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 EXTREMITY OR AXILLA, TISSUE/MUSCLE/JOINT/NERVE, LTD
Breaux Bridge, LA
See all hospitals reporting RC 402 →Price type
St Martin Hospital Inc’s median price of $166 is 45% below the median hospital's median price ($300), higher than 19% 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, 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.
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| # | ||||
|---|---|---|---|---|
| 1 | Aetna all payor other · outpatient | $129.58 | $132.82 | $27.50 – $335.06 |
| 2 | Bcbs La all payor other · outpatient | $129.58 | $132.82 | $27.50 – $335.06 |
| 3 | Optum all payor other · outpatient | $129.58 | $132.82 | $27.50 – $335.06 |
| 4 | WellCare all payor other · outpatient | $129.58 | $132.82 | $27.50 – $335.06 |
| 5 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $150.27 | $154.02 | $31.89 – $388.56 |
| 6 | Bcbs La all payor fee schedule · outpatient | $178.17 | $162.62 | $23.61 – $282.53 |
| 7 | Humana all payor other · outpatient | $154.12 | $175.83 | $27.50 – $552.09 |
| 8 | UnitedHealthcare all payor other · outpatient | $154.12 | $175.83 | $27.50 – $552.09 |
| 9 | Aetna Better Health all payor other · outpatient | $213.51 | $218.85 | $45.31 – $552.09 |
| 10 | Amerihealth Caritas all payor other · outpatient | $213.51 | $218.85 | $45.31 – $552.09 |
| 11 | UnitedHealthcare all payor fee schedule · outpatient | $223.39 | $220.36 | $165.85 – $223.39 |
| 12 | Cigna all payor other · outpatient | $500.65 | $513.16 | $106.25 – $1,295 |
| 13 | Aetna all payor percent of total billed charges · outpatientfrom % of charges | $535.99 | $549.38 | $113.75 – $1,386 |
Last updated: Apr 1, 2026
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