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
$1
Average
$117
Median
$83
High
$1.4k
Each hospital's average Molina rate, under the methodology and billing class chosen below.
515 hospitals; the 90th percentile is 5.4× 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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718 hospital rates
iThe hospitals that file a Molina 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 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 4 | $94 | $151 | $154 | 102% | 1,123 | $19 – $462 |
| 2 | PeaceHealth Southwest Medical Center Vancouver, WA facility · other · outpatient | 3 | $24 | $24 | $11 | 46% | 1,115 | $11 – $38 |
| 3 | BAPTIST HEALTHCARE SYSTEM INC Corbin, KY percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | $41 | 91% | 679 | $4 – $86 |
| 4 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $249 | $249 | $28 | 11% | 557 | $221 – $277 |
| 5 | BAPTIST HEALTHCARE SYSTEM INC. Louisville, KY percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $62 | $57 | 91% | 532 | $6 – $119 |
| 6 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT other · outpatient | 1 | $62 | $62 | $37 | 59% | 465 | $25 – $98 |
| 7 | Self Regional Healthcare Greenwood, SC facility · other · outpatient | 2 | $67 | $72 | $26 | 36% | 448 | $27 – $102 |
| 8 | BAPTIST HEALTHCARE SYSTEM INC Lexington, KY percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | $46 | 91% | 418 | $5 – $97 |
| 9 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT other · outpatient | 1 | $62 | $62 | $37 | 59% | 327 | $25 – $98 |
| 10 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT fee schedule · outpatient | 2 | $236 | $241 | $142 | 59% | 292 | $96 – $398 |
| 11 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT other · outpatient | 1 | $62 | $62 | $37 | 59% | 286 | $25 – $98 |
| 12 | BAPTIST HEALTHCARE SYSTEM INC Grange, KY percent of total billed charges · outpatientfrom % of charges | 1 | $51 | $51 | $46 | 91% | 212 | $5 – $97 |
| 13 | THE CHARLOTTE HUNGERFORD HOSPITAL TORRINGTON, CT fee schedule · outpatient | 2 | $129 | $132 | $78 | 59% | 203 | $52 – $217 |
| 14 | Public Hospital District No 1 of Mason County Shelton, WA fee schedule · both | 2 | $176 | $177 | $102 | 58% | 186–330 | $39 – $386 |
| 15 | PRISMA HEALTH BAPTIST EASLEY HOSPITAL EASLEY, SC fee schedule · both | 3 | $63 | $66 | $26 | 40% | 143 | $23 – $93 |
| 16 | PRISMA HEALTH GREENVILLE MEMORIAL HOSPITAL GREENVILLE, SC fee schedule · both | 3 | $63 | $66 | $26 | 40% | 143 | $23 – $93 |
| 17 | BAPTIST HEALTHCARE SYSTEM INC Paducah, KY percent of total billed charges · outpatientfrom % of charges | 1 | $45 | $45 | $41 | 91% | 132 | $4 – $86 |
| 18 | Adena Health System Chillicothe, OH facility · other · outpatient | 1 | $89 | $89 | — | — | 128 | $89 – $89 |
| 19 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT fee schedule · outpatient | 2 | $236 | $241 | $142 | 59% | 122 | $96 – $398 |
| 20 | Bexar County Hospital District San Antonio, TX other · outpatient | 1 | $102 | $102 | — | — | 108 | $102 – $102 |
| 21 | Carle BroMenn Medical Center Normal, IL percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $72 | $34 | 47% | 99 | $38 – $106 |
| 22 | WINDHAM COMMUNITY MEMORIAL HOSPITAL INC WILLIMANTIC, CT other · outpatient | 1 | $62 | $62 | $37 | 59% | 96 | $25 – $98 |
| 23 | Methodist Medical Center of Illinois Peoria, IL percent of total billed charges · outpatientfrom % of charges | 1 | $67 | $67 | $45 | 67% | 94 | $22 – $111 |
| 24 | PRISMA HEALTH PATEWOOD HOSPITAL GREENVILLE, SC fee schedule · both | 3 | $57 | $64 | $27 | 42% | 93 | $23 – $93 |
| 25 | Valley County Hospital NE 68862-1240; 400 S 23rd St Ord, NE facility · percent of total billed charges · outpatientfrom % of charges | 2 | $205 | $156 | $73 | 47% | 93 | $53 – $209 |
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