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 C/CT LIM SKULL TO THIGH
Lompoc, CA
See all hospitals reporting RC 404 →Price type
Lompoc Valley Medical Center’s median price of $2.5k is 17% below the median hospital's median price ($3.0k), higher than 40% 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: 10 payers, 14 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 medicare fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 2 | Anthem medicare fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 3 | Blue Cross Blue Shield medicare fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 4 | Humana medicare fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 5 | Medicare medicare fee schedule · outpatient | $1.8k | $1.8k | — | — | 2–20 | $1.8k – $1.8k |
| 6 | UnitedHealthcare medicare fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 7 | Magellan commercial percent of total billed charges · outpatientfrom % of charges | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 8 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 10 | Anthem commercial fee schedule · outpatient | $3.6k | $3.7k | $453 | 12% | — | $3.1k – $4.3k |
| 11 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 12 | Blue Cross Blue Shield commercial fee schedule · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 13 | Medicaid medicaid fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 14 | Tricare medicare fee schedule · outpatient | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
Last updated: Mar 31, 2026
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