APC N804
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
Mammography Services
Low
$61
Average
$199
Median
$191
High
$595
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
42 hospitals; the 90th percentile is 1.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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42 hospital rates
iThe hospitals that file a Ambetter rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Bayhealth Hospital, Sussex Campus Milton, DE other · outpatient | 1 | $168 | $168 | — | — | 49 | $168 – $168 |
| 2 | Bayhealth Medical Center, Kent Campus Dover, DE other · outpatient | 1 | $168 | $168 | — | — | 81 | $168 – $168 |
| 3 | Bradley Medical Center Cleveland, TN facility · other · outpatient | 1 | $172 | $172 | — | — | 95 | $172 – $172 |
| 4 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 1 | $239 | $239 | — | — | 315 | $239 – $239 |
| 5 | ChristianaCare Wilmington, DE facility · other · outpatient | 1 | $262 | $262 | — | — | 31 | $262 – $262 |
| 6 | Corewell Health Watervliet Hospital Watervliet, MI facility · other · outpatient | 1 | $154 | $154 | — | — | 34 | $154 – $154 |
| 7 | DEKALB MEDICAL CENTER, INC Lithonia, GA facility · other · outpatient | 1 | $239 | $239 | — | — | 308 | $239 – $239 |
| 8 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · other · outpatient | 1 | $239 | $239 | — | — | 729 | $239 – $239 |
| 9 | EHCA JOHN'S CREEK, LLC Johns Creek, GA facility · other · outpatient | 1 | $239 | $239 | — | — | 1,113 | $239 – $239 |
| 10 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 1 | $239 | $239 | — | — | 449 | $239 – $239 |
| 11 | Lakeland Hospitals at Niles and St Joseph Inc Niles, MI facility · other · outpatient | 1 | $154 | $154 | — | — | 441 | $154 – $154 |
| 12 | MARION REGIONAL HEALTH WINFIELD, INC Winfield, AL other · outpatient | 1 | $203 | $203 | — | — | 23 | $203 – $203 |
| 13 | MARION REGIONAL MEDICAL CENTER, INC Hamilton, AL other · outpatient | 1 | $203 | $203 | — | — | 23 | $203 – $203 |
| 14 | OHI West, Inc. Pinellas Park, FL other · outpatient | 1 | $202 | $202 | — | — | 412 | $202 – $202 |
| 15 | Oklahoma State University Medical Center Tulsa, OK facility · other · outpatient | 1 | $151 | $151 | — | — | 62 | $151 – $151 |
| 16 | Orlando Health Central, Inc. Winter Garden, FL other · outpatient | 1 | $191 | $191 | — | — | 121 | $191 – $191 |
| 17 | Orlando Health Lakeland Highlands Hospital Lakeland, FL other · outpatient | 1 | $191 | $191 | — | — | 175 | $191 – $191 |
| 18 | Orlando Health Melbourne Hospital Melbourne, FL other · outpatient | 1 | $191 | $191 | — | — | 72 | $191 – $191 |
| 19 | Orlando Health Sebastian River Hospital Sebastian, FL other · outpatient | 1 | $203 | $203 | — | — | 15 | $203 – $203 |
| 20 | Orlando Health Wiregrass Ranch Hospital LUTZ, FL other · outpatient | 1 | $152 | $152 | — | — | 117 | $152 – $152 |
| 21 | Orlando Health, Inc. Saint Cloud, FL other · outpatient | 1 | $152 | $152 | — | — | 117 | $152 – $152 |
| 22 | Orlando Health, Inc. Orlando, FL other · outpatient | 1 | $191 | $191 | — | — | 372 | $191 – $191 |
| 23 | Phoebe Putney Memorial Hospital & North Campus Albany, GA other · outpatient | 1 | $175 | $175 | — | — | 559 | $175 – $175 |
| 24 | Phoebe Sumter Medical Center Americus, GA other · outpatient | 1 | $175 | $175 | — | — | 1,042 | $175 – $175 |
| 25 | SAINT JOSEPHS HOSPITAL OF ATLANTA INC Atlanta, GA facility · other · outpatient | 1 | $239 | $239 | — | — | 543 | $239 – $239 |
← Payers reporting APC N804 · Snapshot 20261111T120946Z-9134e7f7