RC 403

Screening mammogram at St. Joseph Health System, LLC

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

Original text from hospital filings

77063 BR-TOMO MAMM SCR UNI - RT

Wayne, IN

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Pricing by billing methodology

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How this price compares nationally

St. Joseph Health System, LLC’s median price of $80 is 40% below the median hospital's median price ($133), higher than 14% of the 1,823 hospitals reporting RC 403. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting RC 403 at St. Joseph Health System, LLC

Negotiated rates from the hospital’s own file: 13 payers, 43 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	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$19	$40	$27	67%	—	$19 – $74
2	Tricare node tricare facility · fee schedule · outpatient	$20	$42	$28	67%	—	$20 – $78
3	Aetna node aetna mcr adv facility · fee schedule · outpatient	$22	$44	$30	67%	—	$22 – $83
4	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$22	$44	$30	67%	—	$22 – $83
5	Humana node humana mcr adv facility · fee schedule · outpatient	$22	$44	$30	67%	—	$22 – $83
6	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$22	$45	$30	67%	—	$22 – $84
7	Anthem anthem in healthsync facility · fee schedule · outpatient	$22	$45	$30	67%	—	$22 – $84
8	Anthem anthem in hip facility · fee schedule · outpatient	$22	$45	$30	67%	—	$22 – $84
9	Anthem anthem in hmo ppo trad facility · fee schedule · outpatient	$22	$45	$30	67%	—	$22 – $84
10	Anthem anthem in marketplace stld facility · fee schedule · outpatient	$22	$45	$30	67%	—	$22 – $84
11	Optum node united optum va ccn facility · per diem · outpatient	$22	$45	$30	67%	—	$22 – $84
12	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$33	$68	$45	67%	—	$33 – $127
13	Anthem anthem in work comp facility · other · outpatient	$35	$73	$48	67%	—	$35 – $135
14	Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$34	$120	$114	95%	—	$22 – $266
15	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$34	$120	$114	95%	—	$22 – $266
16	Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges	$38	$134	$128	95%	—	$24 – $299
17	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$38	$134	$128	95%	—	$24 – $299
18	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$38	$134	$128	95%	—	$24 – $299
19	Anthem anthem in medicaid facility · other · outpatient	$72	$146	$96	65%	—	$72 – $270
20	Caresource caresource hhw in medicaid facility · other · outpatient	$72	$146	$96	65%	—	$72 – $270
21	Caresource caresource in hip facility · other · outpatient	$72	$146	$96	65%	—	$72 – $270
22	Humana humana pathways in medicaid facility · other · outpatient	$72	$146	$96	65%	—	$72 – $270
23	Medicaid in medicaid facility · other · outpatient	$72	$146	$96	65%	—	$72 – $270
24	UnitedHealthcare uhc hcc in medicaid facility · other · outpatient	$72	$146	$96	65%	—	$72 – $270
25	UnitedHealthcare uhc pathways in medicaid facility · other · outpatient	$72	$146	$96	65%	—	$72 – $270

Page 1 of 2 · 43 rates

Last updated: Apr 1, 2026

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