APC N804
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
Mammography Services
Houston, TX
See all hospitals reporting APC N804 →Price type
Methodist Willowbrook Hospital’s median price of $248 is 38% above the median hospital's median price ($180), higher than 71% of the 387 hospitals reporting APC N804. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 28 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 medicare managed care - hmo other · outpatient | $111 | $111 | — | — | 32 | $111 – $111 |
| 2 | Blue Cross Blue Shield medicare managed care - ppo other · outpatient | $111 | $111 | — | — | 108 | $111 – $111 |
| 3 | Cigna texas healthspring medicare managed care - hmo/ppo other · outpatient | $111 | $111 | — | — | 300 | $111 – $111 |
| 4 | Humana choicecare ppo other · outpatient | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 5 | Humana medicare managed care - ppo other · outpatient | $111 | $111 | — | — | 544 | $111 – $111 |
| 6 | Molina advantage medicare managed care plan other · outpatient | $111 | $111 | — | — | 1–10 | $111 – $111 |
| 7 | UnitedHealthcare medicare managed care - ppo other · outpatient | $111 | $111 | — | — | 693 | $111 – $111 |
| 8 | Aetna medicare managed care - hmo/ppo other · outpatient | $113 | $113 | — | — | 602 | $113 – $113 |
| 9 | UnitedHealthcare medicare managed care - hmo other · outpatient | $113 | $113 | — | — | 342 | $113 – $113 |
| 10 | Molina medicare/medicaid managed care plan other · outpatient | $117 | $117 | — | — | 1–10 | $117 – $117 |
| 11 | Devoted medicare managed care - hmo other · outpatient | $119 | $119 | — | — | 149 | $119 – $119 |
| 12 | Optum transplant medicare managed care plan other · outpatient | $119 | $119 | — | — | 1–10 | $119 – $119 |
| 13 | Molina exchange other · outpatient | $227 | $227 | — | — | 35 | $227 – $227 |
| 14 | Phcs ppo other · outpatient | $248 | $248 | — | — | 25 | $248 – $248 |
| 15 | First Health first health/coventry ppo other · outpatient | $340 | $340 | — | — | 18 | $340 – $340 |
| 16 | Aetna hmo/pos/ppo other · outpatient | $460 | $460 | — | — | 1,029 | $460 – $460 |
| 17 | Aetna transplant other · outpatient | $460 | $460 | — | — | 1–10 | $460 – $460 |
| 18 | Blue Cross Blue Shield all commercial plans other · outpatient | $476 | $476 | — | — | 5,359 | $476 – $476 |
| 19 | Molina medicaid managed care plan other · outpatient | $554 | $554 | — | — | 1–10 | $554 – $554 |
| 20 | UnitedHealthcare all commercial plans other · outpatient | $585 | $585 | — | — | 1,486 | $585 – $585 |
| 21 | Aetna new business discount other commercial plan other · outpatient | $601 | $601 | — | — | 42 | $601 – $601 |
| 22 | Humana hmo/pos other · outpatient | $706 | $706 | — | — | 1–10 | $706 – $706 |
| 23 | Cigna local plus/surefit hmo/ppo other · outpatient | $718 | $718 | — | — | 58 | $718 – $718 |
| 24 | Cigna network c-24 hmo/ppo other · outpatient | $718 | $718 | — | — | 330 | $718 – $718 |
| 25 | Cigna all other benefit plans ppo other · outpatient | $758 | $758 | — | — | 48 | $758 – $758 |
Last updated: Apr 1, 2026
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