RC 401
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
Diagnostic mammography of both breasts
Low
$0
Average
$248
Median
$117
High
$3.6k
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
251 hospitals; the 90th percentile is 11.5× 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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289 hospital rates
iThe hospitals that file a Tricare 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 | CORNING HOSPITAL Corning, NY facility · other · outpatient | 1 | $121 | $104 | $53 | 51% | 172 | $22 – $151 |
| 2 | OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient | 1 | $200 | $210 | $123 | 58% | 106–115 | $48 – $469 |
| 3 | ROBERT PACKER HOSPITAL Sayre, PA facility · other · outpatient | 1 | $683 | $754 | $426 | 56% | 97 | $276 – $1.4k |
| 4 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 1 | $82 | $82 | $10 | 12% | 50 | $72 – $92 |
| 5 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $24 | $76 | $60 | 79% | 15–150 | $24 – $174 |
| 6 | ONEIDA HEALTH ONEIDA, NY fee schedule · outpatient | 1 | $81 | $91 | $11 | 13% | 12–120 | $81 – $114 |
| 7 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS fee schedule · outpatient | 1 | $72 | $81 | $10 | 12% | 7–70 | $72 – $92 |
| 8 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $505 | $512 | $184 | 36% | 4–40 | $283 – $755 |
| 9 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $61 | $63 | $32 | 51% | 4–40 | $31 – $101 |
| 10 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 1 | $90 | $74 | $35 | 47% | 4–40 | $15 – $102 |
| 11 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO fee schedule · outpatient | 1 | $92 | $100 | $12 | 12% | 3–30 | $92 – $117 |
| 12 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $82 | $69 | $37 | 54% | 3–30 | $18 – $106 |
| 13 | MELROSEWAKEFIELD HEALTHCARE Medford, MA other · both | 1 | $531 | $581 | $77 | 13% | 3–30 | $521 – $690 |
| 14 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $115 | $117 | $20 | 17% | 2–20 | $92 – $144 |
| 15 | Lowell General Hospital Lowell, MA other · both | 1 | $572 | $572 | $420 | 73% | 2–20 | $152 – $992 |
| 16 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $575 | $575 | $180 | 31% | 2–20 | $395 – $755 |
| 17 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $463 | $463 | $181 | 39% | 2–20 | $281 – $644 |
| 18 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $463 | $463 | $181 | 39% | 2–20 | $281 – $644 |
| 19 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS fee schedule · outpatient | 1 | $92 | $92 | — | — | 1–10 | $92 – $92 |
| 20 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $158 | $158 | $28 | 18% | — | $119 – $197 |
| 21 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $70 | $57 | $33 | 57% | — | $13 – $89 |
| 22 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $90 | $88 | $11 | 13% | — | $76 – $106 |
| 23 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $79 | $66 | $35 | 53% | — | $14 – $100 |
| 24 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · bothfrom % of charges | 1 | $239 | $267 | $264 | 99% | — | $4 – $586 |
| 25 | Ascension Calumet Hospital, Inc. Chilton, WI percent of total billed charges · outpatientfrom % of charges | 1 | $239 | $267 | $264 | 99% | — | $4 – $586 |
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