RC 403

Screening mammogram at Longs Peak Hospital

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-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HB RADIANT-SCREEN DIGITAL BREAST TOMOSYNTHESIS-BILATERAL

Longmont, CO

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Pricing by billing methodology

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How this price compares nationally

Longs Peak Hospital’s median price of $52 is 61% below the median hospital's median price ($133), higher than 4% of the 1,823 hospitals reporting RC 403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 403 at Longs Peak Hospital

Negotiated rates from the hospital’s own file: 10 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.

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1	Anthem commercial percent of total billed charges · inpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
2	Anthem commercial percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
3	Anthem hmo/ppo fee schedule · outpatient	$50	$50	$8	17%	—	$40 – $62
4	Anthem ppo fee schedule · outpatient	$52	$52	$3	6%	—	$48 – $55
5	Aetna medicare advantage fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
6	Anthem medicare advantage fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
7	Cigna medicare advantage fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
8	Devoted medicare advantage fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
9	Humana medicare advantage fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
10	Kaiser medicare advantage fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
11	UnitedHealthcare medicare advantage fee schedule · outpatient	$52	$52	—	—	—	$52 – $52
12	Cigna colorado rockies percent of total billed charges · outpatientfrom % of charges	$56	$56	—	—	—	$56 – $56
13	First Health commercial percent of total billed charges · inpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
14	First Health commercial percent of total billed charges · outpatientfrom % of charges	$57	$57	—	—	—	$57 – $57
15	MultiPlan commercial percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
16	Aetna commercial fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
17	Cigna local plus/surefit/connect percent of total billed charges · outpatientfrom % of charges	$66	$66	—	—	—	$66 – $66
18	MultiPlan commercial percent of total billed charges · inpatientfrom % of charges	$67	$67	—	—	—	$67 – $67
19	Phcs commercial percent of total billed charges · outpatientfrom % of charges	$68	$68	—	—	—	$68 – $68
20	Cigna broad networks percent of total billed charges · outpatientfrom % of charges	$69	$69	—	—	—	$69 – $69
21	Anthem commercial fee schedule · outpatient	$48	$77	$75	97%	—	$37 – $259
22	UnitedHealthcare select rates fee schedule · outpatient	$262	$262	—	—	—	$262 – $262
23	UnitedHealthcare broad networks fee schedule · outpatient	$316	$316	—	—	—	$316 – $316

Last updated: Nov 1, 2025

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