Diagnostic mammogram of one breast

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

Diagnostic mammography of 1 breast

Payers reporting CPT 77065

Payer pricing summary

Low

$76

Average

$397

Median

$220

High

$4.1k

Payer rate distribution

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#
1	Bcbs Al facility · other · outpatient · +5 other terms	5	$74	$78	$6	7%	2,089	$67 – $87
2	Anthem fee schedule · outpatient · +32 other terms	187	$140	$155	$135	87%	1,603–1,729	$25 – $1.1k
3	Aetna fee schedule · outpatient · +38 other terms	712	$131	$268	$600	224%	260–323	$1 – $18.2k
4	UnitedHealthcare fee schedule · outpatient · +38 other terms	748	$134	$149	$77	52%	237–417	$1 – $797
5	Cigna fee schedule · outpatient · +33 other terms	409	$205	$215	$130	61%	142–178	$26 – $1.7k
6	Blue Cross Blue Shield fee schedule · outpatient · +36 other terms	515	$140	$222	$197	88%	109–298	$1 – $1.6k
7	Bcbs Tn facility · percent of total billed charges · outpatientfrom % of charges	1	$212	$212	—	—	80	$212 – $212
8	Molina fee schedule · outpatient · +36 other terms	237	$117	$117	$60	52%	74–236	$1 – $491
9	Humana fee schedule · outpatient · +31 other terms	440	$91	$174	$257	148%	52–61	$1 – $1.7k
10	WellCare fee schedule · outpatient · +26 other terms	284	$88	$92	$16	17%	26	$31 – $230
11	Sanford Health Plan fee schedule · outpatient · +17 other terms	17	$125	$200	$153	77%	14–32	$85 – $809
12	Bcbs Mt fee schedule · outpatient · +2 other terms	1	$186	$186	$101	54%	13	$85 – $287
13	Bcbs Ar fee schedule · both	1	$80	$80	—	—	12	$80 – $80
14	Caresource fee schedule · outpatient · +20 other terms	92	$103	$202	$80	40%	6–60	$1 – $526
15	Aetna Better Health fee schedule · outpatient · +19 other terms	37	$109	$107	$75	70%	4–40	$37 – $348
16	Bcbs Mo professional · other · both · +2 other terms	1	$234	$234	—	—	1–10	$234 – $234
17	Devoted fee schedule · outpatient · +20 other terms	183	$86	$86	$9	11%	—	$40 – $127
18	Cigna Healthspring fee schedule · outpatient · +10 other terms	141	$88	$90	$9	10%	—	$72 – $120
19	Tricare facility · fee schedule · outpatient · +18 other terms	108	$78	$94	$75	80%	—	$0 – $486
20	Ambetter facility · fee schedule · outpatient · +21 other terms	105	$145	$163	$76	47%	—	$45 – $395
21	Kaiser fee schedule · outpatient · +25 other terms	92	$127	$137	$64	47%	—	$38 – $339
22	Oscar fee schedule · outpatient · +22 other terms	73	$101	$119	$54	46%	—	$1 – $227
23	Optum fee schedule · outpatient · +21 other terms	68	$88	$186	$226	121%	—	$36 – $1.1k
24	MultiPlan fee schedule · outpatient · +19 other terms	67	$270	$276	$207	75%	—	$50 – $963
25	Highmark facility · fee schedule · outpatient · +20 other terms	62	$123	$143	$106	75%	—	$29 – $573

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