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
Limited ultrasound scan behind abdominal cavity
Port Angeles, WA
See all hospitals reporting RC 402 →Price type
Clallam County Public Hospital District 2 DBA Olympic Medical Center’s median price of $352 is 17% above the median hospital's median price ($300), higher than 60% 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: 8 payers, 28 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 medicaid advantage case rate · inpatient | $96.59 | $99.05 | $88.79 – $146.64 |
| 2 | Molina medicaid advantage case rate · outpatient | $96.59 | $99.05 | $88.79 – $146.64 |
| 3 | UnitedHealthcare medicaid advantage case rate · inpatient | $105.79 | $108.49 | $97.25 – $160.60 |
| 4 | UnitedHealthcare medicaid advantage case rate · outpatient | $105.79 | $108.49 | $97.25 – $160.60 |
| 5 | Regence medicare advantage fee schedule · inpatient | $131.01 | $130.20 | $109.05 – $131.01 |
| 6 | Regence medicare advantage fee schedule · outpatient | $131.01 | $130.20 | $109.05 – $131.01 |
| 7 | UnitedHealthcare medicare advantage fee schedule · inpatient | $143.49 | $142.60 | $119.44 – $143.49 |
| 8 | UnitedHealthcare medicare advantage fee schedule · outpatient | $143.49 | $142.60 | $119.44 – $143.49 |
| 9 | WellCare medicare advantage fee schedule · inpatient | $143.49 | $142.60 | $119.44 – $143.49 |
| 10 | WellCare medicare advantage fee schedule · outpatient | $143.49 | $142.60 | $119.44 – $143.49 |
| 11 | Molina medicare advantage fee schedule · inpatient | $168.44 | $167.39 | $140.21 – $168.44 |
| 12 | Molina medicare advantage fee schedule · outpatient | $168.44 | $167.39 | $140.21 – $168.44 |
| 13 | Regence uniform medical fee schedule · inpatient | $402.20 | $378.04 | $144.22 – $643.96 |
| 14 | Regence uniform medical fee schedule · outpatient | $402.20 | $378.04 | $144.22 – $643.96 |
| 15 | Ambetter cascade select fee schedule · inpatient | $647.55 | $608.65 | $232.20 – $1,037 |
| 16 | Ambetter cascade select fee schedule · outpatient | $647.55 | $608.65 | $232.20 – $1,037 |
| 17 | Ambetter all other plans fee schedule · inpatient | $683.53 | $642.47 | $245.10 – $1,094 |
| 18 | Ambetter all other plans fee schedule · outpatient | $683.53 | $642.47 | $245.10 – $1,094 |
| 19 | Cigna all plans fee schedule · inpatient | $700.79 | $658.69 | $251.29 – $1,122 |
| 20 | Cigna all plans fee schedule · outpatient | $700.79 | $658.69 | $251.29 – $1,122 |
| 21 | Aetna all plans fee schedule · inpatient | $719.50 | $676.28 | $258.00 – $1,152 |
| 22 | Aetna all plans fee schedule · outpatient | $719.50 | $676.28 | $258.00 – $1,152 |
| 23 | Premera all plans fee schedule · inpatient | $719.50 | $676.28 | $258.00 – $1,152 |
| 24 | Premera all plans fee schedule · outpatient | $719.50 | $676.28 | $258.00 – $1,152 |
| 25 | Regence all other plans fee schedule · inpatient | $719.50 | $676.28 | $258.00 – $1,152 |
Last updated: Jun 24, 2026
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