RC 350
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 70481 CT POST FOSSA W CONTRAST
San Antonio, TX
See all hospitals reporting RC 350 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $239 is 65% below the median hospital's median price ($688), higher than 9% of the 1,920 hospitals reporting RC 350. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 12 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 | Aetna mm fee schedule · outpatient | $167.16 | $164.07 | $17.54 – $412.90 |
| 2 | Bcbs Tx mm fee schedule · outpatient | $167.16 | $166.14 | $82.68 – $335.34 |
| 3 | Humana gold choice mm fee schedule · outpatient | $167.16 | $166.14 | $82.68 – $335.34 |
| 4 | Humana gold plus mm fee schedule · outpatient | $167.16 | $166.14 | $82.68 – $335.34 |
| 5 | Molina medicare adv mm fee schedule · outpatient | $167.16 | $166.14 | $82.68 – $335.34 |
| 6 | UnitedHealthcare mm fee schedule · outpatient | $167.16 | $166.14 | $82.68 – $335.34 |
| 7 | WellCare mm fee schedule · outpatient | $167.16 | $166.14 | $82.68 – $335.34 |
| 8 | Devoted mm fee schedule · outpatient | $180.53 | $179.44 | $89.29 – $362.17 |
| 9 | UnitedHealthcare chip km fee schedule · outpatient | $216.01 | $196.66 | $62.12 – $252.74 |
| 10 | UnitedHealthcare star km fee schedule · outpatient | $216.01 | $196.66 | $62.12 – $252.74 |
| 11 | UnitedHealthcare star plus km fee schedule · outpatient | $216.01 | $196.66 | $62.12 – $252.74 |
| 12 | Aetna new business fee schedule · outpatient | $212.38 | $212.38 | $212.38 – $212.38 |
| 13 | Aetna chip km fee schedule · outpatient | $227.23 | $219.36 | $109.47 – $464.22 |
| 14 | Aetna star km fee schedule · outpatient | $227.23 | $219.36 | $109.47 – $464.22 |
| 15 | Bcbs Tx star chip km fee schedule · outpatient | $227.23 | $219.36 | $109.47 – $464.22 |
| 16 | Molina chip km fee schedule · outpatient | $227.23 | $219.36 | $109.47 – $464.22 |
| 17 | Molina star plus km fee schedule · outpatient | $227.23 | $219.36 | $109.47 – $464.22 |
| 18 | Aetna epo fee schedule · outpatient | $235.98 | $235.98 | $235.98 – $235.98 |
| 19 | Aetna hmo fee schedule · outpatient | $235.98 | $235.98 | $235.98 – $235.98 |
| 20 | Aetna pos fee schedule · outpatient | $235.98 | $235.98 | $235.98 – $235.98 |
| 21 | Aetna ppo fee schedule · outpatient | $235.98 | $235.98 | $235.98 – $235.98 |
| 22 | Aetna chip km percent of total billed charges · outpatientfrom % of charges | $227.04 | $251.17 | $99.66 – $567.38 |
| 23 | Aetna star km percent of total billed charges · outpatientfrom % of charges | $227.04 | $251.17 | $99.66 – $567.38 |
| 24 | Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges | $227.04 | $251.17 | $99.66 – $567.38 |
| 25 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $288.72 | $393.81 | $163.08 – $928.44 |
Last updated: Jan 13, 2026
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