RC 403

Screening mammogram at Ascension Providence

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

SCREENING MAMMO W/CAD RT

Waco, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Providence’s median price of $34 is 74% below the median hospital's median price ($133), higher than 1% of the 1,784 hospitals reporting RC 403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 403 at Ascension Providence

Negotiated rates from the hospital’s own file: 9 payers, 24 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	Molina 891_molina chip inpatient 20240901 percent of total billed charges · bothfrom % of charges	$30	$23	$11	48%	—	$9 – $38
2	Molina 908_molina chip outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$30	$23	$11	47%	—	$9 – $38
3	Superior Healthplan 817_superior star inpatient 20240901 percent of total billed charges · bothfrom % of charges	$30	$23	$11	47%	—	$9 – $34
4	Superior Healthplan 904_superior star outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$30	$23	$11	47%	—	$9 – $38
5	UnitedHealthcare 906_uhc star plus outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$30	$23	$11	48%	—	$9 – $38
6	Blue Cross Blue Shield 974_bcbs star inpatient 20240901 percent of total billed charges · bothfrom % of charges	$30	$23	$11	47%	—	$9 – $38
7	Superior Healthplan 856_superior star plus inpatient 20240901 percent of total billed charges · bothfrom % of charges	$30	$23	$11	47%	—	$9 – $38
8	UnitedHealthcare 929_uhc star inpatient 20250701 percent of total billed charges · bothfrom % of charges	$30	$23	$11	48%	—	$9 – $38
9	UnitedHealthcare 894_uhc star kids inpatient 20240901 percent of total billed charges · bothfrom % of charges	$30	$24	$11	47%	—	$9 – $38
10	UnitedHealthcare 928_uhc star outpatient 20250701 percent of total billed charges · outpatientfrom % of charges	$30	$24	$11	48%	—	$9 – $38
11	Superior Healthplan 907_superior star plus outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$30	$24	$11	48%	—	$9 – $38
12	Blue Cross Blue Shield 975_bcbs star outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$30	$24	$11	47%	—	$9 – $38
13	UnitedHealthcare 909_uhc star kids outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$31	$24	$12	48%	—	$9 – $38
14	UnitedHealthcare 852_uhc star plus inpatient 20240901 percent of total billed charges · bothfrom % of charges	$31	$24	$12	48%	—	$9 – $38
15	Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 percent of total billed charges · outpatientfrom % of charges	$119	$92	$44	48%	—	$35 – $137
16	Aetna 935_aetna 20250801 percent of total billed charges · outpatientfrom % of charges	$138	$112	$54	48%	—	$41 – $175
17	Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 percent of total billed charges · outpatientfrom % of charges	$145	$114	$55	48%	—	$43 – $184
18	Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 percent of total billed charges · outpatientfrom % of charges	$155	$124	$59	47%	—	$46 – $196
19	Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 percent of total billed charges · outpatientfrom % of charges	$178	$139	$66	48%	—	$53 – $225
20	Cigna 930_cigna 20250701 percent of total billed charges · outpatientfrom % of charges	$188	$148	$72	49%	—	$56 – $238
21	Humana 644_humana hmo ppo 20230701 percent of total billed charges · outpatientfrom % of charges	$227	$181	$85	47%	—	$68 – $288
22	First Health 102_firsthealth 20130101 percent of total billed charges · outpatientfrom % of charges	$241	$190	$89	47%	—	$72 – $305
23	Phcs 376_phcs 20191001 percent of total billed charges · outpatientfrom % of charges	$272	$200	$97	48%	—	$74 – $313
24	UnitedHealthcare 943_united healthcare 20250701 per diem · outpatient	$223	$223	—	—	—	$223 – $223

Last updated: Jan 1, 2026

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