RC 403

Screening mammogram at Mariners 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

BREAST TOMOSYNTHESIS BI

TAVERNIER, FL

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Pricing by billing methodology

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How this price compares nationally

Mariners Hospital’s median price of $188 is 41% above the median hospital's median price ($133), higher than 71% 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 Mariners Hospital

Negotiated rates from the hospital’s own file: 10 payers, 46 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	Medicaid simplyhlth md hmo nc fee schedule · both	$29	$24	$7	28%	—	$14 – $29
2	UnitedHealthcare united healthy kids fee schedule · both	$29	$24	$7	28%	—	$14 – $29
3	UnitedHealthcare united md hmo fee schedule · both	$29	$24	$7	28%	—	$14 – $29
4	WellCare well care md hmonc fee schedule · both	$30	$25	$7	28%	—	$15 – $30
5	Aetna aetna better health healthy kids fee schedule · both	$31	$26	$7	28%	—	$16 – $31
6	Aetna aetna better health medicaid fee schedule · both	$31	$26	$7	28%	—	$16 – $31
7	Medicaid prestige md hmo nc fee schedule · both	$32	$26	$7	28%	—	$16 – $32
8	Blue Cross Blue Shield bcbs medicare ppo percent of total billed charges · bothfrom % of charges	$53	$53	—	—	—	$53 – $53
9	Medica medica mcr hmo percent of total billed charges · bothfrom % of charges	$53	$53	—	—	—	$53 – $53
10	Medicare simplyhlth mc hmo nc percent of total billed charges · bothfrom % of charges	$53	$53	—	—	—	$53 – $53
11	UnitedHealthcare united hlth mc hmo percent of total billed charges · bothfrom % of charges	$53	$53	—	—	—	$53 – $53
12	Humana careplus mc hmo percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57
13	Humana humana medicare percent of total billed charges · bothfrom % of charges	$57	$57	—	—	—	$57 – $57
14	Cigna cigna medicare advantage percent of total billed charges · bothfrom % of charges	$60	$60	—	—	—	$60 – $60
15	Medicare devoted health mc hmo percent of total billed charges · bothfrom % of charges	$71	$71	—	—	—	$71 – $71
16	Blue Cross Blue Shield my blue ex percent of total billed charges · bothfrom % of charges	$85	$85	$42	49%	—	$43 – $126
17	Blue Cross Blue Shield bcbs medicare ppo fee schedule · both	$95	$95	—	—	—	$95 – $95
18	Medica medica mcr hmo fee schedule · both	$95	$95	—	—	—	$95 – $95
19	Medicare simplyhlth mc hmo nc fee schedule · both	$95	$95	—	—	—	$95 – $95
20	UnitedHealthcare united hlth mc hmo fee schedule · both	$95	$95	—	—	—	$95 – $95
21	Humana careplus mc hmo fee schedule · both	$104	$104	—	—	—	$104 – $104
22	Humana humana medicare fee schedule · both	$104	$104	—	—	—	$104 – $104
23	Cigna cigna medicare advantage fee schedule · both	$109	$109	—	—	—	$109 – $109
24	Aetna aetna medicare percent of total billed charges · bothfrom % of charges	$113	$113	$55	49%	—	$58 – $168
25	Medicare devoted health mc hmo fee schedule · both	$129	$129	—	—	—	$129 – $129

Page 1 of 2 · 46 rates

Last updated: Mar 30, 2026

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