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
MRI Breast Uni W
Summit, NJ
See all hospitals reporting HCPCS C8903 →Price type
Overlook Medical Center’s median price of $587 is 93% above the median hospital's median price ($305), higher than 70% of the 1,350 hospitals reporting HCPCS C8903. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 18 payers, 59 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 omc aetna medicare fee schedule · both | $207 | $207 | — | — | — | $207 – $207 |
| 2 | Aetna omc aetna medicare fee schedule · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 3 | Aetna omc aetna nnj prime other · both | $207 | $207 | — | — | — | $207 – $207 |
| 4 | Aetna omc aetna nnj prime other · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 5 | Anthem omc horizon braven other · both | $207 | $207 | — | — | — | $207 – $207 |
| 6 | Anthem omc horizon braven other · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 7 | Blue Cross Blue Shield omc horizon braven other · both | $207 | $207 | — | — | — | $207 – $207 |
| 8 | Blue Cross Blue Shield omc horizon braven other · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 9 | Cigna omc cigna medicare fee schedule · both | $207 | $207 | — | — | — | $207 – $207 |
| 10 | Cigna omc cigna medicare fee schedule · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 11 | Highmark omc highmark wholecare / gateway health plan inc other · both | $207 | $207 | — | — | — | $207 – $207 |
| 12 | Highmark omc highmark wholecare / gateway health plan inc other · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 13 | Highmark omc horizon braven other · both | $207 | $207 | — | — | — | $207 – $207 |
| 14 | Highmark omc horizon braven other · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 15 | WellCare omc wellcare phw other · both | $207 | $207 | — | — | — | $207 – $207 |
| 16 | WellCare omc wellcare phw other · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 17 | WellCare omc wellcare/fedelis medicare other · both | $207 | $207 | — | — | — | $207 – $207 |
| 18 | WellCare omc wellcare/fedelis medicare other · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 19 | Amerihealth Caritas omc amerihealth caritas other · both | $209 | $209 | — | — | — | $209 – $209 |
| 20 | Amerihealth Caritas omc amerihealth caritas other · outpatient | $209 | $209 | — | — | — | $209 – $209 |
| 21 | Tricare omc tricare-east (humana military) fee schedule · both | $263 | $263 | — | — | — | $263 – $263 |
| 22 | Tricare omc tricare-east (humana military) fee schedule · outpatient | $263 | $263 | — | — | — | $263 – $263 |
| 23 | Aetna omc aetna ahs employee fee schedule · both | $274 | $274 | — | — | — | $274 – $274 |
| 24 | Aetna omc aetna ahs employee fee schedule · outpatient | $274 | $274 | — | — | — | $274 – $274 |
| 25 | Tricare omc tricare contract fee schedule · both | $274 | $274 | — | — | — | $274 – $274 |
Last updated: Apr 1, 2026
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