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 IMAGE W/CT SKULL-THIGH
TAVERNIER, FL
See all hospitals reporting RC 404 →Price type
Mariners Hospital’s median price of $5.9k is 95% above the median hospital's median price ($3.0k), higher than 90% 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, 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Medicaid simplyhlth md hmo nc fee schedule · both | $858 | $858 | — | — | — | $858 – $858 |
| 2 | UnitedHealthcare united healthy kids fee schedule · both | $858 | $858 | — | — | — | $858 – $858 |
| 3 | UnitedHealthcare united md hmo fee schedule · both | $858 | $858 | — | — | — | $858 – $858 |
| 4 | WellCare well care md hmonc fee schedule · both | $900 | $900 | — | — | — | $900 – $900 |
| 5 | Aetna aetna better health healthy kids fee schedule · both | $926 | $926 | — | — | — | $926 – $926 |
| 6 | Aetna aetna better health medicaid fee schedule · both | $926 | $926 | — | — | — | $926 – $926 |
| 7 | Medicaid prestige md hmo nc fee schedule · both | $943 | $943 | — | — | — | $943 – $943 |
| 8 | Blue Cross Blue Shield my blue ex percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | Blue Cross Blue Shield bcbs medicare ppo percent of total billed charges · bothfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 10 | Medica medica mcr hmo percent of total billed charges · bothfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 11 | Medicare simplyhlth mc hmo nc percent of total billed charges · bothfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 12 | UnitedHealthcare united hlth mc hmo percent of total billed charges · bothfrom % of charges | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 13 | Humana careplus mc hmo percent of total billed charges · bothfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 14 | Humana humana medicare percent of total billed charges · bothfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 15 | Aetna aetna medicare percent of total billed charges · bothfrom % of charges | $2.0k | $2.0k | — | — | — | $2.0k – $2.0k |
| 16 | Cigna cigna medicare advantage percent of total billed charges · bothfrom % of charges | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 17 | Medicare devoted health mc hmo percent of total billed charges · bothfrom % of charges | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 18 | Blue Cross Blue Shield bcbs fl simplyblue hmo percent of total billed charges · bothfrom % of charges | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 19 | Aetna aetna hmo exchange percent of total billed charges · bothfrom % of charges | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 20 | Cigna cigna connect network exchange percent of total billed charges · bothfrom % of charges | $6.1k | $6.1k | — | — | — | $6.1k – $6.1k |
| 21 | Blue Cross Blue Shield bcbs ppc cah percent of total billed charges · bothfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 22 | Blue Cross Blue Shield blue care hmo percent of total billed charges · bothfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 23 | Blue Cross Blue Shield blue select percent of total billed charges · bothfrom % of charges | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 24 | Aetna aetna catastrophic percent of total billed charges · bothfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 25 | Aetna aetna hmo percent of total billed charges · bothfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
Last updated: Mar 30, 2026
See PET scan imaging pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.