RC 402

Ultrasound imaging service at Forsyth Memorial Hospital, Inc.

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

US OB TRANSABD >=14WKS

Clemmons, NC

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Pricing by billing methodology

Price type

How this price compares nationally

Forsyth Memorial Hospital, Inc.’s median price of $221 is 27% below the median hospital's median price ($300), higher than 32% of the 1,982 hospitals reporting RC 402. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 402 at Forsyth Memorial Hospital, Inc.

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 healthy blue medicaid fee schedule · outpatient	$110.98	$108.34	$42.42 – $185.04
2	UnitedHealthcare medicaid fee schedule · outpatient	$110.98	$108.34	$42.42 – $185.04
3	WellCare medicaid fee schedule · outpatient	$110.98	$108.34	$42.42 – $185.04
4	Blue Cross Blue Shield blue medicare fee schedule · outpatient	$101.39	$115.72	$84.40 – $338.36
5	Humana medicare fee schedule · outpatient	$101.39	$115.72	$84.40 – $338.36
6	UnitedHealthcare medicare fee schedule · outpatient	$101.39	$115.72	$84.40 – $338.36
7	Cigna healthspring fee schedule · outpatient	$104.43	$119.19	$86.93 – $348.51
8	Aetna medicare fee schedule · outpatient	$103.92	$154.85	$86.51 – $426.50
9	Cigna aca fee schedule · outpatient	$226.78	$221.38	$86.68 – $378.09
10	Caresource qualified health plan fee schedule · outpatient	$234.40	$228.82	$89.60 – $390.80
11	Blue Cross Blue Shield blue home fee schedule · outpatient	$305.89	$298.61	$116.92 – $509.99
12	Blue Cross Blue Shield blue value fee schedule · outpatient	$316.44	$308.91	$120.96 – $527.58
13	Cigna commercial fee schedule · outpatient	$348.08	$336.97	$133.05 – $580.33
14	Aetna commercial fee schedule · outpatient	$360.97	$352.38	$137.98 – $601.83
15	UnitedHealthcare all payer fee schedule · outpatient	$394.37	$384.99	$150.75 – $657.52
16	Blue Cross Blue Shield hmo fee schedule · outpatient	$402.58	$393.00	$153.88 – $671.19
17	Blue Cross Blue Shield ppo fee schedule · outpatient	$402.58	$393.00	$153.88 – $671.19
18	Humana commercial fee schedule · outpatient	$456.49	$445.62	$174.49 – $761.08
19	Aetna aca fee schedule · outpatient	$468.80	$457.64	$179.20 – $781.60
20	Aetna first health fee schedule · outpatient	$468.80	$457.64	$179.20 – $781.60
21	Aetna non-par products of apcn fee schedule · outpatient	$468.80	$457.64	$179.20 – $781.60
22	Aetna rental network products fee schedule · outpatient	$468.80	$457.64	$179.20 – $781.60
23	Aetna whole health non-multitier fee schedule · outpatient	$468.80	$457.64	$179.20 – $781.60
24	Medcost mbs fee schedule · outpatient	$498.10	$486.24	$190.40 – $830.45
25	Beechstreet commercial fee schedule · outpatient	$527.40	$514.85	$201.60 – $879.30

Page 1 of 2 · 28 rates

Last updated: Mar 30, 2026

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