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
$47
Median
$20
High
$212
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
11 hospitals; the 90th percentile is 11900.0× 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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12 hospital rates
iThe hospitals that file a MultiPlan 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 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 2 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 3 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $20 | $20 | — | — | — | $20 – $20 |
| 4 | Deaconess Health System Henderson Hospital Henderson, KY professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Deaconess Hospital, Inc Newburgh, IN professional · fee schedule · both | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · inpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 7 | Marshfield Medical Center - Dickinson Iron Mountain, MI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 8 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 1 | $212 | $212 | — | — | — | $212 – $212 |
| 9 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 1 | $119 | $119 | — | — | — | $119 – $119 |
| 10 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 11 | University of Iowa Health Care Medical Center Iowa City, IA professional · percent of total billed charges · bothfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 12 | University of Iowa Health Care Medical Center Downtown Iowa City, IA professional · percent of total billed charges · bothfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
← Payers reporting HCPCS S0613 · Snapshot 20261111T120946Z-9134e7f7