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
MG Mammo Screening Left w/ Tomo.
Opelousas, LA
See all hospitals reporting RC 403 →Price type
Opelousas General Main Campus’s median price of $128 is 4% below the median hospital's median price ($133), higher than 47% of the 1,823 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: 7 payers, 13 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 advantage facility · percent of total billed charges · bothfrom % of charges | $43 | $32 | $12 | 36% | — | $19 – $43 |
| 2 | WellCare medicare advantage facility · percent of total billed charges · bothfrom % of charges | $85 | $65 | $23 | 36% | — | $38 – $85 |
| 3 | Aetna commercial facility · percent of total billed charges · bothfrom % of charges | $128 | $97 | $35 | 36% | — | $57 – $128 |
| 4 | Cigna ppo facility · percent of total billed charges · bothfrom % of charges | $128 | $97 | $35 | 36% | — | $57 – $128 |
| 5 | Humana commercial facility · percent of total billed charges · bothfrom % of charges | $138 | $106 | $38 | 36% | — | $62 – $138 |
| 6 | Bcbs La hmo blue connect facility · fee schedule · both | $153 | $112 | $55 | 49% | — | $39 – $153 |
| 7 | Bcbs La hmo smart blue facility · fee schedule · both | $154 | $113 | $55 | 49% | — | $39 – $154 |
| 8 | MultiPlan commercial facility · percent of total billed charges · bothfrom % of charges | $149 | $114 | $41 | 36% | — | $67 – $149 |
| 9 | Bcbs La ppohmo facility · fee schedule · both | $157 | $115 | $56 | 49% | — | $40 – $157 |
| 10 | Bcbs La traditional facility · fee schedule · both | $159 | $117 | $57 | 49% | — | $40 – $159 |
| 11 | UnitedHealthcare commercial facility · other · both | $160 | $160 | — | — | — | $160 – $160 |
| 12 | UnitedHealthcare commercial facility · other · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 13 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $246 | $407 | $481 | 118% | 104–455 | $26 – $2.7k |
Last updated: Mar 5, 2026
See Screening mammogram pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.