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
SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD
Hackensack, NJ
See all hospitals reporting RC 403 →Price type
Hmh Hospitals Corporation’s median price of $221 is 66% above the median hospital's median price ($133), higher than 80% 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: 8 payers, 23 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $60 | $60 | — | — | — | $60 – $60 |
| 2 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $81 | $81 | — | — | — | $81 – $81 |
| 3 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $49 | $83 | $48 | 59% | — | $48 – $151 |
| 4 | Optum managed medicaid facility · fee schedule · outpatient | $94 | $94 | $41 | 44% | — | $52 – $135 |
| 5 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $69 | $115 | $67 | 59% | — | $66 – $210 |
| 6 | Aetna medicare advantage facility · fee schedule · outpatient | $117 | $117 | $52 | 44% | — | $66 – $169 |
| 7 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $117 | $117 | $52 | 44% | — | $66 – $169 |
| 8 | Optum medicare advantage facility · fee schedule · outpatient | $117 | $117 | $52 | 44% | — | $66 – $169 |
| 9 | WellCare managed medicaid facility · fee schedule · outpatient | $117 | $117 | $52 | 44% | — | $66 – $169 |
| 10 | WellCare medicare advantage facility · fee schedule · outpatient | $117 | $117 | $52 | 44% | — | $66 – $169 |
| 11 | Cigna hmo facility · fee schedule · outpatient | $212 | $212 | $123 | 58% | — | $88 – $335 |
| 12 | Cigna ppo facility · fee schedule · outpatient | $212 | $212 | $123 | 58% | — | $88 – $335 |
| 13 | Aetna asa facility · fee schedule · outpatient | $215 | $215 | $128 | 60% | — | $87 – $344 |
| 14 | Aetna hmo facility · fee schedule · outpatient | $215 | $215 | $128 | 60% | — | $87 – $344 |
| 15 | Aetna ppo facility · fee schedule · outpatient | $215 | $215 | $128 | 60% | — | $87 – $344 |
| 16 | UnitedHealthcare hmo facility · fee schedule · outpatient | $283 | $220 | $100 | 46% | — | $79 – $299 |
| 17 | Aetna asa facility · percent of total billed charges · outpatientfrom % of charges | $260 | $260 | — | — | — | $260 – $260 |
| 18 | Aetna hmo facility · percent of total billed charges · outpatientfrom % of charges | $260 | $260 | — | — | — | $260 – $260 |
| 19 | Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges | $260 | $260 | — | — | — | $260 – $260 |
| 20 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $264 | $264 | — | — | — | $264 – $264 |
| 21 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $264 | $264 | — | — | — | $264 – $264 |
| 22 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $218 | $367 | $215 | 59% | — | $211 – $670 |
| 23 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $232 | $390 | $228 | 59% | — | $224 – $712 |
Last updated: Dec 31, 2025
See Screening mammogram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.