RC 402

Ultrasound imaging service at Good Samaritan Hospital

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

C US FETAL BIOPHYSICAL

Puyallup, WA

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How this price compares nationally

Good Samaritan Hospital’s median price of $361 is 20% above the median hospital's median price ($300), higher than 62% 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 Good Samaritan Hospital

Negotiated rates from the hospital’s own file: 11 payers, 26 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 all commercial plans other · outpatient	$30.40	$30.40	$26.91 – $33.88
2	Molina apple health fee schedule · outpatient	$78.52	$81.59	$72.18 – $127.62
3	UnitedHealthcare apple health fee schedule · outpatient	$84.80	$88.12	$77.95 – $137.83
4	Aetna medadvantage fee schedule · outpatient	$123.16	$146.91	$102.52 – $643.69
5	Regence medadvantage fee schedule · outpatient	$123.16	$146.91	$102.52 – $643.69
6	UnitedHealthcare medadvantage fee schedule · outpatient	$124.35	$148.33	$103.51 – $649.94
7	Molina medadvantage fee schedule · outpatient	$125.55	$149.76	$104.51 – $656.19
8	WellCare medadvantage fee schedule · outpatient	$125.55	$149.76	$104.51 – $656.19
9	Premera hmo fee schedule · outpatient	$200.22	$237.82	$162.75 – $942.53
10	Ambetter coordinated care exchange fee schedule · outpatient	$239.14	$285.26	$199.06 – $1,250
11	Regence blue high performance fee schedule · outpatient	$360.94	$434.83	$298.33 – $1,811
12	Regence mcc/ahn fee schedule · outpatient	$360.94	$434.83	$298.33 – $1,811
13	Regence realvalue fee schedule · outpatient	$371.25	$447.25	$306.86 – $1,863
14	Premera signature fee schedule · outpatient	$401.71	$483.94	$332.01 – $2,016
15	Premera prime fee schedule · outpatient	$410.74	$494.82	$339.48 – $2,061
16	Regence commercial fee schedule · outpatient	$412.51	$496.95	$340.95 – $2,070
17	First Health all commercial plans percent of total billed charges · outpatientfrom % of charges	$524.14	$566.44	$123.37 – $1,831
18	MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges	$524.14	$566.44	$123.37 – $1,831
19	Kaiser ppo fee schedule · outpatient	$494.85	$587.77	$402.25 – $2,329
20	Cigna all commercial plans fee schedule · outpatient	$501.84	$598.62	$417.74 – $2,623
21	Aetna all commercial plans fee schedule · outpatient	$496.12	$601.53	$410.76 – $2,558
22	Premera other commercial plans fee schedule · outpatient	$504.81	$608.14	$417.23 – $2,533
23	UnitedHealthcare all commercial plans fee schedule · outpatient	$533.49	$636.38	$444.09 – $2,788
24	UnitedHealthcare all commercial plans other · outpatient	$681.00	$681.00	$681.00 – $681.00
25	First Health all commercial plans percent of total billed charges · inpatientfrom % of charges	$655.54	$704.36	$154.03 – $2,289

Page 1 of 2 · 26 rates

Last updated: Aug 27, 2026

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