RC 404
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
Pet imaging whole body; melanoma for non-covered indications PET Scan
CONROE, TX
See all hospitals reporting RC 404 →Price type
Hca Houston Healthcare Conroe’s median price of $240 is 92% below the median hospital's median price ($3.0k), higher than 3% of the 1,508 hospitals reporting RC 404. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 24 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 | UnitedHealthcare mgmcd fee schedule · outpatient | $129 | $181 | $203 | 112% | — | $7 – $1.5k |
| 2 | Aetna asappo per diem · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 3 | Oscar hix case rate · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 4 | Humana hmo other · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 5 | Humana ppo other · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 6 | UnitedHealthcare narrownetworkindivexchange fee schedule · outpatient | $2.8k | $2.9k | $945 | 33% | — | $717 – $5.2k |
| 7 | Aetna qhpexchange per diem · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 8 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $3.3k | $3.4k | $1.1k | 33% | — | $849 – $6.2k |
| 9 | UnitedHealthcare smallgroup fee schedule · outpatient | $3.3k | $3.4k | $1.1k | 33% | — | $849 – $6.2k |
| 10 | Healthcare Highways narrownetwork case rate · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 11 | Aetna nbhmo per diem · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 12 | Aetna nbpos per diem · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 13 | Aetna nbppo per diem · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 14 | Cigna csn case rate · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 15 | Aetna commhmo per diem · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 16 | Aetna commpos per diem · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 17 | Aetna commppo per diem · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 18 | Cigna openaccessplus case rate · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 19 | Aetna oonhmo per diem · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 20 | Aetna oonpos per diem · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 21 | Aetna oonppo per diem · outpatient | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 22 | Aetna asahmo per diem · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 23 | Aetna asapos per diem · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 24 | Cigna ppo case rate · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
Last updated: May 14, 2026
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