RC 401

Diagnostic mammography

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

Diagnostic mammography of both breasts

Payers reporting RC 401

Payer pricing summary

Low

$89

Average

$490

Median

$278

High

$3.0k

Payer rate distribution

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#
1	Anthem fee schedule · outpatient · +29 other terms	122	$120	$144	$138	96%	4,942–5,248	$9 – $1.1k
2	Bcbs Al facility · other · outpatient · +4 other terms	5	$540	$784	$1.8k	231%	4,193–4,238	$67 – $10.8k
3	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$448	$448	$585	131%	912–921	$85 – $1.7k
4	UnitedHealthcare fee schedule · outpatient · +35 other terms	503	$184	$211	$289	136%	587–1,118	$0 – $8.3k
5	Aetna fee schedule · outpatient · +32 other terms	269	$173	$550	$1.2k	220%	521–728	$1 – $23.2k
6	Cigna fee schedule · outpatient · +29 other terms	218	$221	$719	$1.3k	180%	358–484	$1 – $16.8k
7	Molina fee schedule · outpatient · +28 other terms	86	$88	$176	$310	176%	155–443	$1 – $3.0k
8	Medica fee schedule · outpatient · +20 other terms	40	$221	$226	$177	78%	120–444	$13 – $1.9k
9	Humana fee schedule · outpatient · +27 other terms	185	$125	$404	$471	117%	86–167	$1 – $6.5k
10	Ambetter fee schedule · both · +17 other terms	66	$167	$206	$162	79%	36	$18 – $921
11	Bcbs Sc percent of total billed charges · bothfrom % of charges	1	$95	$95	$29	31%	28	$50 – $133
12	Sanford Health Plan fee schedule · outpatient · +9 other terms	24	$347	$232	$219	94%	15–42	$42 – $1.1k
13	Caresource fee schedule · outpatient · +17 other terms	41	$112	$679	$921	136%	12–120	$1 – $3.0k
14	Blue Cross Blue Shield facility · fee schedule · outpatient · +28 other terms	224	$143	$240	$355	148%	2–20	$5 – $8.1k
15	Wellmark facility · fee schedule · both · +14 other terms	36	$119	$169	$149	88%	2–20	$10 – $805
16	Bcbs Mo professional · other · both · +2 other terms	1	$228	$228	$6	3%	2–20	$222 – $234
17	Bcbs Id fee schedule · outpatient · +5 other terms	6	$621	$815	$1.3k	161%	1–10	$89 – $4.1k
18	Tricare facility · fee schedule · outpatient · +15 other terms	103	$61	$134	$585	437%	—	$0 – $10.7k
19	WellCare facility · fee schedule · outpatient · +20 other terms	100	$98	$179	$536	299%	—	$11 – $5.7k
20	Oscar case rate · outpatient · +16 other terms	99	$173	$164	$52	32%	—	$23 – $222
21	MultiPlan fee schedule · outpatient · +18 other terms	88	$361	$575	$1.4k	250%	—	$1 – $9.6k
22	Devoted facility · fee schedule · outpatient · +17 other terms	80	$91	$182	$444	244%	—	$0 – $3.8k
23	Kaiser fee schedule · outpatient · +21 other terms	73	$98	$659	$1.9k	291%	—	$1 – $16.8k
24	Highmark facility · fee schedule · outpatient · +14 other terms	59	$110	$171	$336	197%	—	$13 – $3.6k
25	Medicare facility · fee schedule · outpatient · +16 other terms	57	$97	$103	$130	127%	—	$0 – $1.7k

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