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 w CT Scan Skull Base to Midthigh Scan
Jackson, MS
See all hospitals reporting RC 404 →Price type
Jackson HMA LLC’s median price of $1.3k is 57% below the median hospital's median price ($3.0k), higher than 6% 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: 12 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 | UnitedHealthcare uhc chip medicaid ms facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 2 | UnitedHealthcare uhc medicaid ms facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | Molina molina medicaid ms facility · other · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 4 | Caresource caresource truecare facility · case rate · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 5 | Molina molina chip facility · other · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 6 | Tricare node tricare facility · fee schedule · outpatient | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 7 | Humana node humana mcr adv facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 8 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 9 | Optum node united optum va ccn facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 10 | Cigna Healthspring node cigna healthspring mcr adv facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 11 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 12 | Molina node molina mcr adv facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | Aetna node first choice aetna mcr adv facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | WellCare node first choice wellcare mcr adv facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $2.0k | $2.2k | $2.0k | 90% | — | $257 – $4.7k |
| 16 | Molina molina exchange facility · fee schedule · outpatient | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · inpatientfrom % of charges | $2.1k | $2.4k | $2.2k | 90% | — | $276 – $5.1k |
| 18 | UnitedHealthcare uhc options ppo facility · percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.4k | $2.2k | 90% | — | $276 – $5.1k |
| 19 | UnitedHealthcare uhc apa facility · fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 20 | UnitedHealthcare uhc iex facility · fee schedule · outpatient | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 21 | Blue Cross Blue Shield bcbs ms fmp facility · other · outpatient | $3.7k | $3.7k | — | — | — | $3.7k – $3.7k |
| 22 | Aetna aetna pho facility · percent of total billed charges · outpatientfrom % of charges | $7.1k | $7.9k | $7.1k | 90% | — | $912 – $16.8k |
Last updated: Apr 1, 2026
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