RC 401
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
BREAST TOMOSYNTHESIS UNI LT
Hialeah, FL
See all hospitals reporting RC 401 →Price type
Hsa Pgh Llc’s median price of $108 is 37% below the median hospital's median price ($172), higher than 19% of the 1,772 hospitals reporting RC 401. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 15 payers, 39 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 | Oscar oscar health plan hix facility · percent of total billed charges · outpatientfrom % of charges | $16 | $17 | $1 | 5% | — | $16 – $18 |
| 2 | Aetna Better Health aetna better health medicaid hmo facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Amerihealth Caritas amerihealth caritas medicaid facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 4 | Humana humana medical plan / fl medicaid facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 5 | UnitedHealthcare united healthcare medicaid hmo facility · fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 6 | Molina molina managed medicaid facility · other · outpatient | $30 | $30 | — | — | 1–10 | $30 – $30 |
| 7 | Cigna cigna individual family facility · fee schedule · outpatient | $43 | $53 | $34 | 64% | — | $16 – $118 |
| 8 | Cigna cigna surefit facility · fee schedule · outpatient | $53 | $65 | $42 | 65% | — | $20 – $145 |
| 9 | UnitedHealthcare united healthcare of florida all payer facility · fee schedule · outpatient | $82 | $69 | $31 | 45% | — | $23 – $105 |
| 10 | UnitedHealthcare united healthcare of florida exchange facility · other · outpatient | $82 | $69 | $31 | 45% | — | $23 – $105 |
| 11 | UnitedHealthcare united healthcare of florida ppo facility · other · outpatient | $82 | $69 | $31 | 45% | — | $23 – $105 |
| 12 | UnitedHealthcare united healthcare of florida hmo facility · other · outpatient | $82 | $72 | $32 | 44% | 50 | $23 – $105 |
| 13 | Tricare tricare traditional facility · percent of total billed charges · outpatientfrom % of charges | $94 | $75 | $42 | 56% | — | $13 – $128 |
| 14 | Cigna cigna commercial facility · fee schedule · outpatient | $62 | $76 | $49 | 64% | — | $23 – $168 |
| 15 | Cigna cigna localplus benefit facility · fee schedule · outpatient | $62 | $76 | $49 | 64% | — | $23 – $168 |
| 16 | Aetna aetna non-gatekeeper facility · percent of total billed charges · outpatientfrom % of charges | $74 | $76 | $4 | 5% | — | $74 – $82 |
| 17 | Aetna aetna non-gatekeeper facility · fee schedule · outpatient | $71 | $77 | $8 | 11% | — | $71 – $88 |
| 18 | Devoted devoted health facility · fee schedule · outpatient | $70 | $79 | $19 | 24% | — | $63 – $116 |
| 19 | Molina molina medicare advantage program facility · fee schedule · outpatient | $70 | $80 | $20 | 25% | — | $63 – $118 |
| 20 | Oscar oscar health plan hix facility · fee schedule · outpatient | $79 | $85 | $59 | 69% | — | $28 – $167 |
| 21 | Humana humana medicare hmo facility · fee schedule · outpatient | $87 | $95 | $12 | 12% | — | $87 – $112 |
| 22 | Humana humana medicare ppo facility · fee schedule · outpatient | $87 | $95 | $12 | 12% | — | $87 – $112 |
| 23 | Medicare medicare facility · fee schedule · outpatient | $89 | $97 | $12 | 12% | — | $89 – $114 |
| 24 | WellCare wellcare/staywell medicare hmo facility · fee schedule · outpatient | $89 | $97 | $12 | 12% | — | $89 – $114 |
| 25 | Amerihealth Caritas amerihealth caritas medicare facility · fee schedule · outpatient | $90 | $99 | $12 | 12% | — | $90 – $116 |
Last updated: Sep 1, 2026
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