APC N804

Mammography breast imaging services at Sentara Hospitals

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

Suffolk, VA

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Pricing by billing methodology

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How this price compares nationally

Sentara Hospitals’s median price of $216 is 20% above the median hospital's median price ($180), higher than 62% of the 384 hospitals reporting APC N804. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting APC N804 at Sentara Hospitals

Negotiated rates from the hospital’s own file: 9 payers, 20 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	Blue Cross Blue Shield anthem medicaid managed care plan facility · other · outpatient	$97	$97	—	—	345	$97 – $97
2	UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient	$100	$100	—	—	52	$100 – $100
3	UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient	$109	$109	—	—	367	$109 – $109
4	Humana medicare managed care plan facility · other · outpatient	$112	$112	—	—	740	$112 – $112
5	Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient	$114	$114	—	—	844	$114 – $114
6	Medcost virginia link other commercial plan facility · other · outpatient	$133	$133	—	—	1–10	$133 – $133
7	Blue Cross Blue Shield healthy blue medicaid managed care plan facility · other · outpatient	$191	$191	—	—	1–10	$191 – $191
8	Amerihealth Caritas medicaid managed care plan facility · other · outpatient	$192	$192	—	—	1–10	$192 – $192
9	UnitedHealthcare community plan - nc medicaid managed care plan facility · other · outpatient	$192	$192	—	—	1–10	$192 – $192
10	WellCare medicaid managed care plan facility · other · outpatient	$192	$192	—	—	1–10	$192 – $192
11	Blue Cross Blue Shield anthem exchange facility · other · outpatient	$216	$216	—	—	204	$216 – $216
12	Blue Cross Blue Shield anthem hmo facility · other · outpatient	$232	$232	—	—	1,074	$232 – $232
13	Blue Cross Blue Shield anthem ppo facility · other · outpatient	$242	$242	—	—	3,028	$242 – $242
14	Aetna all commercial plans facility · other · outpatient	$317	$317	—	—	364	$317 – $317
15	Cigna open access plus b other commercial plan facility · other · outpatient	$370	$370	—	—	27	$370 – $370
16	UnitedHealthcare qnbr other commercial plan facility · other · outpatient	$488	$488	—	—	50	$488 – $488
17	UnitedHealthcare all commercial plans facility · other · outpatient	$492	$492	—	—	334	$492 – $492
18	UnitedHealthcare options ppo facility · other · outpatient	$492	$492	—	—	149	$492 – $492
19	Cigna ppo/pos facility · other · outpatient	$578	$578	—	—	319	$578 – $578
20	MultiPlan phcs ppo facility · other · outpatient	$728	$728	—	—	1–10	$728 – $728

Last updated: Apr 1, 2026

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See Mammography breast imaging services pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.