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
PR ANNUAL BREAST EXAM
Low
$0
Average
$54
Median
$26
High
$690
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
102 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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110 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 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 3 | $176 | $179 | $5 | 3% | 1–10 | $176 – $188 |
| 2 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Abington Memorial Hospital Abington, PA facility · fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 4 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 5 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 2 | $25 | $25 | $0 | 1% | — | $25 – $25 |
| 6 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 2 | $120 | $120 | — | — | — | $120 – $120 |
| 7 | Berger Hospital Circleville, OH fee schedule · outpatient | 1 | $65 | $65 | — | — | — | $65 – $65 |
| 8 | Bethesda Hospital Inc. Lebanon, OH facility · fee schedule · outpatient | 1 | $93 | $93 | $1 | 1% | — | $92 – $94 |
| 9 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 10 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 2 | $34 | $43 | $14 | 32% | — | $34 – $63 |
| 11 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 12 | Bronson Battle Creek Hospital Battle Creek, MI professional · fee schedule · both | 2 | $25 | $25 | — | — | — | $25 – $25 |
| 13 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 14 | Bronson LakeView Hospital Paw Paw, MI professional · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 15 | Bronson LakeView Hospital Paw Paw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 16 | Bronson Methodist Hospital Kalamazoo, MI professional · fee schedule · both | 2 | $25 | $25 | — | — | — | $25 – $25 |
| 17 | Bronson Methodist Hospital Kalamazoo, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $11 | $11 | — | — | — | $11 – $11 |
| 18 | Bronson South Haven Hospital South Haven, MI professional · fee schedule · both | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 19 | CHRISTUS Good Shepherd Hospital - Northpark Longview, TX fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 20 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 2 | $25 | $25 | — | — | — | $25 – $25 |
| 21 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 2 | $25 | $25 | — | — | — | $25 – $25 |
| 22 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $25 | $25 | — | — | — | $25 – $25 |
| 23 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $73 | $81 | $35 | 43% | — | $48 – $131 |
| 24 | Clarion Hospital Clarion, PA facility · fee schedule · outpatient | 1 | $67 | $67 | — | — | — | $67 – $67 |
| 25 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · fee schedule · outpatient | 1 | $36 | $36 | — | — | — | $36 – $36 |
← Payers reporting HCPCS S0613 · Snapshot 20261111T120946Z-9134e7f7