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
US Transvag
DYER, IN
See all hospitals reporting RC 402 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER’s median price of $481 is 60% above the median hospital's median price ($300), higher than 78% 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: 8 payers, 82 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 | Bcbs In anthem blue access ppo-cid fee schedule · both | $169.04 | $161.00 | $27.69 – $465.38 |
| 2 | Blue Cross Blue Shield anthem blue access ppo-cid fee schedule · both | $169.04 | $161.00 | $27.69 – $465.38 |
| 3 | Medicaid anthem care connect [315015] percent of total billed charges · bothfrom % of charges | $169.65 | $169.65 | $169.65 – $169.65 |
| 4 | Medicaid anthem healthy indiana plan [301498] percent of total billed charges · bothfrom % of charges | $169.65 | $169.65 | $169.65 – $169.65 |
| 5 | Medicaid anthem medicaid [109201] percent of total billed charges · bothfrom % of charges | $169.65 | $169.65 | $169.65 – $169.65 |
| 6 | Medicaid anthem pathways for aging [324049] percent of total billed charges · bothfrom % of charges | $169.65 | $169.65 | $169.65 – $169.65 |
| 7 | Medicaid humana healthy horizons in indiana [324050] percent of total billed charges · bothfrom % of charges | $169.65 | $169.65 | $169.65 – $169.65 |
| 8 | Medicaid in mcd-nir-dyer percent of total billed charges · bothfrom % of charges | $169.65 | $169.65 | $169.65 – $169.65 |
| 9 | Medicaid mdwise excel hhw [318029] percent of total billed charges · bothfrom % of charges | $169.65 | $169.65 | $169.65 – $169.65 |
| 10 | Medicaid mdwise excel hip [318028] percent of total billed charges · bothfrom % of charges | $169.65 | $169.65 | $169.65 – $169.65 |
| 11 | Medicaid medicaid in traditional [109206] percent of total billed charges · bothfrom % of charges | $169.65 | $169.65 | $169.65 – $169.65 |
| 12 | Medicaid united healthcare care connect [321005] percent of total billed charges · bothfrom % of charges | $169.65 | $169.65 | $169.65 – $169.65 |
| 13 | Medicaid united healthcare pathways for the aging [324051] percent of total billed charges · bothfrom % of charges | $169.65 | $169.65 | $169.65 – $169.65 |
| 14 | Medicaid caresource hhw [316039] percent of total billed charges · bothfrom % of charges | $203.58 | $203.58 | $203.58 – $203.58 |
| 15 | Medicaid caresource hip [316038] percent of total billed charges · bothfrom % of charges | $203.58 | $203.58 | $203.58 – $203.58 |
| 16 | Medicaid in mcd dyer caresource 120% of in mcd percent of total billed charges · bothfrom % of charges | $203.58 | $203.58 | $203.58 – $203.58 |
| 17 | Medicare medicare part a & b [109993] other · both | $110.61 | $251.20 | $92.07 – $3,729 |
| 18 | Medicare medicare part b [109992] other · both | $110.61 | $251.20 | $92.07 – $3,729 |
| 19 | Medicare medicare-nir-dyer other · both | $110.61 | $260.57 | $89.96 – $3,729 |
| 20 | Aetna aetna-nid-dyer-munster-crn point fee schedule · both | $250.18 | $295.64 | $185.87 – $1,110 |
| 21 | Aetna aetna [100507] fee schedule · both | $250.18 | $295.90 | $185.87 – $1,110 |
| 22 | Aetna aetna choice ppo [100503] fee schedule · both | $250.18 | $295.90 | $185.87 – $1,110 |
| 23 | Aetna aetna hmo/pos [300598] fee schedule · both | $250.18 | $295.90 | $185.87 – $1,110 |
| 24 | Aetna aetna oap/pos state of illinois [317013] fee schedule · both | $250.18 | $295.90 | $185.87 – $1,110 |
| 25 | Aetna aetna qchp state of illinois [317014] fee schedule · both | $250.18 | $295.90 | $185.87 – $1,110 |
Last updated: Jan 1, 2026
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