RC 402
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
PR US PELVIS, NON-OB
Jennings, LA
See all hospitals reporting RC 402 →Price type
Ochsner American Legion Hospital, LLC’s median price of $152 is 49% below the median hospital's median price ($300), higher than 16% of the 1,982 hospitals reporting RC 402. 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, 20 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 | Amerihealth Caritas all payor fee schedule · outpatient | $51.72 | $59.73 | $50.11 – $85.36 |
| 2 | Cigna all payor fee schedule · outpatient | $66.81 | $74.72 | $21.00 – $277.80 |
| 3 | Tricare all payor fee schedule · outpatient | $82.72 | $84.25 | $30.90 – $466.77 |
| 4 | Humana all payor fee schedule · outpatient | $96.65 | $90.67 | $44.77 – $144.98 |
| 5 | Optum all payor fee schedule · outpatient | $96.65 | $94.66 | $44.77 – $144.98 |
| 6 | WellCare all payor fee schedule · outpatient | $96.65 | $94.66 | $44.77 – $144.98 |
| 7 | Tricare all payor other · outpatient | $96.65 | $100.48 | $80.03 – $144.98 |
| 8 | UnitedHealthcare all payor fee schedule · outpatient | $104.70 | $114.36 | $36.96 – $261.53 |
| 9 | Cigna all payor other · outpatient | $117.43 | $120.91 | $38.50 – $245.30 |
| 10 | Aetna all payor fee schedule · outpatient | $108.68 | $123.01 | $37.88 – $303.07 |
| 11 | Aetna Better Health all payor other · outpatient | $116.71 | $125.47 | $33.08 – $236.25 |
| 12 | Bcbs La all payor fee schedule · outpatient | $135.41 | $154.96 | $0.02 – $477.31 |
| 13 | Aetna all payor other · outpatient | $172.90 | $203.85 | $49.00 – $350.00 |
| 14 | Bcbs La all payor other · outpatient | $198.35 | $210.70 | $152.00 – $294.11 |
| 15 | Optum all payor other · outpatient | $198.35 | $210.70 | $152.00 – $294.11 |
| 16 | WellCare all payor other · outpatient | $198.35 | $210.70 | $152.00 – $294.11 |
| 17 | Humana all payor other · outpatient | $240.33 | $224.69 | $33.08 – $352.32 |
| 18 | UnitedHealthcare all payor other · outpatient | $240.33 | $224.69 | $33.08 – $352.32 |
| 19 | Amerihealth Caritas all payor other · outpatient | $264.61 | $234.11 | $33.08 – $352.32 |
| 20 | Aetna Better Health all payor fee schedule · outpatient | $264.61 | $274.21 | $50.11 – $352.32 |
Last updated: Apr 1, 2026
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