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
$81
Average
$120
Median
$111
High
$337
Each hospital's average WellCare rate, under the methodology and billing class chosen below.
112 hospitals; the 90th percentile is 1.4× 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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112 hospital rates
iThe hospitals that file a WellCare 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 | AdventHealth Deland Deland, FL other · outpatient | 1 | $114 | $114 | — | — | 1–10 | $114 – $114 |
| 2 | AdventHealth Polk Columbus, NC percent of total billed charges · outpatientfrom % of charges | 1 | $144 | $144 | — | — | 11 | $144 – $144 |
| 3 | Adventhealth Central Texas Killeen, TX other · outpatient | 1 | $105 | $105 | — | — | 1–10 | $105 – $105 |
| 4 | Adventhealth Hendersonville Hendersonville, NC other · outpatient | 1 | $102 | $102 | — | — | 1–10 | $102 – $102 |
| 5 | Adventhealth Manchester Manchester, KY other · outpatient | 1 | $337 | $337 | — | — | 142 | $337 – $337 |
| 6 | Adventhealth Shawnee Mission Lenexa, KS other · outpatient | 1 | $100 | $100 | — | — | 1–10 | $100 – $100 |
| 7 | Agnesian Healthcare Inc. Fond Du Lac, WI other · outpatient | 1 | $108 | $108 | — | — | 53 | $108 – $108 |
| 8 | Bayhealth Hospital, Sussex Campus Milton, DE other · outpatient | 1 | $115 | $115 | — | — | 14 | $115 – $115 |
| 9 | Bayhealth Medical Center, Kent Campus Dover, DE other · outpatient | 1 | $115 | $115 | — | — | 52 | $115 – $115 |
| 10 | Bradley Medical Center Cleveland, TN facility · other · outpatient | 1 | $84 | $84 | — | — | 11 | $84 – $84 |
| 11 | CRAWFORD LONG HOSPITAL Atlanta, GA facility · other · outpatient | 1 | $117 | $117 | — | — | 178 | $117 – $117 |
| 12 | Canton-Potsdam Hospital Potsdam, NY facility · other · outpatient | 2 | $107 | $107 | — | — | 87 | $107 – $107 |
| 13 | Children's Memorial Hermann Hospital Houston, TX facility · other · outpatient | 1 | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 14 | ChristianaCare Wilmington, DE facility · other · outpatient | 1 | $121 | $121 | — | — | 1–10 | $121 – $121 |
| 15 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · other · outpatient | 2 | $105 | $105 | — | — | 40–49 | $105 – $105 |
| 16 | Corewell Health Farmington Hills Hospital Farmington Hills, MI facility · other · outpatient | 1 | $109 | $109 | — | — | 150 | $109 – $109 |
| 17 | DEKALB MEDICAL CENTER, INC Lithonia, GA facility · other · outpatient | 1 | $117 | $117 | — | — | 257 | $117 – $117 |
| 18 | DEKALB MEDICAL CENTER, INC Decatur, GA facility · other · outpatient | 1 | $117 | $117 | — | — | 315 | $117 – $117 |
| 19 | Danbury Hospital New Milford, CT other · outpatient | 1 | $123 | $123 | — | — | 42 | $123 – $123 |
| 20 | EHCA JOHN'S CREEK, LLC Johns Creek, GA facility · other · outpatient | 1 | $117 | $117 | — | — | 26 | $117 – $117 |
| 21 | EMORY UNIVERSITY Atlanta, GA facility · other · outpatient | 1 | $117 | $117 | — | — | 103 | $117 – $117 |
| 22 | Edward Hospital Plainfield, IL other · outpatient | 1 | $116 | $116 | — | — | 1–10 | $116 – $116 |
| 23 | Elmhurst Memorial Hospital Elmhurst, IL other · outpatient | 1 | $119 | $119 | — | — | 1–10 | $119 – $119 |
| 24 | Garnet Health Medical Center Middletown, NY facility · other · outpatient | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
| 25 | Garnet Health Medical Center Catskills Harris, NY facility · other · outpatient | 1 | $125 | $125 | — | — | 1–10 | $125 – $125 |
← Payers reporting APC N804 · Snapshot 20261111T120946Z-9134e7f7