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
HC SCR MAMMO BI INCL CAD
Low
$26
Average
$287
Median
$220
High
$906
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
92 hospitals; the 90th percentile is 4.6× 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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134 hospital rates
iThe hospitals that file a Aetna 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 | MaineHealth Portland, ME percent of total billed charges · outpatientfrom % of charges | 2 | $569 | $569 | $9 | 2% | 875 | $560 – $579 |
| 2 | MaineHealth Norway, ME other · outpatient | 2 | $489 | $489 | — | — | 216 | $489 – $489 |
| 3 | MaineHealth Norway, ME percent of total billed charges · outpatientfrom % of charges | 2 | $169 | $169 | $68 | 40% | 180 | $101 – $237 |
| 4 | MaineHealth Brunswick, ME other · outpatient | 2 | $331 | $331 | — | — | 172 | $331 – $331 |
| 5 | MaineHealth North Conway, NH other · outpatient | 2 | $960 | $960 | — | — | 166 | $960 – $960 |
| 6 | MaineHealth North Conway, NH percent of total billed charges · outpatientfrom % of charges | 2 | $625 | $625 | $272 | 44% | 120 | $352 – $897 |
| 7 | MaineHealth Belfast, ME other · outpatient | 2 | $475 | $475 | — | — | 98 | $475 – $475 |
| 8 | MaineHealth Brunswick, ME percent of total billed charges · outpatientfrom % of charges | 1 | $300 | $300 | — | — | 86 | $300 – $300 |
| 9 | MaineHealth Rockport, ME other · outpatient | 2 | $878 | $878 | — | — | 86 | $878 – $878 |
| 10 | MaineHealth Farmington, ME other · outpatient | 2 | $400 | $400 | — | — | 84 | $400 – $400 |
| 11 | MaineHealth Farmington, ME percent of total billed charges · outpatientfrom % of charges | 2 | $208 | $208 | $89 | 43% | 68 | $120 – $297 |
| 12 | MaineHealth Damariscotta, ME other · outpatient | 2 | $470 | $470 | — | — | 66 | $470 – $470 |
| 13 | MaineHealth Belfast, ME percent of total billed charges · outpatientfrom % of charges | 2 | $252 | $252 | $95 | 38% | 62 | $157 – $347 |
| 14 | MaineHealth Damariscotta, ME percent of total billed charges · outpatientfrom % of charges | 2 | $245 | $245 | $100 | 41% | 57 | $145 – $345 |
| 15 | MaineHealth Rockport, ME percent of total billed charges · outpatientfrom % of charges | 1 | $537 | $537 | $226 | 42% | 43 | $311 – $762 |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $95 | $76 | $28 | 36% | — | $37 – $95 |
| 17 | AdventHealth Deland Deland, FL fee schedule · outpatient | 2 | $197 | $197 | $33 | 17% | — | $164 – $230 |
| 18 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 2 | $195 | $195 | $35 | 18% | — | $160 – $230 |
| 19 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 2 | $182 | $182 | $46 | 25% | — | $137 – $228 |
| 20 | Adventhealth Dade City Dade City, FL fee schedule · outpatient | 1 | $239 | $239 | — | — | — | $239 – $239 |
| 21 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 2 | $208 | $208 | $22 | 11% | — | $186 – $230 |
| 22 | Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient | 2 | $196 | $196 | $34 | 17% | — | $163 – $230 |
| 23 | Adventhealth Heart of Florida Winter Haven, FL fee schedule · outpatient | 2 | $184 | $184 | $46 | 25% | — | $138 – $230 |
| 24 | Adventhealth Lake Wales Lake Wales, FL fee schedule · outpatient | 2 | $184 | $184 | $46 | 25% | — | $138 – $230 |
| 25 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 2 | $182 | $182 | $46 | 25% | — | $137 – $228 |
← Payers reporting HCPCS G0202 · Snapshot 20261111T120946Z-9134e7f7