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
Bedside US Lmtd Jt/Nonvasc Xtr Strux|TECHNICAL COMPONENT|BILATERAL PROCEDURE
PORTE, IN
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FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE’s median price of $421 is 40% above the median hospital's median price ($300), higher than 71% 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: 7 payers, 13 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 | Aetna aetna-nir-michigan city fee schedule · both | $250.18 | $274.89 | $185.87 – $608.15 |
| 2 | Medicaid in mcd-nir-michigan city fee schedule · both | $194.34 | $339.89 | $29.64 – $4,823 |
| 3 | Medicaid in mdc mi city caresource 120% of in mcd fee schedule · both | $233.21 | $407.87 | $35.57 – $5,787 |
| 4 | Blue Cross Blue Shield anthem franciscan employee copps- all locations other · both | $267.47 | $580.27 | $222.65 – $9,018 |
| 5 | Blue Cross Blue Shield anthem healthsync pos with copps - michigan city/laporte other · both | $341.37 | $740.60 | $284.17 – $11,510 |
| 6 | Bcbs Il anthem blue access ppo with copps - michigan city/laporte other · both | $381.42 | $827.48 | $317.51 – $12,861 |
| 7 | Bcbs In anthem blue access ppo with copps - michigan city/laporte other · both | $381.42 | $827.48 | $317.51 – $12,861 |
| 8 | Blue Cross Blue Shield anthem blue access ppo with copps - michigan city/laporte other · both | $381.42 | $827.48 | $317.51 – $12,861 |
| 9 | UnitedHealthcare uhc all payer-nid-michigan city percent of total billed charges · bothfrom % of charges | $652.91 | $837.77 | $140.17 – $4,468 |
| 10 | Cigna cigna hmo-nid-michigan city & laporte percent of total billed charges · bothfrom % of charges | $658.36 | $844.76 | $141.34 – $4,505 |
| 11 | Cigna cigna ppo-nid-michigan city percent of total billed charges · bothfrom % of charges | $689.97 | $885.32 | $148.12 – $4,722 |
| 12 | UnitedHealthcare uhc options ppo-nid-michigan city percent of total billed charges · bothfrom % of charges | $725.94 | $931.47 | $155.84 – $4,968 |
| 13 | Aetna aetna-nir-michigan city percent of total billed charges · bothfrom % of charges | $827.25 | $1,636 | $249.00 – $5,594 |
Last updated: Jan 1, 2026
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