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
Williamsport, PA
See all hospitals reporting RC 404 →Price type
UPMC Williamsport’s median price of $5.9k is 95% above the median hospital's median price ($3.0k), higher than 90% of the 1,508 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, 28 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 | $59 | 4% | — | $1.3k – $1.4k |
| 2 | Aetna medicare facility · fee schedule · outpatient | $1.4k | $1.4k | $60 | 4% | — | $1.3k – $1.4k |
| 3 | Amerihealth Caritas medicare facility · fee schedule · outpatient | $1.4k | $1.4k | $60 | 4% | — | $1.3k – $1.4k |
| 4 | UnitedHealthcare medicare facility · fee schedule · outpatient | $1.5k | $1.5k | $62 | 4% | — | $1.3k – $1.5k |
| 5 | Highmark medicare facility · fee schedule · outpatient | $1.5k | $1.5k | $63 | 4% | — | $1.3k – $1.5k |
| 6 | Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient | $1.5k | $1.5k | $68 | 5% | — | $1.5k – $1.6k |
| 7 | UnitedHealthcare pa medicaid facility · fee schedule · outpatient | $1.5k | $1.6k | $93 | 6% | — | $1.5k – $1.8k |
| 8 | Highmark medicaid facility · fee schedule · outpatient | $1.8k | $1.9k | $85 | 5% | — | $1.8k – $2.0k |
| 9 | Highmark managed care - social mission facility · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.5k | $402 | 9% | — | $3.7k – $4.9k |
| 10 | Aetna pebtf custom network facility · percent of total billed charges · outpatientfrom % of charges | $4.7k | $4.6k | $410 | 9% | — | $3.8k – $5.0k |
| 11 | Aetna pebtf custom network facility · percent of total billed charges · inpatientfrom % of charges | $5.0k | $4.9k | $433 | 9% | — | $4.0k – $5.3k |
| 12 | Highmark bluecare hmo/fplic ppo/traditional products facility · percent of total billed charges · outpatientfrom % of charges | $5.5k | $5.3k | $473 | 9% | — | $4.4k – $5.8k |
| 13 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $5.6k | $5.4k | $482 | 9% | — | $4.5k – $5.9k |
| 14 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $5.8k | $5.7k | $506 | 9% | — | $4.7k – $6.2k |
| 15 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $5.9k | $5.7k | $509 | 9% | — | $4.7k – $6.2k |
| 16 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $6.2k | $6.0k | $534 | 9% | — | $5.0k – $6.6k |
| 17 | Aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $7.7k | $7.5k | $667 | 9% | — | $6.2k – $8.2k |
| 18 | Aetna first health facility · percent of total billed charges · outpatientfrom % of charges | $7.7k | $7.5k | $667 | 9% | — | $6.2k – $8.2k |
| 19 | First Health fh-medical rental facility · percent of total billed charges · inpatientfrom % of charges | $7.8k | $7.6k | $680 | 9% | — | $6.3k – $8.3k |
| 20 | First Health fh-medical rental facility · percent of total billed charges · outpatientfrom % of charges | $7.8k | $7.6k | $680 | 9% | — | $6.3k – $8.3k |
| 21 | UnitedHealthcare commercial facility · percent of total billed charges · inpatientfrom % of charges | $8.0k | $7.8k | $691 | 9% | — | $6.4k – $8.5k |
| 22 | UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges | $8.0k | $7.8k | $691 | 9% | — | $6.4k – $8.5k |
| 23 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $8.0k | $7.8k | $692 | 9% | — | $6.4k – $8.5k |
| 24 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $8.0k | $7.8k | $692 | 9% | — | $6.4k – $8.5k |
| 25 | MultiPlan auto facility · percent of total billed charges · inpatientfrom % of charges | $9.1k | $8.8k | $788 | 9% | — | $7.3k – $9.7k |
Last updated: Mar 6, 2026
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