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
HC US Breast Unilateral Limited Lt
Stafford Springs, CT
See all hospitals reporting RC 402 →Price type
Johnson Memorial Hospital’s median price of $259 is 14% below the median hospital's median price ($300), higher than 42% 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: 16 payers, 58 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 aetna medicare advantage facility · other · outpatient | $102.24 | $99.15 | $69.31 – $122.82 |
| 2 | Anthem anthem mediblue medicare advantage facility · other · outpatient | $102.24 | $99.15 | $69.31 – $122.82 |
| 3 | UnitedHealthcare united healthcare medicare advantage facility · other · outpatient | $102.24 | $99.15 | $69.31 – $122.82 |
| 4 | WellCare wellcare medicare advantage facility · other · outpatient | $104.33 | $101.18 | $70.72 – $125.33 |
| 5 | Cigna cigna medicare advantage facility · other · outpatient | $105.31 | $102.13 | $71.39 – $126.51 |
| 6 | UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges | $103.00 | $103.00 | $103.00 – $103.00 |
| 7 | Aetna aetna medicare advantage facility · other · both | $122.82 | $124.28 | $69.31 – $280.32 |
| 8 | UnitedHealthcare united healthcare medicare advantage facility · other · both | $122.82 | $124.28 | $69.31 – $280.32 |
| 9 | Anthem anthem mediblue medicare advantage facility · other · both | $122.82 | $124.45 | $69.31 – $280.32 |
| 10 | WellCare wellcare medicare advantage facility · other · both | $125.33 | $126.82 | $70.72 – $286.04 |
| 11 | Cigna cigna medicare advantage facility · other · both | $126.51 | $128.01 | $71.39 – $288.73 |
| 12 | Aetna aetna whole health facility · percent of total billed charges · bothfrom % of charges | $128.54 | $128.54 | $128.54 – $128.54 |
| 13 | Aetna aetna whole health facility · fee schedule · both | $140.40 | $135.32 | $29.80 – $246.75 |
| 14 | Aetna aetna whole health facility · fee schedule · outpatient | $140.40 | $140.40 | $140.40 – $140.40 |
| 15 | Anthem anthem individual pathway hmo ppo facility · percent of total billed charges · bothfrom % of charges | $159.65 | $159.65 | $159.65 – $159.65 |
| 16 | Aetna aetna facility · percent of total billed charges · bothfrom % of charges | $160.68 | $160.68 | $160.68 – $160.68 |
| 17 | Aetna aetna facility · fee schedule · both | $175.78 | $169.42 | $37.31 – $308.93 |
| 18 | Aetna aetna facility · fee schedule · outpatient | $175.78 | $175.78 | $175.78 – $175.78 |
| 19 | Anthem anthem bluecare prime facility · percent of total billed charges · bothfrom % of charges | $185.40 | $185.40 | $185.40 – $185.40 |
| 20 | UnitedHealthcare united healthcare facility · fee schedule · both | $179.33 | $203.00 | $127.70 – $372.86 |
| 21 | Anthem anthem facility · percent of total billed charges · bothfrom % of charges | $206.00 | $206.00 | $206.00 – $206.00 |
| 22 | Blue Cross Blue Shield anthem facility · percent of total billed charges · bothfrom % of charges | $206.00 | $206.00 | $206.00 – $206.00 |
| 23 | Carefirst anthem facility · percent of total billed charges · bothfrom % of charges | $206.00 | $206.00 | $206.00 – $206.00 |
| 24 | Excellus anthem facility · percent of total billed charges · bothfrom % of charges | $206.00 | $206.00 | $206.00 – $206.00 |
| 25 | Highmark anthem facility · percent of total billed charges · bothfrom % of charges | $206.00 | $206.00 | $206.00 – $206.00 |
Last updated: Mar 31, 2026
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