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
Fna bx w/us gdn 1st les
Syracuse, NY
See all hospitals reporting RC 402 →Price type
Crouse Hospital’s median price of $143 is 52% below the median hospital's median price ($300), higher than 13% 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: 6 payers, 20 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 | Humana commerical percent of total billed charges · outpatientfrom % of charges | $106.01 | $113.35 | $16.81 – $548.26 |
| 2 | Aetna commerical fee schedule · outpatient | $163.96 | $150.05 | $51.77 – $267.70 |
| 3 | Aetna raymour furniture company fee schedule · outpatient | $163.96 | $150.05 | $51.77 – $267.70 |
| 4 | Excellus medicare advantage fee schedule · outpatient | $113.97 | $155.34 | $94.87 – $771.95 |
| 5 | Aetna medicare fee schedule · outpatient | $130.50 | $177.88 | $108.63 – $883.95 |
| 6 | Humana medicare advantage fee schedule · outpatient | $130.50 | $177.88 | $108.63 – $883.95 |
| 7 | UnitedHealthcare medicare fee schedule · outpatient | $130.50 | $177.88 | $108.63 – $883.95 |
| 8 | WellCare medicare advantage fee schedule · outpatient | $137.03 | $186.77 | $114.06 – $928.15 |
| 9 | Excellus govt programs/ special products fee schedule · outpatient | $130.09 | $214.48 | $112.41 – $564.27 |
| 10 | Molina medicaid hmo fee schedule · outpatient | $130.09 | $214.48 | $112.41 – $564.27 |
| 11 | UnitedHealthcare essential plans 1 -4 fee schedule · outpatient | $130.09 | $214.48 | $112.41 – $564.27 |
| 12 | UnitedHealthcare medicaid fee schedule · outpatient | $130.09 | $214.48 | $112.41 – $564.27 |
| 13 | WellCare medicaid essential plan 3 and 4 fee schedule · outpatient | $130.09 | $214.48 | $112.41 – $564.27 |
| 14 | WellCare medicaid essential plan 1 and 2 fee schedule · outpatient | $156.11 | $257.37 | $134.89 – $677.13 |
| 15 | Excellus bcbs fee schedule · outpatient | $234.37 | $319.45 | $195.09 – $1,587 |
| 16 | Excellus hospital blue fee schedule · outpatient | $234.37 | $319.45 | $195.09 – $1,587 |
| 17 | UnitedHealthcare commerical fee schedule · outpatient | $442.00 | $442.00 | $442.00 – $442.00 |
| 18 | Molina essential fee schedule · outpatient | $292.70 | $482.57 | $252.92 – $1,270 |
| 19 | Aetna commerical percent of total billed charges · outpatientfrom % of charges | $784.10 | $715.49 | $546.42 – $815.95 |
| 20 | Aetna raymour furniture company percent of total billed charges · outpatientfrom % of charges | $784.10 | $715.49 | $546.42 – $815.95 |
Last updated: May 19, 2026
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