RC 403

Screening mammogram at Ascension Seton

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

SCRN MAM DIR DIGITAL-UNILAT

Luling, TX

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Pricing by billing methodology

Price type

How this price compares nationally

Ascension Seton’s median price of $158 is 18% above the median hospital's median price ($133), higher than 61% 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 Seton

Negotiated rates from the hospital’s own file: 14 payers, 136 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	Blue Cross Blue Shield 4170_blue cross chip (ebd) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$81	$61	$28	47%	—	$21 – $81
2	Blue Cross Blue Shield 4170_blue cross chip/star kids (ebd) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$81	$61	$28	47%	—	$21 – $81
3	Blue Cross Blue Shield 4221_chirp blue cross star (ebd) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$81	$61	$28	47%	—	$21 – $81
4	Blue Cross Blue Shield 5007_blue cross star kids (ebd) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$81	$61	$28	47%	—	$21 – $81
5	UnitedHealthcare 4255_chirp uhc star (ebd) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$81	$61	$28	47%	—	$21 – $81
6	UnitedHealthcare 4266_chirp uhc star plus (ebd) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$81	$61	$28	47%	—	$21 – $81
7	UnitedHealthcare 4313_uhc star kids (ebd) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$81	$61	$28	47%	—	$21 – $81
8	Ambetter 3879_superior ambetter (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$87	$65	$31	47%	—	$22 – $87
9	Aetna 4277_medicare advantage aetna (ebd) 20250219 percent of total billed charges · outpatientfrom % of charges	$66	$66	$39	59%	—	$27 – $106
10	Humana 4280_medicare advantage humana (ebd) 20250219 percent of total billed charges · outpatientfrom % of charges	$66	$66	$39	59%	—	$27 – $106
11	UnitedHealthcare 4282_medicare advantage united healthcare (ebd) 20250219 percent of total billed charges · outpatientfrom % of charges	$66	$66	$39	59%	—	$27 – $106
12	Devoted 4414_medicare advantage devoted health (ebd) 20250101 percent of total billed charges · outpatientfrom % of charges	$74	$74	$44	59%	—	$30 – $118
13	WellCare 4410_medicare advantage wellcare (ebd) 20250101 percent of total billed charges · outpatientfrom % of charges	$74	$74	$44	59%	—	$30 – $118
14	Blue Cross Blue Shield 3596_blue cross chip/star kids (ebd) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$99	$75	$35	47%	—	$25 – $99
15	Blue Cross Blue Shield 3695_chirp blue cross star (ebd) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$99	$75	$35	47%	—	$25 – $99
16	UnitedHealthcare 3739_chirp uhc star (ebd) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$99	$75	$35	47%	—	$25 – $99
17	UnitedHealthcare 3750_chirp uhc star plus (ebd) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$99	$75	$35	47%	—	$25 – $99
18	UnitedHealthcare 4324_uhc star kids (ebd) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$99	$75	$35	47%	—	$25 – $99
19	Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
20	Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$87	$87	—	—	—	$87 – $87
21	Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$87	$87	—	—	—	$87 – $87
22	Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
23	Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
24	Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	—	$87 – $87
25	UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 percent of total billed charges · bothfrom % of charges	$87	$87	—	—	—	$87 – $87

Page 1 of 6 · 136 rates

Last updated: Jan 1, 2026

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