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
HC SCREENING MAMMO W W/O CAD BILATERAL - RT
Buda, TX
See all hospitals reporting RC 403 →Price type
Baylor Scott & White Medical Center - Buda’s median price of $101 is 25% below the median hospital's median price ($133), higher than 32% of the 1,823 hospitals reporting RC 403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 18 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 | Superior Healthplan medicaid facility · percent of total billed charges · outpatientfrom % of charges | $48 | $48 | — | — | — | $48 – $48 |
| 2 | UnitedHealthcare medicaid/chip facility · percent of total billed charges · outpatientfrom % of charges | $51 | $51 | — | — | — | $51 – $51 |
| 3 | Superior Healthplan medicaid facility · fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 4 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 5 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $96 | $96 | $49 | 51% | — | $47 – $144 |
| 6 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $113 | $113 | $57 | 51% | — | $55 – $170 |
| 7 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $122 | $122 | $62 | 51% | — | $60 – $184 |
| 8 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $143 | $143 | $73 | 51% | — | $70 – $215 |
| 9 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $145 | $145 | $74 | 51% | — | $71 – $218 |
| 10 | UnitedHealthcare commercial facility · per diem · outpatient | $170 | $170 | — | — | — | $170 – $170 |
| 11 | Humana commercial hmo facility · percent of total billed charges · outpatientfrom % of charges | $171 | $171 | $87 | 51% | — | $84 – $258 |
| 12 | First Health ppo facility · percent of total billed charges · inpatientfrom % of charges | $184 | $184 | $94 | 51% | — | $90 – $278 |
| 13 | First Health ppo facility · percent of total billed charges · outpatientfrom % of charges | $184 | $184 | $94 | 51% | — | $90 – $278 |
| 14 | Humana commercial ppo facility · percent of total billed charges · outpatientfrom % of charges | $184 | $184 | $94 | 51% | — | $90 – $278 |
| 15 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · fee schedule · outpatient | $210 | $210 | $125 | 60% | — | $85 – $334 |
| 16 | Blue Cross Blue Shield blue advantage facility · fee schedule · outpatient | $212 | $212 | $126 | 60% | — | $86 – $338 |
| 17 | Blue Cross Blue Shield blue essentials (hmo) facility · fee schedule · outpatient | $243 | $243 | $144 | 60% | — | $98 – $387 |
| 18 | Blue Cross Blue Shield bluechoice (ppo) facility · fee schedule · outpatient | $255 | $255 | $152 | 60% | — | $103 – $407 |
Last updated: Jun 13, 2026
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