RC 403

Screening mammogram at Allina Health Systems

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HCHG RAD MAMMO BILAT SCREENING W IMPLANT WWO CAD

River Falls, WI

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Pricing by billing methodology

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How this price compares nationally

Allina Health Systems’s median price of $201 is 51% above the median hospital's median price ($133), higher than 74% of the 1,823 hospitals reporting RC 403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 403 at Allina Health Systems

Negotiated rates from the hospital’s own file: 8 payers, 20 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Bcbs Mn bc pmap (r) facility · fee schedule · outpatient	$76	$61	$26	42%	—	$17 – $76
2	Aetna allina aetna medicare (r) facility · fee schedule · outpatient	$87	$71	$28	39%	—	$23 – $87
3	Blue Cross Blue Shield bc medicare (r) facility · fee schedule · outpatient	$90	$73	$29	40%	—	$22 – $90
4	Medica medica medicare (r) facility · fee schedule · outpatient	$90	$73	$29	40%	—	$22 – $90
5	Ucare ucare pmap (abdmnorsuv) facility · percent of total billed charges · outpatientfrom % of charges	$90	$73	$38	52%	—	$10 – $123
6	Medicare medicare (r) facility · fee schedule · outpatient	$92	$75	$29	39%	—	$24 – $92
7	Medicaid medicaid ma (r) facility · fee schedule · outpatient	$103	$88	$27	31%	—	$41 – $103
8	Medica medica pmap (r) facility · percent of total billed charges · outpatientfrom % of charges	$120	$98	$51	52%	—	$13 – $165
9	Medica medica dual solutions (r) facility · percent of total billed charges · outpatientfrom % of charges	$201	$164	$85	52%	—	$23 – $275
10	Bcbs Mn bc state health plan (r) facility · fee schedule · outpatient	$222	$179	$75	42%	—	$49 – $222
11	Aetna aetna elevate (n r) facility · percent of total billed charges · inpatientfrom % of charges	$274	$223	$116	52%	—	$31 – $375
12	Aetna aetna elevate (n r) facility · percent of total billed charges · outpatientfrom % of charges	$276	$225	$117	52%	—	$31 – $379
13	Bcbs Mn bc premier (r) facility · fee schedule · outpatient	$285	$230	$97	42%	—	$62 – $285
14	Aetna aetna performance (n r) facility · percent of total billed charges · inpatientfrom % of charges	$296	$241	$126	52%	—	$33 – $405
15	Aetna aetna performance (n r) facility · percent of total billed charges · outpatientfrom % of charges	$298	$243	$127	52%	—	$33 – $409
16	Blue Cross Blue Shield bc aehp (r) facility · fee schedule · outpatient	$336	$270	$114	42%	—	$73 – $336
17	First Health first health (abdmnosurv) facility · percent of total billed charges · inpatientfrom % of charges	$375	$305	$159	52%	—	$42 – $514
18	First Health first health (abdmnosurv) facility · percent of total billed charges · outpatientfrom % of charges	$375	$305	$159	52%	—	$42 – $514
19	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · inpatientfrom % of charges	$378	$307	$161	52%	—	$42 – $517
20	Aetna aetna direct/indirect network (n r) facility · percent of total billed charges · outpatientfrom % of charges	$381	$311	$162	52%	—	$43 – $523

Last updated: Jun 15, 2026

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