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CPT 77063

BREAST TOMO SCREENING

Reported by 122 hospitals in the network under the per diem methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated per diem rate paid per day of care.

National pricing summary

Low

$15

Average

$167

Median

$139

High

$2.3k

Hospitals reporting this code

#HospitalLocation
1Hca Healthone Mountain RidgeThornton, CO$26$350$350$350—
2Hca Healthone Northeast ErTHORNTON, CO$26$350$350$350—
3HCA Healthcare Summerville HospitalSUMMERVILLE, SC$21$55$55$152—
4HCA Healthcare Live Oak Mental Health and WellnessLadson, SC$21$55$55$152—
5HCA Healthcare Trident HospitalMONCKS CORNER, SC$21$55$55$152—
6IOM Health System LPFort Wayne, IN$17$159$113$486$68
7Bluffton Health System LLCBluffton, IN$19$92$92$162$70
8Dukes Health System LLCPeru, IN$15$89$89$162$73
9Warsaw Health System LLCWarsaw, IN$13$162$115$162$66
10St. Joseph Health System, LLCWayne, IN$16$159$114$272$68
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