RC 302
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
Serological PW Interp - Compatible HIDDEN
Suffern, NY
See all hospitals reporting RC 302 →Price type
Good Samaritan Hospital’s median price of $71 is 82% above the median hospital's median price ($39), higher than 71% of the 1,873 hospitals reporting RC 302. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 payers, 21 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 | Medicare medicare facility · fee schedule · outpatient | $14 | $29 | $59 | 205% | — | $4 – $447 |
| 2 | Molina affinity by molina mcr facility · fee schedule · outpatient | $15 | $30 | $62 | 204% | — | $4 – $468 |
| 3 | Tricare tricare facility · fee schedule · outpatient | $18 | $38 | $91 | 241% | — | $5 – $904 |
| 4 | Aetna aetna hp network facility · fee schedule · outpatient | $25 | $73 | $277 | 377% | — | $5 – $2.6k |
| 5 | Aetna aetna facility · fee schedule · outpatient | $28 | $76 | $277 | 363% | — | $6 – $2.6k |
| 6 | Aetna aetna employee facility · fee schedule · outpatient | $28 | $76 | $277 | 363% | — | $6 – $2.6k |
| 7 | Blue Cross Blue Shield blue cross connection/exchange facility · fee schedule · outpatient | $92 | $89 | $69 | 77% | — | $7 – $359 |
| 8 | Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges | $104 | $104 | $43 | 42% | — | $60 – $147 |
| 9 | Blue Cross Blue Shield blue cross small group facility · fee schedule · outpatient | $110 | $106 | $83 | 78% | — | $7 – $431 |
| 10 | Blue Cross Blue Shield blue cross hmo facility · fee schedule · outpatient | $113 | $109 | $85 | 78% | — | $7 – $443 |
| 11 | Blue Cross Blue Shield blue cross hmo facility · percent of total billed charges · outpatientfrom % of charges | $137 | $137 | $57 | 42% | — | $80 – $194 |
| 12 | Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges | $210 | $210 | $88 | 42% | — | $122 – $298 |
| 13 | Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $160 | $271 | $478 | 177% | — | $41 – $3.7k |
| 14 | UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges | $160 | $271 | $478 | 177% | — | $41 – $3.7k |
| 15 | UnitedHealthcare uhc empire facility · percent of total billed charges · outpatientfrom % of charges | $160 | $271 | $478 | 177% | — | $41 – $3.7k |
| 16 | UnitedHealthcare uhc exchange facility · percent of total billed charges · outpatientfrom % of charges | $160 | $271 | $478 | 177% | — | $41 – $3.7k |
| 17 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $172 | $290 | $512 | 177% | — | $44 – $4.0k |
| 18 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $172 | $290 | $512 | 177% | — | $44 – $4.0k |
| 19 | Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges | $86 | $318 | $492 | 154% | — | $30 – $2.1k |
| 20 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $195 | $329 | $580 | 177% | — | $49 – $4.5k |
| 21 | Blue Cross Blue Shield blue cross access facility · fee schedule · outpatient | $608 | $632 | $404 | 64% | — | $141 – $2.2k |
Last updated: Jun 29, 2026
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