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
Screening 3D breast mammography
The hospitals that file a Tricare rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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336 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $50.07 | $50.07 – $50.07 |
| 2 | ACADIAN MEDICAL CENTER EUNICE, LA fee schedule · both | 9 | $20.65 | $16.64 – $23.13 |
| 3 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 4 | $33.14 | $22.10 – $48.97 |
| 4 | Affinity Hospital LLC Birmingham, AL facility · fee schedule · outpatient | 1 | $19.22 | $19.22 – $19.22 |
| 5 | AnMed Health Anderson, SC professional · fee schedule · inpatient | 1 | $32.70 | $21.88 – $49.05 |
| 6 | AnMed Health Anderson, SC professional · fee schedule · outpatient | 1 | $32.70 | $21.88 – $49.05 |
| 7 | AnMed Health Cannon Pickens, SC professional · fee schedule · inpatient | 1 | $32.70 | $21.88 – $49.05 |
| 8 | AnMed Health Cannon Pickens, SC professional · fee schedule · outpatient | 1 | $32.70 | $21.88 – $49.05 |
| 9 | AnMed Piedmont Piedmont, SC professional · fee schedule · inpatient | 1 | $32.70 | $21.88 – $49.05 |
| 10 | AnMed Piedmont Piedmont, SC professional · fee schedule · outpatient | 1 | $32.70 | $21.88 – $49.05 |
| 11 | Anderson Hospital Maryville, IL facility · fee schedule · outpatient | 1 | $20.74 | $20.74 – $20.74 |
| 12 | Anderson Hospital Maryville, IL professional · other · outpatient | 1 | $48.56 | $48.56 – $48.56 |
| 13 | Armstrong County Memorial Hospital Kittanning, PA facility · fee schedule · outpatient | 1 | $21.59 | $21.59 – $21.59 |
| 14 | Ascension Providence Waco, TX other · inpatient | 1 | $22.01 | $22.01 – $22.01 |
| 15 | Ascension Providence Waco, TX other · outpatient | 1 | $22.01 | $22.01 – $22.01 |
| 16 | Ascension Seton Austin, TX other · inpatient | 1 | $22.01 | $22.01 – $22.01 |
| 17 | Ascension Seton Austin, TX other · inpatient | 1 | $22.01 | $22.01 – $22.01 |
| 18 | Ascension Seton Bastrop, TX other · inpatient | 1 | $22.01 | $22.01 – $22.01 |
| 19 | Ascension Seton Austin, TX other · inpatient | 1 | $22.01 | $22.01 – $22.01 |
| 20 | Aspirus Divine Savior Hospital Portage, WI fee schedule · both | 1 | $26.53 | $26.53 – $26.53 |
| 21 | Aspirus Eagle River Hospital Eagle River, WI fee schedule · both | 1 | $26.53 | $26.53 – $26.53 |
| 22 | Aspirus Iron River Hospital Iron River, MI fee schedule · both | 1 | $27.51 | $27.51 – $27.51 |
| 23 | Aspirus Ironwood Hospital Ironwood, MI fee schedule · both | 1 | $27.51 | $27.51 – $27.51 |
| 24 | Aspirus Keweenaw Hospital Laurium, MI fee schedule · both | 1 | $27.02 | $27.02 – $27.02 |
| 25 | Aspirus Langlade Hospital Antigo, WI fee schedule · both | 1 | $26.53 | $26.53 – $26.53 |
← Payers reporting CPT 77063 · Snapshot 20261108T055240Z-43b7dac7