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
TUMOR IMAGE PET/CT SKULL-THIGH
Seneca, PA
See all hospitals reporting RC 404 →Price type
UPMC Northwest’s median price of $8.6k is 187% above the median hospital's median price ($3.0k), higher than 98% of the 1,498 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: 7 payers, 30 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 | Highmark community blue medicare advantage/complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage/together blue medicare advantage facility · fee schedule · outpatient | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 2 | Aetna medicare facility · fee schedule · outpatient | $1.4k | $1.4k | $14 | 1% | — | $1.4k – $1.5k |
| 3 | UnitedHealthcare unison advantage non special needs facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 4 | Highmark medicare facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 5 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 6 | UnitedHealthcare unison kids facility · fee schedule · outpatient | $1.5k | $1.5k | $1 | 0% | — | $1.5k – $1.5k |
| 7 | UnitedHealthcare unison advantage special needs facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | Aetna medicaid facility · fee schedule · outpatient | $1.6k | $1.6k | $1 | 0% | — | $1.6k – $1.6k |
| 9 | Highmark medicaid facility · fee schedule · outpatient | $1.9k | $1.9k | $2 | 0% | — | $1.9k – $1.9k |
| 10 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $2.0k | $2.0k | $2 | 0% | — | $2.0k – $2.0k |
| 11 | Aetna ebr aso facility · percent of total billed charges · inpatientfrom % of charges | $7.8k | $7.8k | $794 | 10% | — | $7.0k – $8.6k |
| 12 | Aetna ebr aso facility · percent of total billed charges · outpatientfrom % of charges | $7.8k | $7.8k | $794 | 10% | — | $7.0k – $8.6k |
| 13 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $7.8k | $7.8k | $794 | 10% | — | $7.0k – $8.6k |
| 14 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $7.8k | $7.8k | $794 | 10% | — | $7.0k – $8.6k |
| 15 | Highmark commercial - social mission indemnity/managed care - social mission facility · fee schedule · outpatient | $9.7k | $9.7k | $987 | 10% | — | $8.7k – $10.7k |
| 16 | Aetna ebr fi facility · percent of total billed charges · inpatientfrom % of charges | $11.3k | $11.3k | $1.2k | 10% | — | $10.2k – $12.5k |
| 17 | Aetna ebr fi facility · percent of total billed charges · outpatientfrom % of charges | $11.7k | $11.7k | $1.2k | 10% | — | $10.5k – $12.9k |
| 18 | Aetna neighborhood network facility · percent of total billed charges · outpatientfrom % of charges | $11.7k | $11.7k | $1.2k | 10% | — | $10.5k – $12.9k |
| 19 | Highmark commercial - indemnity/managed care facility · fee schedule · outpatient | $11.9k | $11.9k | $1.2k | 10% | — | $10.7k – $13.1k |
| 20 | Aetna home depot employer group facility · percent of total billed charges · outpatientfrom % of charges | $12.0k | $12.0k | $1.2k | 10% | — | $10.8k – $13.3k |
| 21 | Aetna neighborhood network facility · percent of total billed charges · inpatientfrom % of charges | $12.1k | $12.1k | $1.2k | 10% | — | $10.9k – $13.3k |
| 22 | Aetna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges | $12.3k | $12.3k | $1.3k | 10% | — | $11.0k – $13.5k |
| 23 | Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges | $12.3k | $12.3k | $1.3k | 10% | — | $11.0k – $13.5k |
| 24 | Aetna home depot employer group facility · percent of total billed charges · inpatientfrom % of charges | $12.4k | $12.4k | $1.3k | 10% | — | $11.2k – $13.7k |
| 25 | Aetna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges | $12.7k | $12.7k | $1.3k | 10% | — | $11.4k – $14.0k |
Last updated: Mar 6, 2026
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