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
$33
Average
$72
Median
$75
High
$140
Each hospital's average Clover rate, under the methodology and billing class chosen below.
53 hospitals; the 90th percentile is 2.8× 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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53 hospital rates
iThe hospitals that file a Clover 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 | Inspira Medical Center Elmer Elmer, NJ other · outpatient | 1 | $124 | $124 | — | — | 236 | $124 – $124 |
| 2 | Inspira Medical Center Mannington Salem, NJ other · outpatient | 1 | $124 | $124 | — | — | 183 | $124 – $124 |
| 3 | Higgins General Hospital Bremen, GA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $83 | $59 | $30 | 52% | 46 | $22 – $83 |
| 4 | Hackensack Meridian at Pascack Valley Westwood, NJ facility · percent of total billed charges · bothfrom % of charges | 1 | $130 | $130 | $77 | 60% | 2–20 | $52 – $207 |
| 5 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $40 | $47 | $29 | 63% | — | $10 – $80 |
| 6 | Capital Health System Inc Trenton, NJ case rate · outpatient | 1 | $137 | $104 | $40 | 39% | — | $55 – $137 |
| 7 | Capital Health System Inc Browns Mills, NJ case rate · outpatient | 1 | $137 | $104 | $40 | 39% | — | $55 – $137 |
| 8 | Donalsonville Hospital Donalsonville, GA fee schedule · both | 1 | $116 | $140 | $46 | 33% | — | $116 – $232 |
| 9 | East Georgia Regional Medical Center LLC Statesboro, GA facility · fee schedule · outpatient | 1 | $40 | $38 | $24 | 62% | — | $10 – $80 |
| 10 | Floyd Healthcare Management Inc Rome, GA case rate · outpatient | 1 | $83 | $83 | $34 | 41% | — | $49 – $117 |
| 11 | Foley Hospital Company LLC Foley, AL facility · fee schedule · outpatient | 1 | $31 | $38 | $27 | 70% | — | $10 – $80 |
| 12 | Gadsden Regional Medical Center LLC Gadsden, AL facility · fee schedule · outpatient | 1 | $40 | $45 | $25 | 56% | — | $10 – $80 |
| 13 | HMH HOSPITALS CORPORATION Hackensack, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $83 | $48 | 59% | — | $48 – $151 |
| 14 | HMH HOSPITALS CORPORATION Red Bank, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $75 | $43 | 57% | — | $40 – $135 |
| 15 | HMH HOSPITALS CORPORATION Manahawkin, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $75 | $43 | 57% | — | $40 – $135 |
| 16 | HMH HOSPITALS CORPORATION Neptune City, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $83 | $48 | 59% | — | $48 – $151 |
| 17 | HMH HOSPITALS CORPORATION Edison, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $83 | $48 | 59% | — | $48 – $151 |
| 18 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $75 | $43 | 57% | — | $40 – $135 |
| 19 | HMH HOSPITALS CORPORATION Holmdel, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $75 | $43 | 57% | — | $40 – $135 |
| 20 | HMH HOSPITALS CORPORATION Old Bridge, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $75 | $43 | 57% | — | $40 – $135 |
| 21 | HMH HOSPITALS CORPORATION Point Pleasant, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $75 | $43 | 57% | — | $40 – $135 |
| 22 | HMH HOSPITALS CORPORATION Perth Amboy, NJ facility · percent of total billed charges · outpatientfrom % of charges | 1 | $49 | $75 | $43 | 57% | — | $40 – $135 |
| 23 | Inspira Medical Center Mullica Hill Hill, NJ fee schedule · outpatient | 1 | $96 | $96 | $41 | 43% | — | $55 – $137 |
| 24 | Inspira Medical Center Vineland Vineland, NJ fee schedule · outpatient | 1 | $96 | $96 | $41 | 43% | — | $55 – $137 |
| 25 | McLeod Health Dillon, SC fee schedule · both | 1 | $85 | $85 | $35 | 41% | — | $50 – $120 |
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