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
$0
Average
$132
Median
$68
High
$945
Each hospital's average Tricare rate, under the methodology and billing class chosen below.
239 hospitals; the 90th percentile is 7.1× 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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270 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 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient | 1 | $85 | $71 | $34 | 48% | 453–471 | $20 – $105 |
| 2 | OKTIBBEHA COUNTY HOSPITAL STARKVILLE, MS fee schedule · outpatient | 1 | $76 | $54 | $28 | 51% | 123 | $20 – $76 |
| 3 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $83 | $83 | $34 | 41% | 105 | $49 – $117 |
| 4 | GUTHRIE CORTLAND MEDICAL CENTER Cortland, NY facility · other · outpatient | 1 | $55 | $55 | $32 | 59% | 75 | $23 – $87 |
| 5 | DELTA COUNTY MEMORIAL HOSPITAL DELTA, CO fee schedule · outpatient | 1 | $61 | $61 | $36 | 59% | 68 | $25 – $97 |
| 6 | Newton Wellesley Hospital Newton, MA percent of total billed charges · bothfrom % of charges | 1 | $361 | $361 | $185 | 51% | 65 | $177 – $546 |
| 7 | Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges | 1 | $91 | $91 | $53 | 59% | 62 | $37 – $144 |
| 8 | ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS Towanda, PA facility · other · outpatient | 1 | $53 | $53 | $31 | 59% | 61 | $22 – $84 |
| 9 | Salem Hospital Salem, MA percent of total billed charges · bothfrom % of charges | 1 | $361 | $361 | $185 | 51% | 37 | $177 – $546 |
| 10 | STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER GRENADA, MS fee schedule · outpatient | 1 | $48 | $48 | $28 | 59% | 31 | $20 – $76 |
| 11 | Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $423 | $423 | $217 | 51% | 27 | $206 – $640 |
| 12 | Lowell General Hospital Lowell, MA other · both | 1 | $151 | $276 | $231 | 84% | 25 | $76 – $600 |
| 13 | Mercy Perry Perryville, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $84 | $69 | $28 | 41% | 17 | $37 – $107 |
| 14 | Massachusetts General Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $423 | $423 | $217 | 51% | 16 | $206 – $640 |
| 15 | Mercy Hospital Aurora Aurora, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $69 | $57 | $23 | 41% | 16 | $31 – $88 |
| 16 | Mercy St. Francis Hospital View, MO facility · percent of total billed charges · outpatientfrom % of charges | 1 | $81 | $67 | $27 | 41% | 16 | $36 – $104 |
| 17 | ONEIDA HEALTH ONEIDA, NY fee schedule · outpatient | 1 | $85 | $72 | $25 | 35% | 15–150 | $22 – $85 |
| 18 | Mercy Hospital Berryville Berryville, AR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $62 | $51 | $24 | 46% | 11 | $25 – $80 |
| 19 | CLEVELAND AREA HOSPITAL CLEVELAND, OK percent of total billed charges · outpatientfrom % of charges | 1 | $188 | $162 | $45 | 28% | 4–40 | $83 – $188 |
| 20 | Aspen Valley Hospital District Aspen, CO facility · percent of total billed charges · bothfrom % of charges | 4 | $279 | $339 | $103 | 30% | 2–20 | $279 – $517 |
| 21 | Brigham and Women's Faulkner Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $361 | $361 | $185 | 51% | 2–20 | $177 – $546 |
| 22 | MELROSEWAKEFIELD HEALTHCARE Medford, MA other · both | 1 | $426 | $426 | $311 | 73% | 2–20 | $115 – $737 |
| 23 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $86 | $86 | $36 | 42% | — | $50 – $122 |
| 24 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $74 | $52 | $27 | 51% | — | $19 – $74 |
| 25 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $50 | $50 | $30 | 59% | — | $21 – $80 |
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