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 SCR BREAST TOMO BI
Boulder, CO
See all hospitals reporting RC 403 →Price type
Boulder Community Health’s median price of $109 is 18% below the median hospital's median price ($133), higher than 37% 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: 10 payers, 25 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 | Anthem managed care facility · fee schedule · outpatient | $50 | $70 | $45 | 64% | — | $28 – $149 |
| 2 | Anthem commercial facility · fee schedule · outpatient | $58 | $85 | $74 | 87% | — | $24 – $381 |
| 3 | Aetna medicare advantage facility · case rate · outpatient | $93 | $93 | $40 | 43% | — | $53 – $133 |
| 4 | Anthem medicare advantage facility · case rate · outpatient | $93 | $93 | $40 | 43% | — | $53 – $133 |
| 5 | Humana medicare advantage facility · case rate · outpatient | $95 | $95 | $41 | 43% | — | $54 – $135 |
| 6 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $95 | $95 | $41 | 43% | — | $54 – $135 |
| 7 | Kaiser medicare advantage facility · case rate · outpatient | $95 | $95 | $41 | 43% | — | $54 – $137 |
| 8 | Devoted medicare advantage facility · case rate · outpatient | $96 | $96 | $41 | 43% | — | $55 – $137 |
| 9 | Devoted medicare advantage facility · percent of total billed charges · inpatientfrom % of charges | $118 | $118 | $96 | 81% | — | $22 – $214 |
| 10 | Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges | $81 | $129 | $144 | 112% | 4,061 | $12 – $428 |
| 11 | Healthpartners managed medicaid facility · other · outpatient | $158 | $158 | — | — | 75 | $158 – $158 |
| 12 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $170 | $170 | $138 | 81% | — | $32 – $308 |
| 13 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $176 | $176 | $143 | 81% | — | $33 – $319 |
| 14 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $191 | $191 | $155 | 81% | — | $36 – $346 |
| 15 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $204 | $204 | $166 | 81% | — | $39 – $370 |
| 16 | Phcs commercial facility · percent of total billed charges · inpatientfrom % of charges | $204 | $204 | $166 | 81% | — | $39 – $370 |
| 17 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $207 | $207 | $168 | 81% | — | $39 – $375 |
| 18 | Phcs commercial facility · percent of total billed charges · outpatientfrom % of charges | $207 | $207 | $168 | 81% | — | $39 – $375 |
| 19 | Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges | $236 | $236 | $192 | 81% | — | $45 – $428 |
| 20 | Aetna ppo facility · case rate · outpatient | $249 | $249 | — | — | — | $249 – $249 |
| 21 | Aetna commercial facility · case rate · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 22 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $257 | $257 | $209 | 81% | — | $49 – $466 |
| 23 | Kaiser commercial facility · case rate · outpatient | $289 | $289 | $35 | 12% | — | $254 – $323 |
| 24 | Kaiser managed care facility · case rate · outpatient | $320 | $320 | — | — | — | $320 – $320 |
| 25 | UnitedHealthcare commercial facility · case rate · outpatient | $382 | $382 | — | — | — | $382 – $382 |
Last updated: Sep 16, 2026
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