Annual breast exam

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

PR ANNUAL BREAST EXAM

Payers reporting HCPCS S0613

Payer pricing summary

Low

Average

$65

Median

$52

High

$187

Payer rate distribution

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Filter by billing class

#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +8 other terms	43	$53	$198	$277	140%	—	$20 – $1.3k
2	Aetna professional · fee schedule · both · +11 other terms	23	$25	$18	$16	90%	—	$0 – $63
3	Anthem facility · case rate · outpatient · +6 other terms	15	$62	$68	$16	23%	—	$42 – $106
4	Caresource facility · case rate · outpatient · +2 other terms	15	$63	$68	$16	23%	—	$42 – $108
5	Molina facility · case rate · outpatient · +4 other terms	15	$62	$68	$16	23%	—	$44 – $106
6	UnitedHealthcare facility · case rate · outpatient · +7 other terms	15	$63	$69	$16	23%	—	$44 – $108
7	Cigna facility · fee schedule · outpatient · +10 other terms	13	$15	$31	$26	84%	—	$15 – $130
8	Wellmark fee schedule · both · +2 other terms	13	$145	$141	$22	16%	—	$5 – $145
9	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$159	$121	$67	56%	—	$52 – $199
10	Optum facility · case rate · outpatient · +1 other terms	11	$59	$64	$14	22%	—	$53 – $96
11	Highmark fee schedule · outpatient · +2 other terms	10	$77	$77	—	—	—	$77 – $77
12	Bcbs Il professional · fee schedule · both	8	$1	$2	$2	150%	—	$0 – $5
13	First Health professional · fee schedule · both · +5 other terms	8	$0	$10	$13	129%	—	$0 – $28
14	WellCare professional · fee schedule · both	8	$0	$0	—	—	—	$0 – $0
15	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$26	$26	—	—	—	$26 – $26
16	Humana professional · fee schedule · both · +9 other terms	7	$0	$0	—	—	—	$0 – $0
17	Ambetter professional · fee schedule · both · +1 other terms	3	$0	$0	—	—	—	$0 – $0
18	MultiPlan professional · fee schedule · both · +6 other terms	2	$0	$0	—	—	—	$0 – $0
19	Oscar professional · percent of total billed charges · bothfrom % of charges · +2 other terms	2	$30	$30	—	—	—	$30 – $30
20	Phcs professional · fee schedule · both	2	$0	$0	—	—	—	$0 – $0
21	Sanford Health Plan professional · percent of total billed charges · bothfrom % of charges · +2 other terms	2	$41	$41	—	—	—	$41 – $41
22	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
23	Bcbs Nv fee schedule · outpatient	1	$52	$52	$11	22%	—	$41 – $64
24	Bcbs Vt professional · fee schedule · outpatient	1	$48	$48	—	—	—	$48 – $48
25	Healthpartners facility · fee schedule · outpatient · +2 other terms	1	$130	$130	—	—	—	$130 – $130

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