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
HC PET CT F-18 AMYLOID BRAIN
Lancaster, PA
See all hospitals reporting RC 404 →Price type
Lancaster General Health’s median price of $2.5k is 17% below the median hospital's median price ($3.0k), higher than 41% of the 1,508 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: 13 payers, 38 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 | Blue Cross Blue Shield independence blue cross commercial facility · percent of total billed charges · outpatientfrom % of charges | $998 | $998 | — | — | — | $998 – $998 |
| 2 | UnitedHealthcare united healthcare medicaid mco facility · case rate · outpatient | $1.3k | $1.2k | $300 | 26% | — | $611 – $1.3k |
| 3 | Medicaid medicaid facility · fee schedule · outpatient | $1.2k | $1.2k | $140 | 12% | — | $613 – $1.2k |
| 4 | Aetna aetna medicare advantage facility · other · outpatient | $1.5k | $1.2k | $348 | 28% | — | $721 – $1.5k |
| 5 | Blue Cross Blue Shield independence blue cross medicare advantage facility · other · outpatient | $1.5k | $1.2k | $352 | 28% | — | $727 – $1.5k |
| 6 | Tricare tricare facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 7 | Devoted devoted health medicare advantage facility · other · outpatient | $1.5k | $1.4k | $142 | 10% | — | $1.2k – $1.5k |
| 8 | Highmark highmark medicare advantage facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 9 | Medicare medicare facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | UnitedHealthcare united healthcare med adv facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | Blue Cross Blue Shield cbc medicare advantage facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | Amerihealth Caritas amerihealth caritas med adv facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 13 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 14 | Cigna cigna facility · fee schedule · outpatient | $2.0k | $1.9k | $189 | 10% | — | $1.2k – $2.0k |
| 15 | Cigna cigna new business facility · fee schedule · outpatient | $2.2k | $2.1k | $213 | 10% | — | $1.3k – $2.2k |
| 16 | Oscar oscar health plan facility · other · outpatient | $2.8k | $2.4k | $624 | 26% | — | $1.5k – $2.8k |
| 17 | Blue Cross Blue Shield independence blue cross commercial facility · fee schedule · outpatient | $2.5k | $2.5k | $106 | 4% | — | $2.0k – $2.5k |
| 18 | Cigna cigna new business facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 19 | Highmark highmark chip facility · other · outpatient | $1.8k | $2.5k | $1.1k | 45% | — | $1.4k – $3.8k |
| 20 | Blue Cross Blue Shield cbc commercial facility · other · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 21 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 22 | Highmark highmark aca facility · other · outpatient | $2.2k | $3.0k | $1.4k | 45% | — | $1.7k – $4.5k |
| 23 | Highmark highmark commercial preferred facility · other · outpatient | $2.5k | $3.5k | $1.6k | 45% | — | $2.0k – $5.2k |
| 24 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $2.5k | $3.5k | $1.6k | 45% | — | $2.0k – $5.3k |
| 25 | Cigna cigna facility · percent of total billed charges · inpatientfrom % of charges | $2.8k | $3.9k | $1.8k | 45% | — | $2.2k – $5.9k |
Last updated: Mar 31, 2026
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