RC 403
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
Screening mammography
Low
$30
Average
$171
Median
$118
High
$1.1k
Each hospital's average Ambetter rate, under the methodology and billing class chosen below.
330 hospitals; the 90th percentile is 4.9× 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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388 hospital rates
iThe hospitals that file a Ambetter 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS other · outpatient | 1 | $51 | $94 | $73 | 78% | 2,135 | $35 – $198 |
| 2 | The Medical Center of Central Georgia Inc Macon, GA percent of total billed charges · outpatientfrom % of charges | 1 | $113 | $113 | $93 | 82% | 1,185 | $20 – $206 |
| 3 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS other · outpatient | 1 | $86 | $61 | $31 | 52% | 675 | $22 – $86 |
| 4 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS other · outpatient | 1 | $124 | $124 | $74 | 59% | 432 | $51 – $198 |
| 5 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS percent of total billed charges · outpatientfrom % of charges | 1 | $39 | $39 | $22 | 55% | 382 | $18 – $61 |
| 6 | Navicent Health Baldwin Inc Milledgeville, GA percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $74 | $37 | 50% | 238 | $37 – $110 |
| 7 | Columbus Regional Hospital Columbus, IN fee schedule · both | 1 | $132 | $112 | $39 | 35% | 220 | $34 – $132 |
| 8 | The Medical Center of Peach County Inc Byron, GA percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | $56 | 72% | 206 | $21 – $134 |
| 9 | Hospital Authority of Miller County Colquitt, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $153 | $133 | $47 | 36% | 186 | $39 – $160 |
| 10 | Cass Regional Medical Center Harrisonville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $122 | $101 | 83% | 89 | $10 – $240 |
| 11 | Polk Medical Center Inc Cedartown, GA percent of total billed charges · outpatientfrom % of charges | 1 | $86 | $86 | $53 | 61% | 75 | $33 – $139 |
| 12 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges | 1 | $179 | $158 | $101 | 64% | 43 | $25 – $282 |
| 13 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER CANTON, MS other · outpatient | 1 | $51 | $94 | $73 | 78% | 35 | $35 – $198 |
| 14 | Morrison Community Hospital District Morrison, IL facility · fee schedule · both | 1 | $107 | $107 | $62 | 58% | 18 | $45 – $169 |
| 15 | Deaconess Health System Gibson General Hospital Princeton, IN facility · other · inpatient | 1 | $139 | $139 | — | — | 11 | $139 – $139 |
| 16 | Deaconess Health System Gibson General Hospital Princeton, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | $46 | 75% | 11 | $16 – $108 |
| 17 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $109 | $90 | $37 | 41% | 7–70 | $49 – $140 |
| 18 | Inspira Medical Center Elmer Elmer, NJ other · outpatient | 1 | $96 | $96 | — | — | 1–10 | $96 – $96 |
| 19 | Advocate Childrens Hospital Oak Lawn Oak Lawn, IL facility · case rate · outpatient | 1 | $84 | $84 | $49 | 59% | — | $35 – $133 |
| 20 | Advocate Childrens Hospital Park Ridge Park Ridge, IL facility · case rate · outpatient | 1 | $84 | $84 | $49 | 59% | — | $35 – $133 |
| 21 | Advocate Christ Medical Center Oak Lawn, IL facility · case rate · outpatient | 1 | $84 | $84 | $49 | 59% | — | $35 – $133 |
| 22 | Advocate Condell Medical Center Libertyville, IL case rate · outpatient | 1 | $84 | $84 | $49 | 59% | — | $35 – $133 |
| 23 | Advocate Good Samaritan Hospital Downers Grove, IL case rate · outpatient | 1 | $84 | $84 | $49 | 59% | — | $35 – $133 |
| 24 | Advocate Good Shepherd Hospital Barrington, IL case rate · outpatient | 1 | $84 | $84 | $49 | 59% | — | $35 – $133 |
| 25 | Advocate Illinois Masonic Medical Center Chicago, IL case rate · outpatient | 1 | $84 | $84 | $49 | 59% | — | $35 – $133 |
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