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
76831 Saline infusion sonohysterography (SIS) including color flow Doppler when performed CMH
Astoria, OR
See all hospitals reporting RC 402 →Price type
Columbia Lutheran Charities’s median price of $263 is 12% below the median hospital's median price ($300), higher than 43% 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: 9 payers, 14 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 | Regence medicare facility · percent of total billed charges · bothfrom % of charges | $174.96 | $170.39 | $30.60 – $588.96 |
| 2 | UnitedHealthcare medicare facility · percent of total billed charges · bothfrom % of charges | $185.76 | $181.61 | $30.60 – $588.96 |
| 3 | Molina molina ma - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $185.76 | $185.51 | $30.60 – $588.96 |
| 4 | Tricare military facility · percent of total billed charges · bothfrom % of charges | $185.76 | $185.51 | $30.60 – $588.96 |
| 5 | Aetna aetna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $190.92 | $190.66 | $31.45 – $605.32 |
| 6 | Cigna cigna medicare advantage - medicare advantage facility · percent of total billed charges · bothfrom % of charges | $195.05 | $194.79 | $32.13 – $618.41 |
| 7 | Molina medicaid facility · percent of total billed charges · bothfrom % of charges | $231.53 | $231.22 | $38.14 – $734.07 |
| 8 | Regence commercial facility · percent of total billed charges · bothfrom % of charges | $459.24 | $445.23 | $75.65 – $1,456 |
| 9 | First Health first health/coventry - commercial facility · percent of total billed charges · bothfrom % of charges | $464.40 | $463.78 | $76.50 – $1,472 |
| 10 | Aetna commercial facility · percent of total billed charges · bothfrom % of charges | $495.36 | $483.40 | $81.60 – $1,571 |
| 11 | Premera bc premera lifewise - commercial facility · percent of total billed charges · bothfrom % of charges | $490.20 | $489.54 | $80.75 – $1,554 |
| 12 | Cigna commercial facility · percent of total billed charges · bothfrom % of charges | $495.36 | $494.70 | $81.60 – $1,571 |
| 13 | MultiPlan multiplan - commercial facility · percent of total billed charges · bothfrom % of charges | $495.36 | $494.70 | $81.60 – $1,571 |
| 14 | UnitedHealthcare commercial facility · percent of total billed charges · bothfrom % of charges | $512.05 | $499.82 | $80.75 – $1,554 |
Last updated: Jan 5, 2026
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