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 PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U
Brick, NJ
See all hospitals reporting RC 402 →Price type
Hmh Hospitals Corporation’s median price of $295 is 2% below the median hospital's median price ($300), higher than 49% 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: 7 payers, 22 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 managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $117.15 | $126.24 | $25.13 – $358.27 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $128.52 | $131.57 | $36.11 – $318.85 |
| 3 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $121.49 | $132.52 | $19.24 – $471.71 |
| 4 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $116.22 | $143.90 | $96.23 – $599.23 |
| 5 | WellCare managed medicaid facility · fee schedule · outpatient | $116.22 | $143.90 | $96.23 – $599.23 |
| 6 | WellCare medicare advantage facility · fee schedule · outpatient | $116.22 | $143.90 | $96.23 – $599.23 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $126.68 | $156.86 | $104.89 – $653.16 |
| 8 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $148.50 | $160.02 | $31.86 – $454.14 |
| 9 | UnitedHealthcare dsnp facility · fee schedule · outpatient | $139.46 | $172.68 | $115.47 – $719.07 |
| 10 | Aetna hmo facility · fee schedule · outpatient | $173.50 | $184.76 | $31.78 – $551.57 |
| 11 | Aetna ppo facility · fee schedule · outpatient | $173.50 | $184.76 | $31.78 – $551.57 |
| 12 | Cigna hmo facility · fee schedule · outpatient | $237.93 | $245.78 | $50.43 – $706.78 |
| 13 | Cigna ppo facility · fee schedule · outpatient | $237.93 | $245.78 | $50.43 – $706.78 |
| 14 | UnitedHealthcare hmo facility · fee schedule · outpatient | $295.04 | $349.84 | $219.04 – $1,307 |
| 15 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $434.20 | $444.48 | $121.99 – $1,077 |
| 16 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $491.82 | $491.82 | $485.93 – $497.71 |
| 17 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $624.60 | $604.95 | $347.40 – $873.00 |
| 18 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $624.60 | $604.95 | $347.40 – $873.00 |
| 19 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $645.98 | $696.09 | $138.59 – $1,976 |
| 20 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $788.95 | $711.81 | $538.40 – $808.07 |
| 21 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $788.95 | $711.81 | $538.40 – $808.07 |
| 22 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $701.25 | $755.65 | $150.45 – $2,145 |
Last updated: Dec 31, 2025
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