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 Fetal Biophysical Profile w Non Str
Milton, FL
See all hospitals reporting RC 402 →Price type
HMA Santa Rosa Medical Center LLC’s median price of $136 is 55% below the median hospital's median price ($300), higher than 12% 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: 14 payers, 40 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 nab/first health facility · fee schedule · outpatient | $78.11 | $107.95 | $30.11 – $342.40 |
| 2 | Aetna aetna facility · fee schedule · outpatient | $81.51 | $112.64 | $31.42 – $357.29 |
| 3 | Aetna aetna asa facility · fee schedule · outpatient | $89.66 | $123.90 | $34.56 – $393.02 |
| 4 | Medicaid fl medicaid facility · fee schedule · outpatient | $69.84 | $167.91 | $62.83 – $859.58 |
| 5 | Humana humana medicaid fl facility · fee schedule · outpatient | $71.94 | $172.95 | $64.71 – $885.37 |
| 6 | WellCare wellcare medicaid fl facility · fee schedule · outpatient | $73.33 | $176.30 | $65.97 – $902.56 |
| 7 | Molina molina medicaid fl facility · other · outpatient | $78.92 | $189.74 | $71.00 – $971.33 |
| 8 | Tricare node tricare facility · fee schedule · outpatient | $103.71 | $198.20 | $86.34 – $1,638 |
| 9 | Humana node humana mcr ppo pffs facility · fee schedule · outpatient | $102.05 | $213.39 | $84.96 – $1,612 |
| 10 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $107.42 | $224.63 | $89.43 – $1,697 |
| 11 | Blue Cross Blue Shield node bcbs fl mcr adv facility · fee schedule · outpatient | $107.42 | $224.63 | $89.43 – $1,697 |
| 12 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $107.42 | $224.63 | $89.43 – $1,697 |
| 13 | Humana node humana mcr hmo pos facility · fee schedule · outpatient | $107.42 | $224.63 | $89.43 – $1,697 |
| 14 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $107.42 | $224.63 | $89.43 – $1,697 |
| 15 | Optum node united optum va ccn facility · per diem · outpatient | $109.17 | $228.30 | $90.88 – $1,725 |
| 16 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $112.79 | $235.86 | $93.90 – $1,782 |
| 17 | Bcbs Fl bcbs fl bsl facility · per diem · outpatient | $422.00 | $422.00 | $422.00 – $422.00 |
| 18 | Bcbs Fl bcbs fl mbn facility · per diem · outpatient | $422.00 | $422.00 | $422.00 – $422.00 |
| 19 | Bcbs Fl bcbs fl hmo facility · per diem · outpatient | $446.00 | $446.00 | $446.00 – $446.00 |
| 20 | Blue Cross Blue Shield bcbs fl sbn facility · per diem · outpatient | $446.00 | $446.00 | $446.00 – $446.00 |
| 21 | Bcbs Fl bcbs fl nwb facility · per diem · outpatient | $527.00 | $527.00 | $527.00 – $527.00 |
| 22 | Bcbs Fl bcbs fl ppo facility · per diem · outpatient | $527.00 | $527.00 | $527.00 – $527.00 |
| 23 | Ambetter sunshine state health plan commercial exchange facility · fee schedule · outpatient | $260.92 | $545.63 | $217.20 – $4,122 |
| 24 | Cigna cigna all facility · percent of total billed charges · inpatientfrom % of charges | $459.36 | $684.10 | $133.02 – $4,409 |
| 25 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $459.36 | $684.10 | $133.02 – $4,409 |
Last updated: Apr 1, 2026
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