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
OPHTHALMIC ULTRASOUND DX QUAN A-SCAN ONLY
North Bergen, 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, 18 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 medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $128.52 | $131.57 | $36.11 – $318.85 |
| 2 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $141.08 | $152.02 | $30.27 – $431.43 |
| 3 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $125.23 | $155.06 | $103.69 – $645.71 |
| 4 | WellCare managed medicaid facility · fee schedule · outpatient | $125.23 | $155.06 | $103.69 – $645.71 |
| 5 | WellCare medicare advantage facility · fee schedule · outpatient | $125.23 | $155.06 | $103.69 – $645.71 |
| 6 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $148.50 | $160.02 | $31.86 – $454.14 |
| 7 | Aetna medicare advantage facility · fee schedule · outpatient | $136.50 | $169.02 | $113.03 – $703.82 |
| 8 | Aetna hmo facility · fee schedule · outpatient | $164.18 | $174.85 | $30.08 – $521.95 |
| 9 | Aetna ppo facility · fee schedule · outpatient | $164.18 | $174.85 | $30.08 – $521.95 |
| 10 | Cigna hmo facility · fee schedule · outpatient | $237.93 | $245.78 | $50.43 – $706.78 |
| 11 | Cigna ppo facility · fee schedule · outpatient | $237.93 | $245.78 | $50.43 – $706.78 |
| 12 | UnitedHealthcare hmo facility · percent of total billed charges · outpatientfrom % of charges | $326.34 | $334.07 | $91.69 – $809.63 |
| 13 | UnitedHealthcare hmo facility · fee schedule · outpatient | $295.04 | $349.84 | $219.04 – $1,307 |
| 14 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $436.94 | $423.20 | $243.03 – $610.71 |
| 15 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $436.94 | $423.20 | $243.03 – $610.71 |
| 16 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $788.95 | $711.81 | $538.40 – $808.07 |
| 17 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $788.95 | $711.81 | $538.40 – $808.07 |
| 18 | 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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