APC N804

Mammography breast imaging services at Atrium Medical Center

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Mammography Services

Middletown, OH

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Pricing by billing methodology

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How this price compares nationally

Atrium Medical Center’s median price of $113 is 38% below the median hospital's median price ($180), higher than 17% of the 387 hospitals reporting APC N804. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC N804 at Atrium Medical Center

Negotiated rates from the hospital’s own file: 5 payers, 22 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	Medical Mutual medical mutual marketplace-exchange plans percent of total billed charges · outpatientfrom % of charges	$87	$87	—	—	34	$87 – $87
2	Anthem anthem blue connection high performance network other · outpatient	$103	$103	—	—	21	$103 – $103
3	Medical Mutual medical mutual exclusive edition percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	47	$113 – $113
4	Medical Mutual medical mutual medflex percent of total billed charges · outpatientfrom % of charges	$113	$113	—	—	1–10	$113 – $113
5	Medical Mutual medical mutual of ohio other · outpatient	$113	$113	—	—	57	$113 – $113
6	Anthem anthem bcbs other · outpatient	$123	$123	—	—	350	$123 – $123
7	Anthem anthem blue cross-out of area other · outpatient	$123	$123	—	—	1,268	$123 – $123
8	Anthem anthem commercial other · outpatient	$123	$123	—	—	383	$123 – $123
9	Anthem anthem federal other · outpatient	$123	$123	—	—	104	$123 – $123
10	UnitedHealthcare united healthcare ppo other · outpatient	$138	$138	—	—	1–10	$138 – $138
11	UnitedHealthcare united healthcare other · outpatient	$139	$139	—	—	25	$139 – $139
12	UnitedHealthcare united healthcare golden rule other · outpatient	$139	$139	—	—	1–10	$139 – $139
13	UnitedHealthcare united healthcare choice plus other · outpatient	$139	$139	—	—	512	$139 – $139
14	UnitedHealthcare united healthcare river valley other · outpatient	$139	$139	—	—	1–10	$139 – $139
15	UnitedHealthcare united healthcare surest other · outpatient	$139	$139	—	—	63	$139 – $139
16	UnitedHealthcare united medical resources other · outpatient	$139	$139	—	—	311	$139 – $139
17	Anthem anthem marketplace-exchange plans other · outpatient	$154	$154	—	—	141	$154 – $154
18	Aetna cincinnati preferred other · outpatient	$163	$163	—	—	95	$163 – $163
19	Cigna cigna exclusive edition percent of total billed charges · outpatientfrom % of charges	$168	$168	—	—	23	$168 – $168
20	Aetna aetna other · outpatient	$320	$320	—	—	138	$320 – $320
21	Cigna cigna percent of total billed charges · outpatientfrom % of charges	$327	$327	—	—	151	$327 – $327
22	Cigna cigna gwh percent of total billed charges · outpatientfrom % of charges	$327	$327	—	—	1–10	$327 – $327

Last updated: Apr 1, 2026

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