APC N804

Mammography breast imaging services at OHI West, Inc.

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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Mammography Services

Saint Petersburg, FL

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Pricing by billing methodology

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How this price compares nationally

OHI West, Inc.’s median price of $116 is 36% below the median hospital's median price ($180), higher than 23% of the 387 hospitals reporting APC N804. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC N804 at OHI West, Inc.

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	Humana medicaid managed care plan other · outpatient	$46	$46	—	—	17	$46 – $46
2	Molina medicaid managed care plan other · outpatient	$50	$50	—	—	1–10	$50 – $50
3	Aetna whole health other commercial plan other · outpatient	$77	$77	—	—	1–10	$77 – $77
4	Aetna medicare managed care plan other · outpatient	$104	$104	—	—	85	$104 – $104
5	Aetna public & labor other commercial plan other · outpatient	$104	$104	—	—	1–10	$104 – $104
6	Humana medicare managed care - hmo/ppo other · outpatient	$104	$104	—	—	82	$104 – $104
7	UnitedHealthcare medicare managed care plan other · outpatient	$104	$104	—	—	207	$104 – $104
8	Blue Cross Blue Shield florida blue medicare managed care plan other · outpatient	$105	$105	—	—	34	$105 – $105
9	WellCare medicare managed care - hmo other · outpatient	$114	$114	—	—	1–10	$114 – $114
10	Devoted medicare managed care plan other · outpatient	$115	$115	—	—	1–10	$115 – $115
11	Cigna all commercial plans other · outpatient	$116	$116	—	—	184	$116 – $116
12	Aetna hmo/ppo other · outpatient	$125	$125	—	—	154	$125 – $125
13	Phcs all commercial plans percent of total billed charges · outpatientfrom % of charges	$128	$128	—	—	1–10	$128 – $128
14	Oscar all commercial plans other · outpatient	$154	$154	—	—	35	$154 – $154
15	Ambetter sunshine exchange other · outpatient	$202	$202	—	—	412	$202 – $202
16	Aetna qhp exchange other · outpatient	$203	$203	—	—	31	$203 – $203
17	Blue Cross Blue Shield my blue exchange other · outpatient	$215	$215	—	—	118	$215 – $215
18	Blue Cross Blue Shield blue select exchange other · outpatient	$249	$249	—	—	80	$249 – $249
19	UnitedHealthcare choice select all commercial plans other · outpatient	$269	$269	—	—	368	$269 – $269
20	UnitedHealthcare options ppo other · outpatient	$269	$269	—	—	1–10	$269 – $269
21	UnitedHealthcare neighborhood health partnership other commercial plan other · outpatient	$289	$289	—	—	21	$289 – $289
22	Blue Cross Blue Shield blue care hmo other · outpatient	$368	$368	—	—	24	$368 – $368
23	Blue Cross Blue Shield network blue other commercial plan other · outpatient	$368	$368	—	—	171	$368 – $368
24	Blue Cross Blue Shield ppo/phs/ppc other · outpatient	$368	$368	—	—	235	$368 – $368
25	Blue Cross Blue Shield simply blue other commercial plan other · outpatient	$368	$368	—	—	1–10	$368 – $368

Last updated: Apr 1, 2026

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