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
PET W/CT FULL BODY
Ord, NE
See all hospitals reporting RC 404 →Price type
Valley County Hospital’s median price of $5.1k is 68% above the median hospital's median price ($3.0k), higher than 84% 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: 8 payers, 17 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 | Bcbs Ne medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $221 | 13% | — | $1.5k – $1.9k |
| 2 | Medica medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $221 | 13% | — | $1.5k – $1.9k |
| 3 | UnitedHealthcare medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $221 | 13% | — | $1.5k – $1.9k |
| 4 | Humana medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.7k | $1.7k | $225 | 13% | — | $1.5k – $1.9k |
| 5 | UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $4.0k | $4.0k | $530 | 13% | — | $3.5k – $4.5k |
| 6 | Molina managed medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $4.3k | $4.3k | $569 | 13% | — | $3.7k – $4.9k |
| 7 | Molina dual eligible plan facility · percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | $580 | 13% | — | $3.8k – $5.0k |
| 8 | WellCare medicare advantage/dual needs plan facility · percent of total billed charges · outpatientfrom % of charges | $4.6k | $4.6k | $603 | 13% | — | $4.0k – $5.2k |
| 9 | Medica individual and family business plans facility · percent of total billed charges · inpatientfrom % of charges | $7.6k | $7.6k | $1.0k | 13% | — | $6.6k – $8.6k |
| 10 | Medica individual and family business plans facility · percent of total billed charges · outpatientfrom % of charges | $7.6k | $7.6k | $1.0k | 13% | — | $6.6k – $8.6k |
| 11 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $8.0k | $8.0k | $1.1k | 13% | — | $7.0k – $9.1k |
| 12 | Bcbs Ne commercial facility · percent of total billed charges · inpatientfrom % of charges | $8.0k | $8.0k | $1.1k | 13% | — | $7.0k – $9.1k |
| 13 | Bcbs Ne commercial facility · percent of total billed charges · outpatientfrom % of charges | $8.0k | $8.0k | $1.1k | 13% | — | $7.0k – $9.1k |
| 14 | Medica commercial plans/care system products facility · percent of total billed charges · inpatientfrom % of charges | $8.0k | $8.0k | $1.1k | 13% | — | $7.0k – $9.1k |
| 15 | Medica commercial plans/care system products facility · percent of total billed charges · outpatientfrom % of charges | $8.0k | $8.0k | $1.1k | 13% | — | $7.0k – $9.1k |
| 16 | MultiPlan primary/complementary ppo facility · percent of total billed charges · inpatientfrom % of charges | $8.2k | $8.2k | $1.1k | 13% | — | $7.1k – $9.3k |
| 17 | MultiPlan primary/complementary ppo facility · percent of total billed charges · outpatientfrom % of charges | $8.2k | $8.2k | $1.1k | 13% | — | $7.1k – $9.3k |
Last updated: Jun 15, 2026
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