APC N804
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
Mammography Services
Delaware, OH
See all hospitals reporting APC N804 →Price type
Grady Memorial Hospital’s median price of $110 is 39% below the median hospital's median price ($180), higher than 14% of the 387 hospitals reporting APC N804. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 26 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 | Molina medicaid managed care plan other · outpatient | $101 | $101 | — | — | 86 | $101 – $101 |
| 2 | Medical Mutual medicare managed care plan other · outpatient | $101 | $101 | — | — | 160 | $101 – $101 |
| 3 | Aetna medicare managed care plan other · outpatient | $101 | $101 | — | — | 682 | $101 – $101 |
| 4 | Blue Cross Blue Shield anthem medicare managed care plan other · outpatient | $101 | $101 | — | — | 298 | $101 – $101 |
| 5 | Humana medicare managed care plan other · outpatient | $101 | $101 | — | — | 391 | $101 – $101 |
| 6 | UnitedHealthcare medicare managed care plan other · outpatient | $101 | $101 | — | — | 230 | $101 – $101 |
| 7 | Caresource medicare managed care plan other · outpatient | $102 | $102 | — | — | 1–10 | $102 – $102 |
| 8 | Devoted medicare managed care plan other · outpatient | $103 | $103 | — | — | 44 | $103 – $103 |
| 9 | Molina medicare managed care plan other · outpatient | $105 | $105 | — | — | 20 | $105 – $105 |
| 10 | Caresource medicaid managed care plan other · outpatient | $106 | $106 | — | — | 99 | $106 – $106 |
| 11 | UnitedHealthcare medicaid managed care plan other · outpatient | $109 | $109 | — | — | 53 | $109 – $109 |
| 12 | Blue Cross Blue Shield anthem medicaid managed care plan other · outpatient | $110 | $110 | — | — | 24 | $110 – $110 |
| 13 | Medical Mutual exchange other · outpatient | $110 | $110 | — | — | 81 | $110 – $110 |
| 14 | Medical Mutual all commercial plans other · outpatient | $113 | $113 | — | — | 553 | $113 – $113 |
| 15 | Humana medicaid managed care plan other · outpatient | $114 | $114 | — | — | 23 | $114 – $114 |
| 16 | Aetna medicaid managed care plan other · outpatient | $117 | $117 | — | — | 1–10 | $117 – $117 |
| 17 | Blue Cross Blue Shield pathway exchange other · outpatient | $155 | $155 | — | — | 218 | $155 – $155 |
| 18 | Caresource exchange other · outpatient | $173 | $173 | — | — | 1–10 | $173 – $173 |
| 19 | Aetna all commercial plans other · outpatient | $255 | $255 | — | — | 833 | $255 – $255 |
| 20 | Blue Cross Blue Shield anthem blue access hmo/ppo other · outpatient | $259 | $259 | — | — | 1,574 | $259 – $259 |
| 21 | Blue Cross Blue Shield anthem traditional other · outpatient | $259 | $259 | — | — | 1–10 | $259 – $259 |
| 22 | Cigna hmo other · outpatient | $278 | $278 | — | — | 306 | $278 – $278 |
| 23 | Cigna ppo other · outpatient | $278 | $278 | — | — | 1–10 | $278 – $278 |
| 24 | Cigna great west other commercial plan other · outpatient | $287 | $287 | — | — | 71 | $287 – $287 |
| 25 | UnitedHealthcare all commercial plans other · outpatient | $287 | $287 | — | — | 1,405 | $287 – $287 |
Last updated: Apr 1, 2026
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