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 DX MAMMO INCL CAD BI
Low
$25
Average
$348
Median
$282
High
$1.1k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
99 hospitals; the 90th percentile is 6.5× 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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135 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 Damariscotta, ME percent of total billed charges · outpatientfrom % of charges | 2 | $245 | $245 | $100 | 41% | 1–10 | $145 – $345 |
| 2 | MaineHealth Norway, ME percent of total billed charges · outpatientfrom % of charges | 2 | $259 | $259 | $104 | 40% | 1–10 | $155 – $364 |
| 3 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $115 | $93 | $32 | 34% | — | $48 – $115 |
| 4 | AdventHealth Deland Deland, FL fee schedule · outpatient | 2 | $238 | $238 | $40 | 17% | — | $199 – $278 |
| 5 | AdventHealth Orlando Winter Park, FL fee schedule · outpatient | 2 | $235 | $235 | $42 | 18% | — | $193 – $278 |
| 6 | Adventhealth Carrollwood Tampa, FL fee schedule · outpatient | 2 | $220 | $220 | $55 | 25% | — | $165 – $275 |
| 7 | Adventhealth Dade City Dade City, FL fee schedule · outpatient | 1 | $289 | $289 | — | — | — | $289 – $289 |
| 8 | Adventhealth Daytona Beach Port Orange, FL fee schedule · outpatient | 2 | $251 | $251 | $27 | 11% | — | $224 – $278 |
| 9 | Adventhealth Fish Memorial Deltona, FL fee schedule · outpatient | 2 | $237 | $237 | $41 | 17% | — | $196 – $278 |
| 10 | Adventhealth Heart of Florida Winter Haven, FL fee schedule · outpatient | 2 | $223 | $223 | $55 | 25% | — | $167 – $278 |
| 11 | Adventhealth Lake Wales Lake Wales, FL fee schedule · outpatient | 2 | $223 | $223 | $55 | 25% | — | $167 – $278 |
| 12 | Adventhealth North Pinellas Palm Harbor, FL fee schedule · outpatient | 2 | $220 | $220 | $55 | 25% | — | $165 – $275 |
| 13 | Adventhealth Ocala Ocala, FL fee schedule · outpatient | 2 | $223 | $223 | $55 | 25% | — | $167 – $278 |
| 14 | Adventhealth Palm Coast Palm Coast, FL fee schedule · outpatient | 2 | $231 | $231 | $47 | 20% | — | $184 – $278 |
| 15 | Adventhealth Palm Coast Parkway Palm Coast, FL fee schedule · outpatient | 2 | $231 | $231 | $47 | 20% | — | $184 – $278 |
| 16 | Adventhealth Port Charlotte Port Charlotte, FL fee schedule · outpatient | 1 | $292 | $292 | — | — | — | $292 – $292 |
| 17 | Adventhealth Sebring Sebring, FL fee schedule · outpatient | 1 | $292 | $292 | — | — | — | $292 – $292 |
| 18 | Adventhealth Tampa Brandon, FL fee schedule · outpatient | 2 | $220 | $220 | $55 | 25% | — | $165 – $275 |
| 19 | Adventhealth Waterman Tavares, FL fee schedule · outpatient | 2 | $223 | $223 | $55 | 25% | — | $167 – $278 |
| 20 | Adventhealth Wauchula Wauchula, FL fee schedule · outpatient | 1 | $292 | $292 | — | — | — | $292 – $292 |
| 21 | Adventhealth Wesley Chapel Lutz, FL fee schedule · outpatient | 2 | $220 | $220 | $55 | 25% | — | $165 – $275 |
| 22 | Adventhealth Zephyrhills Zephyrhills, FL fee schedule · outpatient | 2 | $220 | $220 | $55 | 25% | — | $165 – $275 |
| 23 | Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $304 | $304 | $124 | 41% | — | $181 – $428 |
| 24 | Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $211 | $211 | $35 | 17% | — | $176 – $246 |
| 25 | Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges | 2 | $285 | $285 | $109 | 38% | — | $176 – $394 |
← Payers reporting HCPCS G0204 · Snapshot 20261111T120946Z-9134e7f7