RC 403
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
BR-TOMO MAMM SCR BI
Naples, FL
See all hospitals reporting RC 403 →Price type
Naples HMA LLC’s median price of $51 is 62% below the median hospital's median price ($133), higher than 4% of the 1,798 hospitals reporting RC 403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | UnitedHealthcare uhc medicaid fl facility · fee schedule · outpatient | $22 | $22 | $7 | 33% | — | $15 – $29 |
| 2 | Humana humana medicaid fl facility · fee schedule · outpatient | $23 | $23 | $8 | 33% | — | $15 – $30 |
| 3 | WellCare wellcare medicaid fl facility · fee schedule · outpatient | $23 | $23 | $8 | 33% | — | $15 – $31 |
| 4 | Magellan magellan medicaid fl facility · fee schedule · outpatient | $24 | $24 | $8 | 33% | — | $16 – $32 |
| 5 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $34 | $43 | $30 | 70% | — | $12 – $91 |
| 6 | Blue Cross Blue Shield node bcbs fl mcr adv facility · fee schedule · outpatient | $34 | $43 | $30 | 70% | — | $12 – $91 |
| 7 | Humana node humana mcr adv facility · fee schedule · outpatient | $34 | $43 | $30 | 70% | — | $12 – $91 |
| 8 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $34 | $43 | $30 | 70% | — | $12 – $91 |
| 9 | Optum node united optum va ccn facility · per diem · outpatient | $35 | $44 | $31 | 70% | — | $12 – $93 |
| 10 | WellCare node wellcare mcr adv facility · fee schedule · outpatient | $36 | $45 | $32 | 70% | — | $12 – $95 |
| 11 | Cigna cigna all facility · fee schedule · outpatient | $37 | $46 | $33 | 70% | — | $13 – $98 |
| 12 | Tricare node tricare facility · fee schedule · outpatient | $54 | $54 | $32 | 59% | — | $22 – $85 |
| 13 | Ambetter sunshine state health plan commercial exchange facility · fee schedule · outpatient | $90 | $112 | $79 | 70% | — | $31 – $236 |
| 14 | Aetna aetna asa facility · fee schedule · outpatient | $151 | $151 | $89 | 59% | — | $62 – $240 |
| 15 | Aetna aetna facility · fee schedule · outpatient | $154 | $154 | $91 | 59% | — | $63 – $245 |
| 16 | Blue Cross Blue Shield bcbs fl mbn facility · per diem · outpatient | $263 | $263 | $92 | 35% | — | $171 – $355 |
| 17 | Blue Cross Blue Shield bcbs fl sbn facility · per diem · outpatient | $267 | $267 | $96 | 36% | — | $171 – $363 |
| 18 | Blue Cross Blue Shield bcbs fl hmo facility · per diem · outpatient | $277 | $277 | $105 | 38% | — | $171 – $382 |
| 19 | Aetna aetna intl passport facility · percent of total billed charges · inpatientfrom % of charges | $292 | $292 | $198 | 68% | — | $94 – $489 |
| 20 | Aetna aetna intl passport facility · percent of total billed charges · outpatientfrom % of charges | $292 | $292 | $198 | 68% | — | $94 – $489 |
| 21 | Blue Cross Blue Shield bcbs fl bsl facility · per diem · outpatient | $296 | $296 | $125 | 42% | — | $171 – $421 |
| 22 | UnitedHealthcare uhc nhp facility · per diem · outpatient | $309 | $309 | — | — | — | $309 – $309 |
| 23 | Blue Cross Blue Shield bcbs fl nwb facility · per diem · outpatient | $342 | $342 | $170 | 50% | — | $171 – $512 |
| 24 | Blue Cross Blue Shield bcbs fl ppo facility · per diem · outpatient | $342 | $342 | $170 | 50% | — | $171 – $512 |
| 25 | Aetna aetna first health facility · percent of total billed charges · inpatientfrom % of charges | $353 | $353 | $239 | 68% | — | $114 – $592 |
Last updated: Apr 1, 2026
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