Screening bilateral mammogram with computer-aided detection

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC SCR MAMMO BI INCL CAD

Payers reporting HCPCS G0202

Payer pricing summary

Low

$33

Average

$253

Median

$207

High

$627

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	35	$329	$345	$121	35%	—	$21 – $548
2	Cigna fee schedule · outpatient · +14 other terms	35	$235	$234	$83	35%	—	$122 – $493
3	Aetna fee schedule · outpatient · +13 other terms	33	$195	$321	$259	81%	—	$91 – $1.0k
4	Anthem facility · fee schedule · outpatient · +8 other terms	11	$135	$582	$1.6k	280%	—	$20 – $6.7k
5	UnitedHealthcare fee schedule · outpatient · +14 other terms	10	$137	$130	$76	58%	—	$43 – $228
6	MultiPlan per diem · outpatient · +9 other terms	7	$240	$239	$4	2%	—	$235 – $244
7	Phcs fee schedule · inpatient · +3 other terms	6	$216	$216	—	—	—	$216 – $216
8	Humana fee schedule · outpatient · +10 other terms	5	$91	$115	$31	27%	—	$91 – $172
9	Kaiser per diem · outpatient · +5 other terms	5	$174	$176	$26	15%	—	$126 – $224
10	Medica fee schedule · outpatient · +2 other terms	5	$158	$158	—	—	—	$158 – $158
11	WellCare fee schedule · outpatient · +2 other terms	4	$93	$93	—	—	—	$93 – $93
12	Ambetter professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	3	$184	$184	—	—	—	$184 – $184
13	Medcost professional · percent of total billed charges · inpatientfrom % of charges · +1 other terms	3	$490	$490	—	—	—	$490 – $490
14	Molina facility · fee schedule · outpatient · +5 other terms	3	$20	$172	$126	73%	—	$20 – $314
15	Bcbs Ks percent of total billed charges · outpatientfrom % of charges	2	$199	$199	$8	4%	—	$186 – $204
16	Medicaid case rate · both · +3 other terms	2	$118	$118	—	—	—	$118 – $118
17	Aetna Better Health facility · case rate · outpatient · +2 other terms	1	$34	$34	$0	1%	—	$34 – $35
18	Amerihealth Caritas facility · case rate · outpatient	1	$35	$35	—	—	—	$35 – $35
19	Bcbs Tx percent of total billed charges · outpatientfrom % of charges	1	$61	$61	$7	11%	—	$54 – $68
20	Devoted facility · other · outpatient · +1 other terms	1	$251	$251	—	—	—	$251 – $251
21	Excellus facility · fee schedule · outpatient	1	$520	$520	$55	11%	—	$481 – $598
22	First Health facility · fee schedule · outpatient · +7 other terms	1	$97	$97	—	—	—	$97 – $97
23	Healthpartners facility · fee schedule · outpatient · +2 other terms	1	$450	$450	—	—	—	$450 – $450
24	Highmark facility · other · outpatient · +1 other terms	1	$449	$449	$116	26%	—	$304 – $632
25	Magellan facility · percent of total billed charges · inpatientfrom % of charges · +1 other terms	1	$627	$627	—	—	—	$627 – $627

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