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 TRUNK
Phoenix, AZ
See all hospitals reporting RC 404 →Price type
Mayo Clinic Arizona’s median price of $5.1k is 69% above the median hospital's median price ($3.0k), higher than 84% 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: 17 payers, 49 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 | Optum az veteran affairs optum [1051] facility · other · both | $1.5k | $1.5k | $54 | 4% | — | $1.4k – $1.5k |
| 2 | Humana az tx humana medicare advantage plan [1010] facility · other · both | $1.8k | $1.7k | $62 | 4% | — | $1.6k – $1.8k |
| 3 | Medica az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges | $4.1k | $4.0k | $504 | 13% | 1–10 | $3.1k – $4.6k |
| 4 | Optum az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges | $4.1k | $4.0k | $504 | 13% | — | $3.1k – $4.6k |
| 5 | UnitedHealthcare az uhc gap exception [1376] facility · percent of total billed charges · bothfrom % of charges | $4.1k | $4.0k | $504 | 13% | — | $3.1k – $4.6k |
| 6 | UnitedHealthcare az uhc optum [72] facility · percent of total billed charges · bothfrom % of charges | $4.1k | $4.0k | $504 | 13% | 19–55 | $3.1k – $4.6k |
| 7 | Cigna az cigna [39] facility · percent of total billed charges · bothfrom % of charges | $4.2k | $4.1k | $514 | 13% | 46–64 | $3.2k – $4.7k |
| 8 | Cigna az cigna gap exception [1383] facility · percent of total billed charges · bothfrom % of charges | $4.2k | $4.1k | $514 | 13% | — | $3.2k – $4.7k |
| 9 | Healthpartners az cigna [39] facility · percent of total billed charges · bothfrom % of charges | $4.2k | $4.1k | $514 | 13% | — | $3.2k – $4.7k |
| 10 | Humana az cigna [39] facility · percent of total billed charges · bothfrom % of charges | $4.2k | $4.1k | $514 | 13% | — | $3.2k – $4.7k |
| 11 | Medcost az cigna [39] facility · percent of total billed charges · bothfrom % of charges | $4.2k | $4.1k | $514 | 13% | — | $3.2k – $4.7k |
| 12 | Medical Mutual az cigna [39] facility · percent of total billed charges · bothfrom % of charges | $4.2k | $4.1k | $514 | 13% | — | $3.2k – $4.7k |
| 13 | Oscar az cigna [39] facility · percent of total billed charges · bothfrom % of charges | $4.2k | $4.1k | $514 | 13% | 1–10 | $3.2k – $4.7k |
| 14 | Aetna az aetna [26] facility · percent of total billed charges · bothfrom % of charges | $4.6k | $4.4k | $559 | 13% | 3–30 | $3.4k – $5.1k |
| 15 | Anthem az bcbs [124] facility · percent of total billed charges · bothfrom % of charges | $4.6k | $4.4k | $559 | 13% | — | $3.4k – $5.1k |
| 16 | Blue Cross Blue Shield az bcbs [124] facility · percent of total billed charges · bothfrom % of charges | $4.6k | $4.4k | $559 | 13% | 55–64 | $3.4k – $5.1k |
| 17 | Blue Cross Blue Shield az federal retiree [1020] facility · percent of total billed charges · bothfrom % of charges | $4.6k | $4.4k | $559 | 13% | — | $3.4k – $5.1k |
| 18 | Blue Cross Blue Shield az tx bcbs [875] facility · percent of total billed charges · bothfrom % of charges | $4.6k | $4.4k | $559 | 13% | 1–10 | $3.4k – $5.1k |
| 19 | Cigna az tx cigna [838] facility · percent of total billed charges · bothfrom % of charges | $4.6k | $4.4k | $559 | 13% | 3–30 | $3.4k – $5.1k |
| 20 | Healthpartners az cc complex care [768] facility · percent of total billed charges · bothfrom % of charges | $4.6k | $4.4k | $559 | 13% | — | $3.4k – $5.1k |
| 21 | Kaiser az fl transplant [694] facility · percent of total billed charges · bothfrom % of charges | $4.6k | $4.4k | $559 | 13% | — | $3.4k – $5.1k |
| 22 | Medical Mutual az aetna [26] facility · percent of total billed charges · bothfrom % of charges | $4.6k | $4.4k | $559 | 13% | — | $3.4k – $5.1k |
| 23 | Blue Cross Blue Shield az cc complex care [768] facility · percent of total billed charges · bothfrom % of charges | $4.9k | $4.7k | $464 | 10% | — | $4.0k – $5.1k |
| 24 | Aetna az geha aetna federal retiree [1021] facility · percent of total billed charges · bothfrom % of charges | $4.9k | $4.7k | $596 | 13% | — | $3.7k – $5.4k |
| 25 | Humana az by plan [32] facility · percent of total billed charges · bothfrom % of charges | $4.9k | $4.7k | $596 | 13% | — | $3.7k – $5.4k |
Last updated: Aug 14, 2026
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