RC 402

Ultrasound imaging service at Monmouth Medical Center Southern Campus

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC US Retroperitioneal Cmpl

Lakewood, NJ

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Pricing by billing methodology

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How this price compares nationally

Monmouth Medical Center Southern Campus’s median price of $177 is 41% below the median hospital's median price ($300), higher than 23% of the 1,982 hospitals reporting RC 402. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 402 at Monmouth Medical Center Southern Campus

Negotiated rates from the hospital’s own file: 8 payers, 31 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	Bcbs Nj nj health fee schedule · outpatient	$106.27	$120.82	$47.56 – $334.56
2	Aetna medicare fee schedule · outpatient	$116.22	$131.53	$96.23 – $340.32
3	Bcbs Nj medicare advantage fee schedule · outpatient	$116.22	$131.53	$96.23 – $340.32
4	Clover medicare advantage fee schedule · outpatient	$116.22	$131.53	$96.23 – $340.32
5	Humana medicare fee schedule · outpatient	$116.22	$131.53	$96.23 – $340.32
6	UnitedHealthcare medicare fee schedule · outpatient	$118.54	$134.15	$98.15 – $347.13
7	UnitedHealthcare community plan percent of total billed charges · outpatientfrom % of charges	$167.98	$162.96	$63.79 – $325.23
8	Aetna better health percent of total billed charges · outpatientfrom % of charges	$183.97	$178.47	$69.86 – $356.19
9	Aetna hmo fee schedule · outpatient	$190.92	$185.65	$54.56 – $434.66
10	Aetna ppo fee schedule · outpatient	$190.92	$185.65	$54.56 – $434.66
11	Bcbs Nj managed fee schedule · outpatient	$200.21	$201.22	$44.24 – $481.14
12	Bcbs Nj non-managed fee schedule · outpatient	$200.21	$201.22	$44.24 – $481.14
13	Bcbs Nj omnia fee schedule · outpatient	$200.21	$201.22	$44.24 – $481.14
14	Bcbs Nj state benefit plan fee schedule · outpatient	$200.21	$201.22	$44.24 – $481.14
15	WellCare ambetter health commercial fee schedule · outpatient	$231.28	$261.74	$191.50 – $677.24
16	Cigna hmo fee schedule · outpatient	$409.49	$420.26	$137.00 – $881.94
17	Cigna local plus fee schedule · outpatient	$409.49	$420.26	$137.00 – $881.94
18	Cigna ppo fee schedule · outpatient	$409.49	$420.26	$137.00 – $881.94
19	UnitedHealthcare nexus fee schedule · outpatient	$143.22	$468.46	$33.45 – $16,751
20	UnitedHealthcare oxford metro fee schedule · outpatient	$143.22	$468.46	$33.45 – $16,751
21	First Health commercial percent of total billed charges · outpatientfrom % of charges	$545.10	$528.82	$207.00 – $1,055
22	UnitedHealthcare commercial fee schedule · outpatient	$177.09	$555.49	$36.32 – $19,751
23	UnitedHealthcare oxford commercial fee schedule · outpatient	$177.09	$555.49	$36.32 – $19,751
24	Bcbs Nj omnia percent of total billed charges · outpatientfrom % of charges	$641.37	$641.37	$581.03 – $701.71
25	Bcbs Nj state benefit plan percent of total billed charges · outpatientfrom % of charges	$735.79	$735.79	$666.57 – $805.01

Page 1 of 2 · 31 rates

Last updated: Mar 3, 2026

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