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HCPCS 77063TC

BREAST TOMOSYNTHESIS BI

Reported by 25 hospitals in the network.

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.

National pricing summary

Low

$38

Average

$70.9k

Median

$64

High

$1770.9k

Hospitals reporting this code

#HospitalLocation
1St Joseph’s Health Services IncHillsboro, WI$96$545$371$545$213
2Gundersen Luthern Medical Center IncLa Crosse, WI$94$94$94$94—
3Gundersen Palmer Lutheran Hospital and Clinic IncWest Union, IA$47$47$47$47—
4Saint Elizabeth’s Hospital of Wabasha IncWabasha, MN$47$47$47$47—
5Moundview Memorial Hospital and Clinics, Inc.Friendship, WI$47$545$420$545$216
6Memorial Hospital of BoscobelBoscobel, WI$47$47$47$47—
7Tri-County Memorial Hospital IncWhitehall, WI$94$108$249$545$209
8Hmh Hospitals CorporationNorth Bergen, NJ$23$67$57$69$17
9Hmh Hospitals CorporationEdison, NJ$47$47$47$47—
10Hmh Hospitals CorporationHackensack, NJ$21$84$75$87$20
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