RC 403

Screening mammogram at Carmel AmbSurg

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

MAMMO FFD W/WO CAD SCREENING

Carmel, IN

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How this price compares nationally

Carmel AmbSurg’s median price of $89 is 33% below the median hospital's median price ($133), higher than 24% of the 1,798 hospitals reporting RC 403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 403 at Carmel AmbSurg

Negotiated rates from the hospital’s own file: 11 payers, 55 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	Humana 8683_humana ppo medicare replacement inpatient svin 20241001 percent of total billed charges · outpatientfrom % of charges	$63	$63	$41	65%	—	$22 – $104
2	Anthem 9234_anthem healthsync hmo outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges	$76	$76	$49	65%	—	$27 – $125
3	Anthem 9238_anthem pathway x outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges	$76	$76	$49	65%	—	$27 – $125
4	Anthem 9350_anthem short term limited duration outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges	$76	$76	$49	65%	—	$27 – $125
5	Anthem 9235_anthem healthsync pos outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges	$81	$81	$52	65%	—	$28 – $133
6	Anthem 9236_anthem hmo pos outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges	$96	$96	$62	65%	—	$34 – $158
7	Anthem 9237_anthem pathway outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges	$101	$101	$65	65%	—	$36 – $166
8	Anthem 9239_anthem preferred outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges	$101	$101	$65	65%	—	$36 – $166
9	UnitedHealthcare 9385_united healthcare fully funded outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges	$106	$106	$69	65%	—	$37 – $175
10	Anthem 9240_anthem traditional outpatient asin 20250101 percent of total billed charges · outpatientfrom % of charges	$119	$119	$77	65%	—	$42 – $196
11	UnitedHealthcare 6791_united healthcare self funded outpatient asin 20230101 percent of total billed charges · outpatientfrom % of charges	$126	$126	$82	65%	—	$45 – $208
12	Aetna 3697_aetna svin vfin vhin 20210101 percent of total billed charges · outpatientfrom % of charges	$146	$146	$95	65%	—	$52 – $241
13	Humana 8829_humana choice care network vein 20241001 percent of total billed charges · outpatientfrom % of charges	$154	$154	$100	65%	—	$54 – $254
14	Humana 8830_humana choice care vein 20241001 percent of total billed charges · outpatientfrom % of charges	$154	$154	$100	65%	—	$54 – $254
15	Humana 8825_humana choice 1 network asin, ecin 20241001 percent of total billed charges · outpatientfrom % of charges	$162	$162	$105	65%	—	$57 – $266
16	Cigna 8817_cigna ppo choice oap vein 20241001 percent of total billed charges · outpatientfrom % of charges	$164	$164	$106	65%	—	$58 – $270
17	Humana 8828_humana choice 1 network vfin, nrin 20241001 percent of total billed charges · outpatientfrom % of charges	$164	$164	$106	65%	—	$58 – $270
18	Cigna 8821_cigna vein 20241001 percent of total billed charges · outpatientfrom % of charges	$167	$167	$108	65%	—	$59 – $275
19	Aetna 9366_aetna asin 20250101 percent of total billed charges · outpatientfrom % of charges	$169	$169	$110	65%	—	$60 – $279
20	Aetna 9398_aetna vein 20250101 percent of total billed charges · outpatientfrom % of charges	$174	$174	$113	65%	—	$61 – $287
21	First Health 1843_first health 20120101 percent of total billed charges · outpatientfrom % of charges	$177	$177	$114	65%	—	$62 – $291
22	MultiPlan 1836_multiplan 201120101 percent of total billed charges · outpatientfrom % of charges	$177	$177	$114	65%	—	$62 – $291
23	Cigna 8818_cigna ppo ecin asin 20241001 percent of total billed charges · outpatientfrom % of charges	$182	$182	$118	65%	—	$64 – $300
24	Medical Mutual 372_medical mutual of ohio 20120101 percent of total billed charges · outpatientfrom % of charges	$182	$182	$118	65%	—	$64 – $300
25	Cigna 4584_cigna exclusive ecin asin 20210912 percent of total billed charges · outpatientfrom % of charges	$184	$184	$119	65%	—	$65 – $304

Page 1 of 3 · 55 rates

Last updated: Jan 1, 2026

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