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 Breast Limited Left
Jackson, MS
See all hospitals reporting RC 402 →Price type
Jackson HMA LLC’s median price of $104 is 65% below the median hospital's median price ($300), higher than 3% 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: 12 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 uhc chip medicaid ms facility · case rate · outpatient | $81.04 | $82.55 | $67.09 – $184.20 |
| 2 | UnitedHealthcare uhc medicaid ms facility · case rate · outpatient | $81.04 | $82.55 | $67.09 – $184.20 |
| 3 | Caresource caresource truecare facility · case rate · outpatient | $82.66 | $84.20 | $68.43 – $187.88 |
| 4 | Molina molina chip facility · fee schedule · outpatient | $91.47 | $91.47 | $91.47 – $91.47 |
| 5 | Molina molina medicaid ms facility · fee schedule · outpatient | $91.47 | $91.47 | $91.47 – $91.47 |
| 6 | Tricare node tricare facility · fee schedule · outpatient | $89.67 | $174.78 | $74.64 – $1,417 |
| 7 | Molina molina medicaid ms facility · other · outpatient | $81.85 | $178.05 | $67.76 – $1,247 |
| 8 | Molina molina chip facility · other · outpatient | $87.52 | $190.39 | $72.46 – $1,333 |
| 9 | Humana node humana mcr adv facility · fee schedule · outpatient | $92.88 | $202.37 | $77.31 – $1,467 |
| 10 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $92.88 | $202.37 | $77.31 – $1,467 |
| 11 | Optum node united optum va ccn facility · fee schedule · outpatient | $94.39 | $205.67 | $78.57 – $1,491 |
| 12 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $94.74 | $206.42 | $78.86 – $1,497 |
| 13 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $94.74 | $206.42 | $78.86 – $1,497 |
| 14 | Molina node molina mcr adv facility · fee schedule · outpatient | $94.74 | $206.42 | $78.86 – $1,497 |
| 15 | Aetna node first choice aetna mcr adv facility · fee schedule · outpatient | $95.67 | $208.44 | $79.63 – $1,511 |
| 16 | WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient | $96.28 | $209.78 | $80.14 – $1,521 |
| 17 | Molina molina exchange facility · fee schedule · outpatient | $171.22 | $333.79 | $127.12 – $2,211 |
| 18 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $311.65 | $373.42 | $1.57 – $2,031 |
| 19 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges | $335.38 | $401.85 | $1.69 – $2,186 |
| 20 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $335.38 | $401.85 | $1.69 – $2,186 |
| 21 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $224.16 | $499.61 | $159.62 – $5,155 |
| 22 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $224.16 | $499.61 | $159.62 – $5,155 |
| 23 | Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient | $311.92 | $617.07 | $12.86 – $5,006 |
| 24 | UnitedHealthcare uhc chip medicaid ms facility · fee schedule · outpatient | $714.45 | $851.23 | $536.16 – $1,235 |
| 25 | UnitedHealthcare uhc medicaid ms facility · fee schedule · outpatient | $714.45 | $851.23 | $536.16 – $1,235 |
Last updated: Apr 1, 2026
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