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
$56
Average
$174
Median
$174
High
$370
Each hospital's average Medical Mutual rate, under the methodology and billing class chosen below.
83 hospitals; the 90th percentile is 3.0× 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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137 hospital rates
iThe hospitals that file a Medical Mutual 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 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 2 | $92 | $101 | $58 | 58% | 194 | $38 – $181 |
| 2 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $91 | $124 | $75 | 60% | 51–60 | $35 – $217 |
| 3 | Shelby County Memorial Hospital Assocation Sidney, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $129 | $129 | $69 | 53% | 51 | $60 – $198 |
| 4 | Highland District Hospital Hillsboro, OH percent of total billed charges · outpatientfrom % of charges | 2 | $80 | $99 | $67 | 68% | 37 | $29 – $221 |
| 5 | Barnesville Hospital Association, Inc. Barnesville, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $56 | $29 | 51% | 33–87 | $28 – $85 |
| 6 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $99 | $198 | $155 | 78% | 5–50 | $66 – $448 |
| 7 | St Joseph Mercy Chelsea Chelsea, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $86 | $171 | $134 | 78% | 5–50 | $57 – $387 |
| 8 | St Joseph Mercy Livingston Hospital | Trinity Health Medical Center - Brighton Brighton, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $105 | $209 | $164 | 78% | 5–50 | $70 – $474 |
| 9 | St Mary Mercy Livonia Livonia, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $82 | $163 | $127 | 78% | 5–50 | $55 – $370 |
| 10 | Morrow County Hospital Gilead, OH percent of total billed charges · outpatientfrom % of charges | 4 | $161 | $154 | $95 | 61% | 4–40 | $24 – $294 |
| 11 | Harrison Community Hospital, Inc. Cadiz, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $85 | $66 | $27 | 41% | 3–30 | $28 – $85 |
| 12 | Mount Carmel St Ann's Lewis Center, OH facility · percent of total billed charges · bothfrom % of charges | 1 | $46 | $54 | $11 | 20% | 3–30 | $46 – $69 |
| 13 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $140 | $140 | $77 | 55% | — | $64 – $217 |
| 14 | Adena Health System Chillicothe, OH facility · fee schedule · outpatient | 1 | $83 | $83 | $35 | 42% | — | $48 – $118 |
| 15 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $84 | $84 | $46 | 55% | — | $38 – $130 |
| 16 | AnMed Health Anderson, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $163 | $104 | 63% | — | $90 – $310 |
| 17 | AnMed Health Cannon Pickens, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $163 | $104 | 63% | — | $90 – $310 |
| 18 | AnMed Piedmont Piedmont, SC facility · percent of total billed charges · outpatientfrom % of charges | 1 | $90 | $163 | $104 | 63% | — | $90 – $310 |
| 19 | Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient | 1 | $96 | $96 | $33 | 35% | — | $63 – $129 |
| 20 | Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 21 | Benefis Hospitals Inc Helena, MT fee schedule · outpatient | 1 | $35 | $68 | $47 | 69% | — | $35 – $134 |
| 22 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 1 | $84 | $159 | $106 | 67% | — | $84 – $310 |
| 23 | Carmel AmbSurg Carmel, IN percent of total billed charges · outpatientfrom % of charges | 3 | $188 | $198 | $129 | 65% | — | $64 – $354 |
| 24 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $32 | $111 | $110 | 99% | — | $22 – $288 |
| 25 | Central Community Hospital Elkader, IA facility · percent of total billed charges · bothfrom % of charges | 1 | $88 | $215 | $188 | 87% | — | $59 – $523 |
← Payers reporting RC 403 · Snapshot 20261111T120946Z-9134e7f7