Digital breast tomosynthesis, one side

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

77061

Tricare pricing summary

Low

$14

Average

$112

Median

$100

High

$346

Tricare rate distribution

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96 hospital rates

#		Plans
1	Columbia Lutheran Charities Astoria, OR facility · percent of total billed charges · bothfrom % of charges	1	$24	$24	—	—	4–40	$24 – $24
2	STATE OF MISSISSIPPI-UNIVERSITY OF MISSISSIPPI MEDICAL CENTER JACKSON, MS fee schedule · outpatient	1	$85	$85	—	—	2–20	$85 – $85
3	Brigham and Women's Hospital Boston, MA percent of total billed charges · bothfrom % of charges	1	$283	$283	—	—	1–10	$283 – $283
4	OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES Binghamton, NY facility · other · outpatient	1	$266	$266	—	—	1–10	$266 – $266
5	ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient	1	$165	$165	—	—	—	$165 – $165
6	ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient	4	$58	$58	$5	8%	—	$53 – $63
7	Anderson Hospital Maryville, IL facility · fee schedule · outpatient	1	$90	$90	—	—	—	$90 – $90
8	Anderson Hospital Maryville, IL professional · other · outpatient	1	$124	$124	$32	26%	—	$92 – $156
9	Baptist Medical Center-Attala Kosciusko, MS facility · percent of total billed charges · outpatientfrom % of charges	1	$35	$35	—	—	—	$35 – $35
10	Baptist Medical Center-Yazoo Yazoo City, MS facility · percent of total billed charges · outpatientfrom % of charges	1	$34	$34	—	—	—	$34 – $34
11	Baptist Memorial Hospital - Leake Carthage, MS facility · percent of total billed charges · outpatientfrom % of charges	1	$34	$34	—	—	—	$34 – $34
12	Bay Park Community Hospital Oregon, OH facility · fee schedule · outpatient	1	$67	$67	—	—	—	$67 – $67
13	Bay Park Community Hospital Oregon, OH professional · fee schedule · outpatient	1	$67	$67	—	—	—	$67 – $67
14	Beaufort Memorial Hospital Beaufort, SC facility · fee schedule · outpatient	1	$97	$97	—	—	—	$97 – $97
15	Beaufort Memorial Hospital Beaufort, SC facility · percent of total billed charges · inpatientfrom % of charges	1	$15	$15	—	—	—	$15 – $15
16	Bon Secours Community Hospital Jervis, NY facility · fee schedule · outpatient	1	$108	$108	—	—	—	$108 – $108
17	Boston Medical Center Boston, MA fee schedule · both	1	$127	$127	—	—	—	$127 – $127
18	Butler Healthcare Providers_ DBA Butler Memorial Hospital Butler, PA facility · fee schedule · outpatient	1	$93	$93	—	—	—	$93 – $93
19	CLEVELAND AREA HOSPITAL CLEVELAND, OK percent of total billed charges · outpatientfrom % of charges	1	$71	$71	—	—	—	$71 – $71
20	COLUMBIA MEMORIAL HOSPITAL Hudson, NY professional · fee schedule · outpatient	4	$64	$64	$5	8%	—	$59 – $69
21	Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges	1	$149	$149	—	—	—	$149 – $149
22	Clarion Hospital Clarion, PA facility · fee schedule · outpatient	1	$93	$93	—	—	—	$93 – $93
23	Conway Regional Medical Center Conway, AR facility · fee schedule · outpatient	1	$100	$100	—	—	—	$100 – $100
24	Doylestown Hospital Doylestown, PA facility · fee schedule · outpatient	1	$103	$103	—	—	—	$103 – $103
25	EAST BATON ROUGE MEDICAL CENTER, LLC Baton Rouge, LA fee schedule · outpatient	1	$158	$158	—	—	—	$158 – $158