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 Joint/Nonvascular Extremity Limited Lt
Waterloo, IA
See all hospitals reporting RC 402 →Price type
Covenant Medical Center Inc’s median price of $107 is 64% below the median hospital's median price ($300), higher than 4% 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: 18 payers, 50 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 aetna medicare advantage facility · other · both | $98.49 | $116.16 | $55.58 – $514.79 |
| 2 | Wellmark wellmark medicare advantage facility · other · both | $99.48 | $117.32 | $56.13 – $519.93 |
| 3 | Molina molina medicaid facility · other · both | $101.14 | $117.92 | $57.07 – $528.61 |
| 4 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $100.46 | $118.48 | $56.69 – $525.08 |
| 5 | Wellmark wellmark hmo facility · fee schedule · both | $106.81 | $124.96 | $60.27 – $558.25 |
| 6 | Anthem wellmark ppo facility · fee schedule · both | $106.81 | $127.79 | $60.27 – $558.25 |
| 7 | Blue Cross Blue Shield wellmark ppo facility · fee schedule · both | $106.81 | $127.79 | $60.27 – $558.25 |
| 8 | Carefirst wellmark ppo facility · fee schedule · both | $106.81 | $127.79 | $60.27 – $558.25 |
| 9 | Excellus wellmark ppo facility · fee schedule · both | $106.81 | $127.79 | $60.27 – $558.25 |
| 10 | Highmark wellmark ppo facility · fee schedule · both | $106.81 | $127.79 | $60.27 – $558.25 |
| 11 | Kaiser wellmark ppo facility · fee schedule · both | $106.81 | $127.79 | $60.27 – $558.25 |
| 12 | Premera wellmark ppo facility · fee schedule · both | $106.81 | $127.79 | $60.27 – $558.25 |
| 13 | Regence wellmark ppo facility · fee schedule · both | $106.81 | $127.79 | $60.27 – $558.25 |
| 14 | Wellmark wellmark ppo facility · fee schedule · both | $106.81 | $127.79 | $60.27 – $558.25 |
| 15 | Oscar oscar facility · other · both | $154.24 | $179.83 | $87.04 – $806.16 |
| 16 | Ambetter ambetter marketplace facility · other · both | $168.85 | $196.86 | $95.28 – $882.49 |
| 17 | UnitedHealthcare united healthcare facility · fee schedule · outpatient | $240.48 | $240.48 | $240.48 – $240.48 |
| 18 | UnitedHealthcare united healthcare facility · fee schedule · both | $240.48 | $307.57 | $195.48 – $1,132 |
| 19 | Molina molina medicaid facility · fee schedule · outpatient | $307.74 | $307.74 | $307.74 – $307.74 |
| 20 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $337.50 | $337.50 | $337.50 – $337.50 |
| 21 | UnitedHealthcare united healthcare facility · case rate · outpatient | $67.00 | $345.33 | $67.00 – $902.00 |
| 22 | Aetna aetna facility · fee schedule · both | $398.65 | $393.08 | $150.18 – $1,010 |
| 23 | First Health aetna facility · fee schedule · both | $398.65 | $393.08 | $150.18 – $1,010 |
| 24 | Medical Mutual aetna facility · fee schedule · both | $398.65 | $393.08 | $150.18 – $1,010 |
| 25 | Aetna aetna medicare advantage facility · other · outpatient | $111.96 | $457.78 | $98.49 – $2,975 |
Last updated: Mar 31, 2026
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