RC 352
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
HC CTA, LOW EXTREM, W/ CONTRAST, INCL NONCONTRAST IMAGES, AND IMG POSTPROC
Manitowoc, WI
See all hospitals reporting RC 352 →Price type
Holy Family Memorial Inc’s median price of $1.2k is 60% above the median hospital's median price ($733), higher than 67% of the 1,770 hospitals reporting RC 352. 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, 28 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 managed medicaid other · inpatient | $88.28 | $90.79 | $44.04 – $154.34 |
| 2 | UnitedHealthcare managed medicaid other · outpatient | $88.28 | $90.79 | $44.04 – $154.34 |
| 3 | Anthem managed medicaid other · inpatient | $129.50 | $114.34 | $44.04 – $154.34 |
| 4 | Anthem managed medicaid other · outpatient | $129.50 | $114.34 | $44.04 – $154.34 |
| 5 | Anthem medicare advantage other · inpatient | $135.15 | $164.85 | $100.48 – $351.49 |
| 6 | Humana medicare advantage other · inpatient | $137.68 | $169.76 | $71.32 – $339.67 |
| 7 | UnitedHealthcare medicare advantage other · inpatient | $137.68 | $175.21 | $100.48 – $339.67 |
| 8 | Anthem medicare advantage fee schedule · outpatient | $169.31 | $182.69 | $83.74 – $339.67 |
| 9 | Humana medicare advantage fee schedule · outpatient | $169.31 | $182.69 | $83.74 – $339.67 |
| 10 | Molina medicare advantage fee schedule · outpatient | $169.31 | $182.69 | $83.74 – $339.67 |
| 11 | UnitedHealthcare medicare advantage fee schedule · outpatient | $169.31 | $182.69 | $83.74 – $339.67 |
| 12 | Molina marketplace plans fee schedule · outpatient | $182.86 | $197.31 | $90.44 – $366.84 |
| 13 | UnitedHealthcare manitowoc schools fee schedule · outpatient | $1,045 | $1,045 | $1,045 – $1,045 |
| 14 | UnitedHealthcare nexus other · inpatient | $1,093 | $1,093 | $1,074 – $1,112 |
| 15 | UnitedHealthcare nexus fee schedule · outpatient | $1,112 | $1,112 | $1,112 – $1,112 |
| 16 | UnitedHealthcare ppo other · inpatient | $869.01 | $1,122 | $500.00 – $1,743 |
| 17 | UnitedHealthcare apa other · inpatient | $1,250 | $1,197 | $653.00 – $1,785 |
| 18 | Anthem hmo/ppo other · inpatient | $1,383 | $1,209 | $500.00 – $1,503 |
| 19 | UnitedHealthcare manitowoc schools other · inpatient | $1,250 | $1,250 | $808.25 – $1,692 |
| 20 | UnitedHealthcare apa fee schedule · outpatient | $1,306 | $1,306 | $1,306 – $1,306 |
| 21 | Anthem hmo/ppo fee schedule · outpatient | $1,470 | $1,470 | $1,470 – $1,470 |
| 22 | UnitedHealthcare ppo fee schedule · outpatient | $1,565 | $1,565 | $1,565 – $1,565 |
| 23 | Cigna all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $1,632 | $1,814 | $71.28 – $3,708 |
| 24 | Cigna all contracted commercial plans percent of total billed charges · outpatientfrom % of charges | $1,632 | $1,814 | $71.28 – $3,708 |
| 25 | MultiPlan all contracted commercial plans percent of total billed charges · inpatientfrom % of charges | $1,813 | $2,015 | $79.20 – $4,120 |
Last updated: Dec 31, 2025
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