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-CT SKULL-TH INI
Naples, FL
See all hospitals reporting RC 404 →Price type
Naples HMA LLC’s median price of $1.5k is 51% below the median hospital's median price ($3.0k), higher than 14% 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, 26 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 | UnitedHealthcare uhc medicaid fl facility · fee schedule · outpatient | $905 | $905 | — | — | — | $905 – $905 |
| 2 | Humana humana medicaid fl facility · fee schedule · outpatient | $932 | $932 | — | — | — | $932 – $932 |
| 3 | WellCare wellcare medicaid fl facility · fee schedule · outpatient | $950 | $950 | — | — | — | $950 – $950 |
| 4 | Magellan magellan medicaid fl facility · fee schedule · outpatient | $973 | $973 | — | — | — | $973 – $973 |
| 5 | Tricare node tricare facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 6 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 7 | Blue Cross Blue Shield node bcbs fl mcr adv facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | Humana node humana mcr adv facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 10 | Optum node united optum va ccn facility · per diem · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 11 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 12 | Aetna aetna intl passport facility · percent of total billed charges · inpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 13 | Aetna aetna intl passport facility · percent of total billed charges · outpatientfrom % of charges | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 14 | UnitedHealthcare uhc nhp facility · per diem · outpatient | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 15 | UnitedHealthcare uhc apa facility · per diem · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 16 | Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 17 | Aetna aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 18 | Ambetter sunshine state health plan commercial exchange facility · fee schedule · outpatient | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 19 | Blue Cross Blue Shield bcbs fl mbn facility · per diem · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 20 | Blue Cross Blue Shield bcbs fl sbn facility · per diem · outpatient | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 21 | Blue Cross Blue Shield bcbs fl hmo facility · per diem · outpatient | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 22 | Blue Cross Blue Shield bcbs fl bsl facility · per diem · outpatient | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 23 | Blue Cross Blue Shield bcbs fl nwb facility · per diem · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 24 | Blue Cross Blue Shield bcbs fl phs facility · per diem · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 25 | Blue Cross Blue Shield bcbs fl ppo facility · per diem · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
Last updated: Apr 1, 2026
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