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
Cleveland, OH
See all hospitals reporting APC N804 →Price type
Metrohealth System’s median price of $118 is 34% below the median hospital's median price ($180), higher than 26% 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, 25 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 medicare managed care plan facility · other · outpatient | $101 | $101 | — | — | 660 | $101 – $101 |
| 2 | Blue Cross Blue Shield anthem medicare managed care facility · other · outpatient | $101 | $101 | — | — | 1,129 | $101 – $101 |
| 3 | Caresource dual medicare/medicaid managed care plan facility · other · outpatient | $101 | $101 | — | — | 204 | $101 – $101 |
| 4 | Caresource medicare managed care plan facility · other · outpatient | $101 | $101 | — | — | 159 | $101 – $101 |
| 5 | Devoted medicare managed care facility · other · outpatient | $101 | $101 | — | — | 405 | $101 – $101 |
| 6 | Humana medicare managed care facility · other · outpatient | $101 | $101 | — | — | 453 | $101 – $101 |
| 7 | UnitedHealthcare medicare managed care facility · other · outpatient | $101 | $101 | — | — | 1,571 | $101 – $101 |
| 8 | Tricare government facility · other · outpatient | $103 | $103 | — | — | 17 | $103 – $103 |
| 9 | UnitedHealthcare dual medicare/medicaid managed care plan facility · other · outpatient | $103 | $103 | — | — | 38 | $103 – $103 |
| 10 | Molina medicare managed care facility · other · outpatient | $104 | $104 | — | — | 1–10 | $104 – $104 |
| 11 | Medical Mutual all commercial plans facility · other · outpatient | $113 | $113 | — | — | 4,162 | $113 – $113 |
| 12 | UnitedHealthcare medicaid managed care plan facility · other · outpatient | $115 | $115 | — | — | 177 | $115 – $115 |
| 13 | Molina medicaid managed care plan facility · other · outpatient | $117 | $117 | — | — | 121 | $117 – $117 |
| 14 | Caresource medicaid managed care plan facility · other · outpatient | $119 | $119 | — | — | 277 | $119 – $119 |
| 15 | Humana all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $119 | $119 | — | — | 73 | $119 – $119 |
| 16 | Caresource exchange facility · other · outpatient | $144 | $144 | — | — | 394 | $144 – $144 |
| 17 | Molina exchange facility · other · outpatient | $144 | $144 | — | — | 483 | $144 – $144 |
| 18 | Cigna medicare managed care plan facility · other · outpatient | $162 | $162 | — | — | 18 | $162 – $162 |
| 19 | Aetna cvs exchange facility · other · outpatient | $165 | $165 | — | — | 34 | $165 – $165 |
| 20 | Cigna all commercial plans facility · other · outpatient | $249 | $249 | — | — | 567 | $249 – $249 |
| 21 | Blue Cross Blue Shield anthem pathway exchange facility · other · outpatient | $255 | $255 | — | — | 42 | $255 – $255 |
| 22 | UnitedHealthcare all commercial plans facility · other · outpatient | $257 | $257 | — | — | 565 | $257 – $257 |
| 23 | Aetna all commercial plans facility · other · outpatient | $278 | $278 | — | — | 568 | $278 – $278 |
| 24 | Blue Cross Blue Shield anthem all commercial plans facility · other · outpatient | $448 | $448 | — | — | 1,610 | $448 – $448 |
| 25 | MultiPlan all commercial plans facility · percent of total billed charges · outpatientfrom % of charges | $547 | $547 | — | — | 1–10 | $547 – $547 |
Last updated: Apr 1, 2026
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