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 Scan; skull or thigh
Olivia, MN
See all hospitals reporting RC 404 →Price type
Olivia Hospital’s median price of $1.8k is 41% below the median hospital's median price ($3.0k), higher than 21% 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: 6 payers, 13 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 | Blue Cross Blue Shield bcbs pmap [95296] facility · percent of total billed charges · bothfrom % of charges | $718 | $718 | — | — | — | $718 – $718 |
| 2 | Blue Cross Blue Shield bcbs medicare advantage [50299] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | $2 | 0% | — | $1.4k – $1.4k |
| 3 | UnitedHealthcare uhc medicare advantage ppo [50275] facility · percent of total billed charges · bothfrom % of charges | $1.4k | $1.4k | $2 | 0% | — | $1.4k – $1.4k |
| 4 | Medica medica government advantage [50316] facility · percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | $2 | 0% | — | $1.5k – $1.5k |
| 5 | Ucare ucare pmap [50283] facility · percent of total billed charges · bothfrom % of charges | $1.5k | $1.5k | $2 | 0% | — | $1.5k – $1.5k |
| 6 | Medica medica choice care pmap [50314] facility · percent of total billed charges · bothfrom % of charges | $1.7k | $1.7k | $2 | 0% | — | $1.7k – $1.7k |
| 7 | Healthpartners hp self insured [91021] facility · percent of total billed charges · bothfrom % of charges | $3.6k | $3.6k | $5 | 0% | — | $3.6k – $3.6k |
| 8 | Medica medica choice [90156] facility · percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | $5 | 0% | — | $3.9k – $4.0k |
| 9 | Blue Cross Blue Shield bcbs mn [90043] facility · percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 10 | First Health first health network [95334] facility · percent of total billed charges · bothfrom % of charges | $4.0k | $4.0k | $5 | 0% | — | $4.0k – $4.0k |
| 11 | UnitedHealthcare uhc [50131] facility · percent of total billed charges · bothfrom % of charges | $4.1k | $4.1k | $5 | 0% | — | $4.1k – $4.1k |
| 12 | Blue Cross Blue Shield bcbs mn [90043] facility · fee schedule · both | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 13 | Blue Cross Blue Shield bcbs pmap [95296] facility · fee schedule · both | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
Last updated: Mar 31, 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.