RC 404
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
PET/CT FULL BODY INITIAL TX ST
Carmel, IN
See all hospitals reporting RC 404 →Price type
Endo Surgery Center’s median price of $6.3k is 108% above the median hospital's median price ($3.0k), higher than 92% of the 1,508 hospitals reporting RC 404. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 65 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 8683_humana ppo medicare replacement inpatient svin 20241001 percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.1k | $524 | 25% | — | $628 – $2.6k |
| 2 | Anthem 9249_anthem healthsync hmo outpatient ecin 20250101 percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.5k | $629 | 25% | — | $753 – $3.1k |
| 3 | Anthem 9253_anthem pathway x outpatient ecin 20250101 percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.5k | $629 | 25% | — | $753 – $3.1k |
| 4 | Anthem 9351_anthem short term limited duration outpatient ecin 20250101 percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.5k | $629 | 25% | — | $753 – $3.1k |
| 5 | Anthem 9250_anthem healthsync pos outpatient ecin 20250101 percent of total billed charges · outpatientfrom % of charges | $3.0k | $2.7k | $671 | 25% | — | $804 – $3.3k |
| 6 | Anthem 9251_anthem hmo pos outpatient ecin 20250101 percent of total billed charges · outpatientfrom % of charges | $3.6k | $3.2k | $797 | 25% | — | $954 – $3.9k |
| 7 | Anthem 9252_anthem pathway outpatient ecin 20250101 percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.3k | $839 | 25% | — | $1.0k – $4.1k |
| 8 | Anthem 9254_anthem preferred outpatient ecin 20250101 percent of total billed charges · outpatientfrom % of charges | $3.8k | $3.3k | $839 | 25% | — | $1.0k – $4.1k |
| 9 | UnitedHealthcare 9386_united healthcare fully funded outpatient ecin 20250101 percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.4k | $860 | 25% | — | $1.0k – $4.2k |
| 10 | Anthem 9399_anthem healthsync hmo vein 20250101 percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.5k | $701 | 20% | — | $2.3k – $4.1k |
| 11 | Anthem 9255_anthem traditional outpatient ecin 20250101 percent of total billed charges · outpatientfrom % of charges | $4.4k | $3.9k | $986 | 25% | — | $1.2k – $4.8k |
| 12 | UnitedHealthcare 6794_united healthcare self funded outpatient ecin 20230101 percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.1k | $1.0k | 25% | — | $1.2k – $5.1k |
| 13 | Anthem 9401_anthem healthsync pos vein 20250101 percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.2k | $823 | 20% | — | $2.7k – $4.8k |
| 14 | UnitedHealthcare 6793_united healthcare new business outpatient ecin 20230101 percent of total billed charges · outpatientfrom % of charges | $4.8k | $4.3k | $858 | 20% | — | $2.9k – $5.1k |
| 15 | Anthem 9405_anthem pathway x vein 20250101 percent of total billed charges · outpatientfrom % of charges | $5.0k | $4.5k | $893 | 20% | — | $3.0k – $5.3k |
| 16 | Anthem 9407_anthem short term limited duration vein 20250101 percent of total billed charges · outpatientfrom % of charges | $5.2k | $4.7k | $928 | 20% | — | $3.1k – $5.5k |
| 17 | Aetna 3697_aetna svin vfin vhin 20210101 percent of total billed charges · outpatientfrom % of charges | $5.5k | $4.8k | $1.2k | 25% | — | $1.5k – $6.0k |
| 18 | Anthem 9403_anthem hmo pos vein 20250101 percent of total billed charges · outpatientfrom % of charges | $5.5k | $5.0k | $981 | 20% | — | $3.3k – $5.8k |
| 19 | Humana 8829_humana choice care network vein 20241001 percent of total billed charges · outpatientfrom % of charges | $5.8k | $5.1k | $1.3k | 25% | — | $1.5k – $6.3k |
| 20 | Humana 8830_humana choice care vein 20241001 percent of total billed charges · outpatientfrom % of charges | $5.8k | $5.1k | $1.3k | 25% | — | $1.5k – $6.3k |
| 21 | Humana 8825_humana choice 1 network asin, ecin 20241001 percent of total billed charges · outpatientfrom % of charges | $6.0k | $5.3k | $1.3k | 25% | — | $1.6k – $6.6k |
| 22 | Cigna 8817_cigna ppo choice oap vein 20241001 percent of total billed charges · outpatientfrom % of charges | $6.1k | $5.4k | $1.4k | 25% | — | $1.6k – $6.7k |
| 23 | Humana 8828_humana choice 1 network vfin, nrin 20241001 percent of total billed charges · outpatientfrom % of charges | $6.1k | $5.4k | $1.4k | 25% | — | $1.6k – $6.7k |
| 24 | UnitedHealthcare 9470_united healthcare vein 20250101 percent of total billed charges · outpatientfrom % of charges | $6.1k | $5.5k | $1.1k | 20% | — | $3.6k – $6.4k |
| 25 | Cigna 8821_cigna vein 20241001 percent of total billed charges · outpatientfrom % of charges | $6.2k | $5.5k | $1.4k | 25% | — | $1.7k – $6.8k |
Last updated: Jan 1, 2026
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