39 |
| 16 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $100.94 | $119.14 | $56.96 – $527.56 |
| 17 | Wellmark wellmark hmo facility · fee schedule · both | $106.81 | $125.49 | $60.27 – $558.25 |
| 18 | Anthem wellmark ppo facility · fee schedule · both | $106.81 | $131.05 | $60.27 – $558.25 |
| 19 | Blue Cross Blue Shield wellmark ppo facility · fee schedule · both | $106.81 | $131.05 | $60.27 – $558.25 |
| 20 | Carefirst wellmark ppo facility · fee schedule · both | $106.81 | $131.05 | $60.27 – $558.25 |
| 21 | Excellus wellmark ppo facility · fee schedule · both | $106.81 | $131.05 | $60.27 – $558.25 |
| 22 | Highmark wellmark ppo facility · fee schedule · both | $106.81 | $131.05 | $60.27 – $558.25 |
| 23 | Premera wellmark ppo facility · fee schedule · both | $106.81 | $131.05 | $60.27 – $558.25 |
| 24 | Regence wellmark ppo facility · fee schedule · both | $106.81 | $131.05 | $60.27 – $558.25 |
| 25 | Wellmark wellmark ppo facility · fee schedule · both | $106.81 | $131.05 | $60.27 – $558.25 |
Last updated: Mar 31, 2026
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