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
Tomo Screen 3D Unilateral
Low
$0
Average
$2.6k
Median
$70
High
$817.4k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.
Showing only prices reported under the case rate methodology. Choose another in the filter above to change the chart. 383 hospitals; the 90th percentile is 24.4× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Baystate Franklin Medical Center Greenfield, MA | $34 | $34 | — | — | 584 | $34 – $34 |
| 2 | Sioux Center Health Sioux Center, IA | $112 | $112 | — | — | 198–216 | $112 – $112 |
| 3 | Avera McKennan Hospital Sioux Falls, SD | $23 | $23 | — | — | 184 | $23 – $23 |
| 4 | Public Hospital Dist No 1 Skagit dba Cascade Valley Hospital Arlington, WA | $150 | $497 | $558 | 112% | 154–163 | $57 – $1.3k |
| 5 | Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO | $153 | $253 | $141 | 56% | 139 | $153 – $452 |
| 6 | Lakes Regional Hospital Spirit Lake, IA | $21 | $21 | — | — | 128 | $21 – $21 |
| 7 | Avera Holy Family Hospital Estherville, IA | $79 | $79 | — | — | 70–88 | $79 – $79 |
| 8 | Lake Charles Memorial Hospital Charles, LA | $323 | $323 | — | — | 50 | $323 – $323 |
| 9 | Avera St. Luke's Aberdeen, SD | $23 | $23 | — | — | 32 | $23 – $23 |
| 10 | Avera St. Mary's Hospital Pierre, SD | $79 | $79 | — | — | 20–29 | $79 – $79 |
Ask Claude or any MCP client for CPT 77063 pricing at a specific hospital — see how to connect.