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-BREAST LIMITED
Granbury, TX
See all hospitals reporting RC 402 →Price type
Granbury Hospital Corporation’s median price of $228 is 24% below the median hospital's median price ($300), higher than 34% 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: 11 payers, 49 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 | Blue Cross Blue Shield bcbs tx blue adv facility · other · outpatient | $100.83 | $98.34 | $11.91 – $255.02 |
| 2 | Tricare node tricare facility · fee schedule · outpatient | $99.77 | $111.41 | $56.30 – $598.65 |
| 3 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $112.68 | $125.81 | $63.59 – $676.10 |
| 4 | Humana node humana mcr adv facility · fee schedule · outpatient | $112.68 | $125.81 | $63.59 – $676.10 |
| 5 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $112.68 | $125.81 | $63.59 – $676.10 |
| 6 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $114.92 | $128.31 | $64.85 – $689.56 |
| 7 | Blue Cross Blue Shield node bcbs tx mcr hmo facility · fee schedule · outpatient | $114.93 | $128.32 | $64.86 – $689.62 |
| 8 | Blue Cross Blue Shield node bcbs tx mcr ppo facility · fee schedule · outpatient | $114.93 | $128.32 | $64.86 – $689.62 |
| 9 | Aetna node aetna chip medicaid tx facility · fee schedule · outpatient | $131.99 | $149.90 | $52.22 – $500.89 |
| 10 | Medicaid node tx medicaid facility · fee schedule · outpatient | $131.99 | $149.90 | $52.22 – $500.89 |
| 11 | UnitedHealthcare node uhc chip medicaid tx facility · fee schedule · outpatient | $131.99 | $149.90 | $52.22 – $500.89 |
| 12 | UnitedHealthcare node uhc star kids medicaid tx facility · fee schedule · outpatient | $131.99 | $149.90 | $52.22 – $500.89 |
| 13 | UnitedHealthcare node uhc star medicaid tx facility · fee schedule · outpatient | $131.99 | $149.90 | $52.22 – $500.89 |
| 14 | Molina node molina chip medicaid tx facility · fee schedule · outpatient | $138.59 | $157.40 | $54.83 – $525.93 |
| 15 | Molina node molina star medicaid tx facility · fee schedule · outpatient | $138.59 | $157.40 | $54.83 – $525.93 |
| 16 | Superior Healthplan node superior star kids medicaid tx facility · fee schedule · outpatient | $151.79 | $172.39 | $60.05 – $576.02 |
| 17 | Superior Healthplan node superior star plus medicaid tx facility · fee schedule · outpatient | $151.79 | $172.39 | $60.05 – $576.02 |
| 18 | Aetna node aetna star kids medicaid tx facility · other · outpatient | $179.51 | $203.87 | $71.02 – $681.21 |
| 19 | UnitedHealthcare node uhc health exchange facility · per diem · outpatient | $303.45 | $338.86 | $171.24 – $1,821 |
| 20 | Cigna cigna new business facility · percent of total billed charges · inpatientfrom % of charges | $400.30 | $373.24 | $97.54 – $1,055 |
| 21 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $400.30 | $373.24 | $97.54 – $1,055 |
| 22 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $389.17 | $445.29 | $192.00 – $1,842 |
| 23 | UnitedHealthcare node uhc star plus medicaid tx facility · fee schedule · outpatient | $409.17 | $464.69 | $161.88 – $1,553 |
| 24 | Blue Cross Blue Shield bcbs tx hmo facility · other · outpatient | $516.00 | $480.22 | $61.73 – $1,321 |
| 25 | Blue Cross Blue Shield bcbs tx ppo trad facility · other · outpatient | $522.41 | $484.41 | $61.73 – $1,321 |
Last updated: Apr 1, 2026
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