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

Williamsburg, VA

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Pricing by billing methodology

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How this price compares nationally

Sentara Hospitals’s median price of $242 is 34% above the median hospital's median price ($180), higher than 68% 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: 7 payers, 17 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	—	—	184	$97 – $97
2	UnitedHealthcare community plan - va medicaid managed care plan facility · other · outpatient	$100	$100	—	—	43	$100 – $100
3	UnitedHealthcare dsnp medicare managed care plan facility · other · outpatient	$109	$109	—	—	413	$109 – $109
4	Humana medicare managed care plan facility · other · outpatient	$112	$112	—	—	504	$112 – $112
5	Blue Cross Blue Shield anthem medicare managed care plan facility · other · outpatient	$114	$114	—	—	507	$114 – $114
6	Blue Cross Blue Shield anthem exchange facility · other · outpatient	$216	$216	—	—	303	$216 – $216
7	Blue Cross Blue Shield anthem hmo facility · other · outpatient	$232	$232	—	—	792	$232 – $232
8	MultiPlan phcs ppo facility · other · outpatient	$242	$242	—	—	1–10	$242 – $242
9	Blue Cross Blue Shield anthem ppo facility · other · outpatient	$242	$242	—	—	2,773	$242 – $242
10	Cigna open access plus b other commercial plan facility · other · outpatient	$368	$368	—	—	60	$368 – $368
11	Aetna va preferred other commercial plan facility · other · outpatient	$381	$381	—	—	36	$381 – $381
12	UnitedHealthcare qnbr other commercial plan facility · other · outpatient	$488	$488	—	—	1–10	$488 – $488
13	UnitedHealthcare all commercial plans facility · other · outpatient	$492	$492	—	—	311	$492 – $492
14	UnitedHealthcare options ppo facility · other · outpatient	$492	$492	—	—	98	$492 – $492
15	Aetna all commercial plans facility · other · outpatient	$647	$647	—	—	286	$647 – $647
16	Cigna ppo/pos facility · other · outpatient	$681	$681	—	—	240	$681 – $681
17	First Health 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.