APC N804

Mammography breast imaging services at Emory University

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

Atlanta, GA

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Pricing by billing methodology

Price type

How this price compares nationally

Emory University’s median price of $263 is 46% above the median hospital's median price ($180), higher than 74% 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 Emory University

Negotiated rates from the hospital’s own file: 15 payers, 29 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	Aetna indemnity traditional facility · percent of total billed charges · outpatientfrom % of charges	$50	$50	—	—	1–10	$50 – $50
2	Caresource medicaid managed care plan facility · other · outpatient	$104	$104	—	—	23	$104 – $104
3	Blue Cross Blue Shield blue value secure medicare managed care plan facility · other · outpatient	$110	$110	—	—	347	$110 – $110
4	Devoted medicare managed care plan facility · other · outpatient	$110	$110	—	—	13	$110 – $110
5	UnitedHealthcare medicare managed care plan facility · other · outpatient	$111	$111	—	—	1,138	$111 – $111
6	Aetna medicare managed care plan facility · other · outpatient	$113	$113	—	—	777	$113 – $113
7	Humana medicare managed care plan facility · other · outpatient	$113	$113	—	—	659	$113 – $113
8	Optum ccn government facility · other · outpatient	$113	$113	—	—	84	$113 – $113
9	Cigna healthspring medicare managed care plan facility · other · outpatient	$114	$114	—	—	92	$114 – $114
10	Clover medicare managed care plan facility · other · outpatient	$116	$116	—	—	12	$116 – $116
11	WellCare medicare managed care plan facility · other · outpatient	$117	$117	—	—	103	$117 – $117
12	Ambetter peach state exchange facility · other · outpatient	$239	$239	—	—	449	$239 – $239
13	Blue Cross Blue Shield blue pathways exchange facility · other · outpatient	$251	$251	—	—	154	$251 – $251
14	Aetna exchange facility · other · outpatient	$276	$276	—	—	143	$276 – $276
15	Oscar exchange facility · other · outpatient	$279	$279	—	—	362	$279 – $279
16	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$313	$313	—	—	71	$313 – $313
17	UnitedHealthcare core/charter/nexus other commercial plan facility · other · outpatient	$313	$313	—	—	17	$313 – $313
18	UnitedHealthcare hmo/pos facility · other · outpatient	$313	$313	—	—	954	$313 – $313
19	UnitedHealthcare ppo facility · other · outpatient	$313	$313	—	—	82	$313 – $313
20	Kaiser hmo facility · other · outpatient	$330	$330	—	—	1–10	$330 – $330
21	Kaiser ppo facility · percent of total billed charges · outpatientfrom % of charges	$333	$333	—	—	1–10	$333 – $333
22	Phcs all commercial plans facility · percent of total billed charges · outpatientfrom % of charges	$333	$333	—	—	31	$333 – $333
23	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$342	$342	—	—	35	$342 – $342
24	Blue Cross Blue Shield hpn other commercial plan facility · other · outpatient	$360	$360	—	—	20	$360 – $360
25	Blue Cross Blue Shield hmo facility · other · outpatient	$424	$424	—	—	1,848	$424 – $424

Page 1 of 2 · 29 rates

Last updated: Apr 1, 2026

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