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
$97
Average
$190
Median
$113
High
$745
Each hospital's average Optum rate, under the methodology and billing class chosen below.
40 hospitals; the 90th percentile is 4.4× 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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40 hospital rates
iThe hospitals that file a Optum 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 | Altru Hospital Grand Forks, ND facility · other · outpatient | 1 | $113 | $113 | — | — | 83 | $113 – $113 |
| 2 | Altru Hospital Devils Lake Devils Lake, ND facility · other · outpatient | 1 | $113 | $113 | — | — | 83 | $113 – $113 |
| 3 | Beth Israel Deaconess Medical Center Boston, MA other · outpatient | 1 | $135 | $135 | — | — | 1–10 | $135 – $135 |
| 4 | Bethesda Hospital Inc. Lebanon, OH facility · other · outpatient | 1 | $103 | $103 | — | — | 25 | $103 – $103 |
| 5 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 1 | $113 | $113 | — | — | 139 | $113 – $113 |
| 6 | Clinton Memorial Hospital Wilmington, OH other · outpatient | 1 | $103 | $103 | — | — | 28 | $103 – $103 |
| 7 | DEKALB MEDICAL CENTER, INC Lithonia, GA facility · other · outpatient | 1 | $113 | $113 | — | — | 233 | $113 – $113 |
| 8 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · other · outpatient | 1 | $113 | $113 | — | — | 350 | $113 – $113 |
| 9 | Dana-Farber Cancer Institute Boston, MA other · outpatient | 2 | $373 | $373 | $161 | 43% | 85–94 | $212 – $534 |
| 10 | EHCA JOHN'S CREEK, LLC Johns Creek, GA facility · other · outpatient | 1 | $113 | $113 | — | — | 43 | $113 – $113 |
| 11 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 1 | $113 | $113 | — | — | 84 | $113 – $113 |
| 12 | Houston Methodist Baytown Hospital Baytown, TX other · outpatient | 2 | $454 | $454 | $331 | 73% | 2–20 | $122 – $785 |
| 13 | Houston Methodist Clear Lake Hospital Nassau Bay, TX other · outpatient | 1 | $745 | $745 | — | — | 1–10 | $745 – $745 |
| 14 | Houston Methodist The Woodlands Hospital The Woodlands, TX other · outpatient | 1 | $107 | $107 | — | — | 1–10 | $107 – $107 |
| 15 | Kershaw Medical Center Camden, SC facility · other · outpatient | 1 | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 16 | Lahey Hospital & Medical Center, Burlington Peabody, MA other · outpatient | 1 | $139 | $139 | — | — | 1–10 | $139 – $139 |
| 17 | MUSC Health Black River Medical Center Cades, SC facility · other · outpatient | 1 | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 18 | MUSC Health Columbia Medical Center Northeast Columbia, SC facility · other · outpatient | 2 | $116 | $116 | $13 | 11% | 2–20 | $103 – $129 |
| 19 | MUSC Health Florence Medical Center Florence, SC facility · other · outpatient | 2 | $116 | $116 | $13 | 11% | 2–20 | $103 – $129 |
| 20 | MUSC Health Marion Medical Center Mullins, SC facility · other · outpatient | 1 | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 21 | MUSC Medical Center Charleston, SC facility · other · outpatient | 1 | $103 | $103 | — | — | 16 | $103 – $103 |
| 22 | McCullough-Hyde Memorial Hospital, Inc. Oxford, OH facility · other · outpatient | 1 | $103 | $103 | — | — | 1–10 | $103 – $103 |
| 23 | Medical University Hospital Authority Orangeburg, SC facility · other · outpatient | 1 | $103 | $103 | — | — | 12 | $103 – $103 |
| 24 | Methodist Sugar Land Hospital Sugar Land, TX other · outpatient | 1 | $119 | $119 | — | — | 1–10 | $119 – $119 |
| 25 | Methodist West Houston Hospital Houston, TX other · outpatient | 2 | $412 | $412 | $293 | 71% | 2–20 | $119 – $706 |
← Payers reporting APC N804 · Snapshot 20261111T120946Z-9134e7f7