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 IMAGE W/CT SKULL-THIGH
Hialeah, FL
See all hospitals reporting RC 404 →Price type
Hsa Pgh Llc’s median price of $1.6k is 48% below the median hospital's median price ($3.0k), higher than 17% of the 1,496 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: 15 payers, 37 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 | Oscar oscar health plan hix facility · percent of total billed charges · outpatientfrom % of charges | $366 | $366 | — | — | — | $366 – $366 |
| 2 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 3 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 4 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 5 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | Molina molina managed medicaid facility · other · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 7 | UnitedHealthcare united healthcare of florida all payer facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | UnitedHealthcare united healthcare of florida exchange facility · other · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | UnitedHealthcare united healthcare of florida hmo facility · other · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | UnitedHealthcare united healthcare of florida ppo facility · other · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | Humana humana medicare hmo facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 12 | Humana humana medicare ppo facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 13 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 14 | Medicare medicare facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 15 | WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 17 | Devoted devoted health facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 18 | UnitedHealthcare united healthcare of florida medicare advantage facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 19 | Molina molina medicare advantage program facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 20 | Cigna cigna healthsprings facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 21 | Aetna aetna non-gatekeeper facility · per diem · outpatient | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 22 | Cigna cigna behavioral health facility · percent of total billed charges · inpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 23 | Cigna cigna behavioral health facility · percent of total billed charges · outpatientfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 24 | Molina molina marketplace program exchange facility · fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 25 | Aetna aetna signature administrators (asa) facility · percent of total billed charges · inpatientfrom % of charges | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
Last updated: Sep 1, 2026
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