APC N804

Mammography breast imaging services

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Mammography Services

Payers reporting APC N804

Payer pricing summary

Low

$91

Average

$249

Median

$215

High

$478

Payer rate distribution

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield other · outpatient · +3 other terms	215	$234	$309	$254	82%	417,954–419,457	$29 – $1.5k
2	UnitedHealthcare other · outpatient · +3 other terms	230	$191	$214	$168	79%	188,697–189,804	$19 – $1.1k
3	Aetna other · outpatient · +3 other terms	214	$208	$248	$210	84%	128,511–129,321	$32 – $1.1k
4	Cigna other · outpatient · +3 other terms	175	$351	$372	$221	59%	60,532–61,063	$37 – $1.1k
5	Humana other · outpatient · +3 other terms	192	$108	$123	$68	55%	42,371–42,983	$32 – $706
6	Medical Mutual other · outpatient · +3 other terms	23	$109	$110	$8	7%	19,301–19,436	$93 – $143
7	Anthem other · outpatient · +2 other terms	19	$297	$285	$206	72%	16,580–16,967	$20 – $814
8	Molina other · outpatient · +3 other terms	92	$103	$138	$112	81%	11,278–11,944	$21 – $886
9	Excellus facility · other · outpatient	7	$209	$197	$168	85%	10,167–10,185	$65 – $595
10	Oscar facility · other · outpatient · +2 other terms	34	$181	$196	$43	22%	9,078–9,231	$135 – $279
11	Healthpartners other · outpatient · +2 other terms	5	$482	$476	$92	19%	6,674–6,980	$117 – $611
12	Caresource other · outpatient · +2 other terms	30	$110	$117	$37	31%	6,237–6,390	$39 – $241
13	Ambetter other · outpatient · +1 other terms	23	$191	$201	$108	54%	4,690–4,708	$61 – $595
14	WellCare facility · other · outpatient · +2 other terms	66	$111	$121	$29	24%	4,224–4,431	$81 – $229
15	Sanford Health Plan facility · other · outpatient	2	$224	$224	—	—	2,270	$224 – $224
16	Devoted other · outpatient · +2 other terms	51	$112	$112	$10	9%	2,219–2,435	$90 – $131
17	Medica facility · other · outpatient · +2 other terms	5	$206	$206	$86	42%	1,648–1,684	$110 – $361
18	Bcbs Mn other · outpatient	1	$328	$328	$166	51%	1,552	$116 – $491
19	Kaiser other · outpatient · +3 other terms	22	$438	$407	$260	64%	1,413–1,557	$71 – $1.3k
20	Optum facility · other · outpatient · +1 other terms	23	$113	$157	$157	100%	1,361–1,469	$97 – $730
21	Bcbs Mi other · outpatient · +1 other terms	3	$273	$274	$30	11%	734–743	$244 – $323
22	Healthcare Highways other · outpatient · +2 other terms	6	$417	$372	$64	17%	637–646	$265 – $417
23	First Health other · outpatient · +3 other terms	48	$365	$421	$204	48%	439–745	$100 – $1.0k
24	Ucare facility · other · outpatient · +2 other terms	4	$116	$116	$14	12%	420–447	$91 – $147
25	Highmark facility · other · outpatient	7	$132	$197	$129	66%	397–460	$65 – $447

Page 1 of 2 · 35 payers