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
Other Imaging Services Positron Emission Tomography
PULASKI, VA
See all hospitals reporting RC 404 →Price type
Lewisgale Hospital Pulaski’s median price of $1.8k is 41% below the median hospital's median price ($3.0k), higher than 21% 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: 3 payers, 7 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 | Cigna hmo percent of total billed charges · outpatientfrom % of charges | $1.3k | $2.1k | $2.2k | 106% | 213–852 | $30 – $13.4k |
| 2 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $1.3k | $2.1k | $2.2k | 106% | 213–852 | $30 – $13.4k |
| 3 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $3.3k | $3.4k | $1.1k | 33% | — | $849 – $6.2k |
| 4 | Anthem hix other · outpatient | $5.9k | $5.9k | — | — | — | $5.9k – $5.9k |
| 5 | Anthem hmo other · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 6 | Anthem ppo other · outpatient | $6.5k | $6.5k | — | — | — | $6.5k – $6.5k |
| 7 | UnitedHealthcare allpayerappendix percent of total billed charges · outpatientfrom % of charges | $10.8k | $10.8k | — | — | 1–10 | $10.8k – $10.8k |
Last updated: Mar 7, 2026
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