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
HC US WITH AFI
Philadelphia, PA
See all hospitals reporting RC 402 →Price type
Pennsylvania Hospital of the University of Pennsylvania Health System’s median price of $231 is 23% below the median hospital's median price ($300), higher than 34% 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: 14 payers, 52 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 unitedhealthcare community (fka americhoice ma) facility · fee schedule · outpatient | $89.08 | $87.53 | $15.46 – $289.00 |
| 2 | Aetna aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $80.62 | $110.74 | $76.45 – $175.14 |
| 3 | Bcbs Nj horizon blue cross of nj- hmo pos and direct access facility · other · outpatient | $115.19 | $115.25 | $19.14 – $330.93 |
| 4 | Bcbs Nj horizon blue cross of nj-indemnity facility · other · outpatient | $115.19 | $115.25 | $19.14 – $330.93 |
| 5 | Bcbs Nj horizon blue cross of nj-ppo facility · other · outpatient | $115.19 | $115.25 | $19.14 – $330.93 |
| 6 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · fee schedule · outpatient | $106.58 | $115.98 | $37.36 – $436.34 |
| 7 | Medicare medicare facility · fee schedule · outpatient | $109.35 | $126.39 | $61.70 – $571.51 |
| 8 | Aetna aetna commercial hmo with capitation facility · percent of total billed charges · outpatientfrom % of charges | $127.88 | $127.88 | $80.62 – $175.14 |
| 9 | Cigna Healthspring cigna healthspring facility · fee schedule · outpatient | $112.63 | $130.18 | $63.55 – $588.66 |
| 10 | Aetna aetna medicare hmo facility · fee schedule · outpatient | $115.91 | $133.97 | $65.40 – $605.80 |
| 11 | UnitedHealthcare united healthcare medicare advantage facility · fee schedule · outpatient | $115.91 | $133.97 | $65.40 – $605.80 |
| 12 | Blue Cross Blue Shield ibc traditional facility · percent of total billed charges · outpatientfrom % of charges | $115.91 | $150.79 | $112.83 – $258.49 |
| 13 | Blue Cross Blue Shield keystone health plan east-ibc hmo facility · percent of total billed charges · outpatientfrom % of charges | $116.56 | $151.63 | $113.47 – $259.94 |
| 14 | Blue Cross Blue Shield personal choice-ibc ppo facility · percent of total billed charges · outpatientfrom % of charges | $116.56 | $151.63 | $113.47 – $259.94 |
| 15 | Cigna cigna new business facility · fee schedule · outpatient | $187.20 | $190.00 | $46.87 – $502.30 |
| 16 | Cigna cigna facility · fee schedule · outpatient | $192.82 | $195.70 | $48.28 – $517.36 |
| 17 | Aetna aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $145.00 | $199.17 | $137.50 – $315.00 |
| 18 | Bcbs Nj horizon blue cross of nj- hmo pos and direct access facility · percent of total billed charges · outpatientfrom % of charges | $143.51 | $213.95 | $74.25 – $485.46 |
| 19 | Blue Cross Blue Shield personal choice-ibc ppo facility · fee schedule · outpatient | $210.00 | $223.68 | $73.80 – $719.95 |
| 20 | UnitedHealthcare unitedhealthcare compass exchange facility · percent of total billed charges · outpatientfrom % of charges | $202.03 | $225.87 | $25.00 – $1,472 |
| 21 | Aetna aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $230.00 | $230.00 | $145.00 – $315.00 |
| 22 | Highmark highmark facility · other · outpatient | $229.95 | $269.19 | $30.50 – $1,202 |
| 23 | Aetna aetna commercial facility · fee schedule · outpatient | $277.79 | $306.47 | $103.79 – $864.95 |
| 24 | Cigna cigna facility · percent of total billed charges · outpatientfrom % of charges | $285.86 | $371.48 | $41.32 – $1,144 |
| 25 | Bcbs Nj horizon blue cross of nj-medicare hmo facility · other · outpatient | $109.35 | $376.79 | $61.70 – $3,379 |
Last updated: Mar 20, 2026
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