RC 352
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
CT LUMBAR SPINE W&WO CONTRAST
Clemmons, NC
See all hospitals reporting RC 352 →Price type
Forsyth Memorial Hospital, Inc.’s median price of $487 is 34% below the median hospital's median price ($733), higher than 35% of the 1,770 hospitals reporting RC 352. 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, 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 | Blue Cross Blue Shield blue medicare fee schedule · outpatient | $170.11 | $183.15 | $84.40 – $338.36 |
| 2 | Humana medicare fee schedule · outpatient | $170.11 | $183.15 | $84.40 – $338.36 |
| 3 | UnitedHealthcare medicare fee schedule · outpatient | $170.11 | $183.15 | $84.40 – $338.36 |
| 4 | Aetna medicare fee schedule · outpatient | $174.36 | $187.73 | $86.51 – $346.82 |
| 5 | Cigna healthspring fee schedule · outpatient | $175.21 | $188.64 | $86.93 – $348.51 |
| 6 | Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient | $414.40 | $397.33 | $36.42 – $736.76 |
| 7 | UnitedHealthcare medicaid fee schedule · outpatient | $414.40 | $397.33 | $36.42 – $736.76 |
| 8 | WellCare medicaid fee schedule · outpatient | $414.40 | $397.33 | $36.42 – $736.76 |
| 9 | Cigna aca fee schedule · outpatient | $846.75 | $811.87 | $74.42 – $1,505 |
| 10 | Caresource qualified health plan fee schedule · outpatient | $875.20 | $839.15 | $76.92 – $1,556 |
| 11 | Blue Cross Blue Shield blue home fee schedule · outpatient | $1,142 | $1,095 | $100.38 – $2,031 |
| 12 | Blue Cross Blue Shield blue value fee schedule · outpatient | $1,182 | $1,133 | $103.84 – $2,101 |
| 13 | Cigna commercial fee schedule · outpatient | $1,300 | $1,246 | $114.23 – $2,311 |
| 14 | Aetna commercial fee schedule · outpatient | $1,348 | $1,292 | $118.46 – $2,396 |
| 15 | UnitedHealthcare all payer fee schedule · outpatient | $1,473 | $1,412 | $129.42 – $2,618 |
| 16 | Blue Cross Blue Shield hmo fee schedule · outpatient | $1,503 | $1,441 | $132.11 – $2,672 |
| 17 | Blue Cross Blue Shield ppo fee schedule · outpatient | $1,503 | $1,441 | $132.11 – $2,672 |
| 18 | Humana commercial fee schedule · outpatient | $1,704 | $1,634 | $149.80 – $3,030 |
| 19 | Aetna aca fee schedule · outpatient | $1,750 | $1,678 | $153.84 – $3,112 |
| 20 | Aetna first health fee schedule · outpatient | $1,750 | $1,678 | $153.84 – $3,112 |
| 21 | Aetna non-par products of apcn fee schedule · outpatient | $1,750 | $1,678 | $153.84 – $3,112 |
| 22 | Aetna rental network products fee schedule · outpatient | $1,750 | $1,678 | $153.84 – $3,112 |
| 23 | Aetna whole health non-multitier fee schedule · outpatient | $1,750 | $1,678 | $153.84 – $3,112 |
| 24 | Medcost mbs fee schedule · outpatient | $1,860 | $1,783 | $163.46 – $3,307 |
| 25 | Beechstreet commercial fee schedule · outpatient | $1,969 | $1,888 | $173.07 – $3,501 |
Last updated: Mar 30, 2026
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