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
77067 BR-DIG MAMMO SCRN UN - LT
Peru, IN
See all hospitals reporting RC 403 →Price type
Dukes Health System LLC’s median price of $82 is 38% below the median hospital's median price ($133), higher than 17% 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: 11 payers, 36 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 | Tricare node tricare facility · fee schedule · outpatient | $46 | $47 | $32 | 67% | — | $15 – $79 |
| 2 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $50 | $50 | $33 | 67% | — | $16 – $83 |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $50 | $50 | $33 | 67% | — | $16 – $83 |
| 4 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $50 | $50 | $33 | 67% | — | $16 – $83 |
| 5 | Anthem anthem in hip facility · fee schedule · outpatient | $51 | $51 | $34 | 67% | — | $16 – $84 |
| 6 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $51 | $51 | $34 | 67% | — | $16 – $84 |
| 7 | Optum node united optum va ccn facility · per diem · outpatient | $51 | $51 | $34 | 67% | — | $16 – $84 |
| 8 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $51 | $51 | $34 | 67% | — | $16 – $84 |
| 9 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $51 | $51 | $34 | 67% | — | $16 – $84 |
| 10 | Anthem anthem in healthsync facility · fee schedule · outpatient | $53 | $53 | $31 | 59% | — | $22 – $84 |
| 11 | Anthem anthem in hmo ppo trad facility · fee schedule · outpatient | $53 | $53 | $31 | 59% | — | $22 – $84 |
| 12 | Anthem anthem in marketplace stld facility · fee schedule · outpatient | $53 | $53 | $31 | 59% | — | $22 – $84 |
| 13 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $76 | $76 | $51 | 67% | — | $25 – $127 |
| 14 | Anthem anthem in work comp facility · other · outpatient | $81 | $81 | $54 | 67% | — | $26 – $135 |
| 15 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $90 | $91 | $61 | 67% | — | $30 – $154 |
| 16 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $90 | $91 | $61 | 67% | — | $30 – $154 |
| 17 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $90 | $91 | $61 | 67% | — | $30 – $154 |
| 18 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $90 | $91 | $61 | 67% | — | $30 – $154 |
| 19 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $106 | $108 | $72 | 67% | — | $35 – $181 |
| 20 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $119 | $121 | $81 | 67% | — | $39 – $204 |
| 21 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $123 | $125 | $84 | 67% | — | $40 – $211 |
| 22 | Caresource caresource in medicaid facility · other · outpatient | $132 | $132 | $76 | 58% | — | $56 – $208 |
| 23 | UnitedHealthcare uhc apa facility · per diem · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 24 | Anthem anthem in medicaid facility · other · outpatient | $171 | $171 | $99 | 58% | — | $72 – $270 |
| 25 | Caresource caresource hhw in medicaid facility · other · outpatient | $171 | $171 | $99 | 58% | — | $72 – $270 |
Last updated: Apr 1, 2026
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