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
HC MAMMO W/WO CAD, SCREENING, BILAT
ST, LA
See all hospitals reporting RC 403 →Price type
Kaplan General Hospital, Inc’s median price of $111 is 16% below the median hospital's median price ($133), higher than 38% 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: 10 payers, 13 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 all payor fee schedule · outpatient | $50 | $50 | $29 | 59% | — | $21 – $79 |
| 2 | Humana all payor fee schedule · outpatient | $50 | $50 | $29 | 59% | — | $21 – $79 |
| 3 | Optum all payor fee schedule · outpatient | $50 | $50 | $29 | 59% | — | $21 – $79 |
| 4 | UnitedHealthcare all payor fee schedule · outpatient | $50 | $50 | $29 | 59% | — | $21 – $79 |
| 5 | WellCare all payor fee schedule · outpatient | $50 | $50 | $29 | 59% | — | $21 – $79 |
| 6 | Bcbs La all payor fee schedule · outpatient | $50 | $65 | $46 | 71% | — | $19 – $122 |
| 7 | Tricare all payor percent of total billed charges · outpatientfrom % of charges | $165 | $165 | $49 | 30% | — | $116 – $214 |
| 8 | Aetna all payor other · outpatient | $198 | $198 | $59 | 30% | — | $139 – $257 |
| 9 | UnitedHealthcare all payor other · outpatient | $189 | $202 | $75 | 37% | — | $111 – $318 |
| 10 | Cigna all payor other · outpatient | $221 | $221 | $65 | 30% | — | $155 – $286 |
| 11 | Aetna Better Health all payor other · outpatient | $245 | $245 | $73 | 30% | — | $173 – $318 |
| 12 | Amerihealth Caritas all payor other · outpatient | $245 | $245 | $73 | 30% | — | $173 – $318 |
| 13 | Humana all payor other · outpatient | $245 | $245 | $73 | 30% | — | $173 – $318 |
Last updated: Apr 1, 2026
See Screening mammogram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.