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 Retroperitoneal W/Image; Compl
LAFAYETTE, IN
See all hospitals reporting RC 402 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE’s median price of $409 is 36% above the median hospital's median price ($300), higher than 70% 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: 9 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Bcbs In anthem blue access ppo-cid fee schedule · both | $163.93 | $156.87 | $27.69 – $437.31 |
| 2 | Blue Cross Blue Shield anthem blue access ppo-cid fee schedule · both | $163.93 | $156.87 | $27.69 – $437.31 |
| 3 | Medicare medicare-wir-lafayette other · both | $110.61 | $182.56 | $89.96 – $1,747 |
| 4 | Aetna aetna-nid-dyer-munster-crn point fee schedule · both | $250.18 | $268.56 | $185.87 – $608.15 |
| 5 | Medicaid in mcd-wir-lafayette fee schedule · both | $182.29 | $352.71 | $29.64 – $4,823 |
| 6 | Medicaid in mcd lafayet caresource 120% of in mcd fee schedule · both | $218.74 | $423.25 | $35.57 – $5,787 |
| 7 | Blue Cross Blue Shield anthem franciscan employee copps- all locations other · both | $267.47 | $424.00 | $222.65 – $4,226 |
| 8 | Blue Cross Blue Shield anthem healthsync hmo with copps - lafayette other · both | $323.42 | $512.69 | $269.22 – $5,109 |
| 9 | UnitedHealthcare united healthcare charter-wid-lafayette percent of total billed charges · bothfrom % of charges | $457.62 | $514.81 | $49.59 – $1,506 |
| 10 | Blue Cross Blue Shield anthem healthsync pos with copps - lafayette other · both | $366.41 | $580.84 | $305.01 – $5,789 |
| 11 | Aetna aetna-nid-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $410.82 | $584.88 | $46.74 – $1,420 |
| 12 | UnitedHealthcare uhc all payer-wid-lafayette percent of total billed charges · bothfrom % of charges | $511.02 | $589.05 | $55.06 – $1,673 |
| 13 | UnitedHealthcare united healthcare options ppo-wid-lafaye percent of total billed charges · bothfrom % of charges | $562.86 | $648.81 | $60.65 – $1,842 |
| 14 | Bcbs Il anthem blue access ppo with copps - lafayette other · both | $409.40 | $648.99 | $340.79 – $6,468 |
| 15 | Bcbs In anthem blue access ppo with copps - lafayette other · both | $409.40 | $648.99 | $340.79 – $6,468 |
| 16 | Blue Cross Blue Shield anthem blue access ppo with copps - lafayette other · both | $409.40 | $648.99 | $340.79 – $6,468 |
| 17 | Humana choice care-wir percent of total billed charges · bothfrom % of charges | $709.78 | $791.63 | $76.92 – $2,336 |
| 18 | Aetna aetna-wid percent of total billed charges · bothfrom % of charges | $762.52 | $817.08 | $298.78 – $1,745 |
| 19 | Cigna cigna-wid-lafayette percent of total billed charges · bothfrom % of charges | $841.58 | $917.49 | $490.52 – $1,643 |
| 20 | Cigna cigna behavioral health-wid-lafayette percent of total billed charges · bothfrom % of charges | $841.60 | $946.78 | $91.20 – $2,770 |
Last updated: Jan 1, 2026
See Ultrasound imaging service pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.