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 RETROPERIT B-SCAN/REAL TIME COMPLETE
Charlotte, NC
See all hospitals reporting RC 402 →Price type
The Charlotte Mecklenburg Hospital Authority’s median price of $381 is 27% above the median hospital's median price ($300), higher than 66% 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, 43 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 managed medicaid percent of total billed charges · outpatientfrom % of charges | $83.70 | $94.74 | $20.37 – $364.91 |
| 2 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $85.24 | $96.49 | $20.74 – $371.67 |
| 3 | Humana medicare advantage fee schedule · outpatient | $103.16 | $117.77 | $23.84 – $531.92 |
| 4 | Aetna medicare advantage fee schedule · outpatient | $104.68 | $119.50 | $24.19 – $539.74 |
| 5 | Cigna Healthspring medicare advantage fee schedule · outpatient | $106.20 | $121.23 | $24.54 – $547.56 |
| 6 | UnitedHealthcare medicare advantage fee schedule · outpatient | $106.51 | $121.59 | $24.61 – $549.18 |
| 7 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $123.38 | $139.65 | $30.02 – $537.93 |
| 8 | Bcbs Nc local individual commercial percent of total billed charges · outpatientfrom % of charges | $187.72 | $212.49 | $45.68 – $818.47 |
| 9 | Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges | $188.21 | $213.04 | $45.80 – $820.60 |
| 10 | Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges | $216.38 | $244.93 | $52.66 – $943.43 |
| 11 | Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges | $240.38 | $272.10 | $58.50 – $1,048 |
| 12 | Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges | $247.40 | $280.05 | $60.21 – $1,079 |
| 13 | Bcbs Nc hmo-ppo managed care percent of total billed charges · outpatientfrom % of charges | $247.65 | $280.32 | $60.27 – $1,080 |
| 14 | Aetna whole health hmo percent of total billed charges · inpatientfrom % of charges | $280.88 | $317.94 | $68.35 – $1,225 |
| 15 | Aetna whole health hmo percent of total billed charges · outpatientfrom % of charges | $293.13 | $331.81 | $71.33 – $1,278 |
| 16 | Ambetter individual commercial percent of total billed charges · outpatientfrom % of charges | $296.39 | $335.50 | $72.13 – $1,292 |
| 17 | UnitedHealthcare iex commercial percent of total billed charges · inpatientfrom % of charges | $328.24 | $371.55 | $79.88 – $1,431 |
| 18 | Aetna north carolina preferred plus commercial percent of total billed charges · outpatientfrom % of charges | $332.32 | $376.17 | $80.87 – $1,449 |
| 19 | Cigna commercial nb percent of total billed charges · inpatientfrom % of charges | $353.55 | $400.20 | $86.04 – $1,542 |
| 20 | Cigna commercial nb percent of total billed charges · outpatientfrom % of charges | $353.55 | $400.20 | $86.04 – $1,542 |
| 21 | UnitedHealthcare hmo-ppo managed care other · outpatient | $430.08 | $411.16 | $246.43 – $601.48 |
| 22 | Aetna north carolina preferred plus commercial percent of total billed charges · inpatientfrom % of charges | $366.61 | $414.99 | $89.22 – $1,598 |
| 23 | UnitedHealthcare iex commercial other · outpatient | $444.57 | $422.73 | $249.08 – $499.75 |
| 24 | Aetna broad network percent of total billed charges · outpatientfrom % of charges | $373.96 | $423.31 | $91.00 – $1,631 |
| 25 | UnitedHealthcare hmo-ppo managed care percent of total billed charges · inpatientfrom % of charges | $382.13 | $432.55 | $92.99 – $1,666 |
Last updated: Dec 5, 2025
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