RC 403

Screening mammogram at McLeod Health

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

HC BREAST TOMOSYNTHESIS BI - MAMMO BREAST SCREENING TOMOSYNTHESIS BILAT

Dillon, SC

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Pricing by billing methodology

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How this price compares nationally

McLeod Health’s median price of $97 is 27% below the median hospital's median price ($133), higher than 30% 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 McLeod Health

Negotiated rates from the hospital’s own file: 11 payers, 22 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	Blue Cross Blue Shield medicaid fee schedule · both	$64	$64	$2	3%	—	$63 – $66
2	Medicaid medicaid fee schedule · both	$64	$64	$2	3%	—	$63 – $66
3	Molina medicaid fee schedule · both	$68	$68	$2	3%	—	$66 – $69
4	Blue Cross Blue Shield hix percent of total billed charges · bothfrom % of charges	$71	$71	—	—	—	$71 – $71
5	Blue Cross Blue Shield medicare advantage fee schedule · both	$82	$82	$34	41%	—	$48 – $116
6	Medicare medicare fee schedule · both	$82	$82	$34	41%	—	$48 – $116
7	UnitedHealthcare medicare advantage fee schedule · both	$83	$83	$34	41%	—	$49 – $117
8	Aetna medicare advantage fee schedule · both	$84	$84	$35	41%	—	$49 – $119
9	Clover medicare advantage fee schedule · both	$85	$85	$35	41%	—	$50 – $120
10	Humana medicare advantage fee schedule · both	$85	$85	$35	41%	—	$50 – $120
11	WellCare medicare advantage fee schedule · both	$88	$88	$36	41%	—	$51 – $124
12	Blue Cross Blue Shield state fee schedule · both	$101	$101	$42	42%	—	$59 – $142
13	Blue Cross Blue Shield preferred percent of total billed charges · bothfrom % of charges	$101	$101	—	—	—	$101 – $101
14	Molina medicare advantage fee schedule · both	$108	$111	$59	53%	—	$51 – $226
15	Blue Cross Blue Shield hix fee schedule · both	$112	$112	—	—	—	$112 – $112
16	Blue Cross Blue Shield choice percent of total billed charges · bothfrom % of charges	$121	$121	—	—	—	$121 – $121
17	Ambetter medicare advantage fee schedule · both	$147	$147	$61	41%	—	$86 – $208
18	UnitedHealthcare commercial percent of total billed charges · bothfrom % of charges	$230	$230	$92	40%	—	$138 – $323
19	Aetna commercial percent of total billed charges · bothfrom % of charges	$236	$236	$95	40%	—	$142 – $331
20	Blue Cross Blue Shield preferred fee schedule · both	$245	$245	—	—	—	$245 – $245
21	Blue Cross Blue Shield choice fee schedule · both	$264	$264	—	—	—	$264 – $264
22	Cigna commercial fee schedule · both	$358	$358	$210	59%	—	$148 – $568

Last updated: Jul 20, 2026

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