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
DIAGNOSTIC DIGITAL BREAST TOMOSYNTHESIS, UNILATERAL OR BILATERAL (LIST SEPARATELY IN ADDITION TO 77065 OR 77066)
Low
$10
Average
$101
Median
$43
High
$689
Each hospital's average Excellus rate, under the methodology and billing class chosen below.
47 hospitals; the 90th percentile is 15.5× 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.
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69 hospital rates
iThe hospitals that file a Excellus 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.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 3 | $469 | $377 | $196 | 52% | 94–112 | $103 – $558 |
| 2 | MVHS, Inc. Utica, NY percent of total billed charges · bothfrom % of charges | 2 | $72 | $72 | — | — | 6–60 | $72 – $72 |
| 3 | Samaritan Medical Center Watertown, NY facility · other · outpatient | 1 | $104 | $104 | $1 | 1% | 2–20 | $103 – $105 |
| 4 | Samaritan Hospital Troy, NY professional · percent of total billed charges · outpatientfrom % of charges | 1 | $93 | $93 | $30 | 33% | 1–10 | $63 – $124 |
| 5 | Alice Hyde Medical Center Malone, NY professional · fee schedule · both | 2 | $31 | $31 | $4 | 14% | — | $27 – $36 |
| 6 | Canton-Potsdam Hospital Potsdam, NY facility · fee schedule · outpatient | 1 | $49 | $49 | — | — | — | $49 – $49 |
| 7 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · both | 1 | $323 | $317 | $81 | 25% | — | $225 – $440 |
| 8 | Catholic Health Initiatives-Iowa Corp Des Moines, IA facility · fee schedule · outpatient | 1 | $956 | $956 | $731 | 76% | — | $225 – $1.7k |
| 9 | Clifton Springs Hospital And Clinic Clifton Springs, NY facility · fee schedule · outpatient | 1 | $10 | $10 | — | — | — | $10 – $10 |
| 10 | Crouse Hospital Syracuse, NY fee schedule · outpatient | 4 | $21 | $40 | $40 | 100% | — | $10 – $108 |
| 11 | Diley Ridge Medical Center Canal Winchester, OH facility · fee schedule · both | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 12 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $27 | $27 | $6 | 21% | — | $22 – $33 |
| 13 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · both | 1 | $477 | $477 | — | — | — | $477 – $477 |
| 14 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · case rate · outpatient | 1 | $788 | $788 | — | — | — | $788 – $788 |
| 15 | Holy Cross Hospital-Silver Spring Silver Spring, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $173 | $173 | — | — | — | $173 – $173 |
| 16 | Holy Cross Hospital-Silver Spring Silver Spring, MD professional · percent of total billed charges · bothfrom % of charges | 1 | $63 | $63 | — | — | — | $63 – $63 |
| 17 | Johnson Memorial Hospital Stafford Springs, CT facility · fee schedule · both | 1 | $106 | $106 | — | — | — | $106 – $106 |
| 18 | MVHS, Inc. Utica, NY fee schedule · outpatient | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 19 | MVHS, Inc. Utica, NY percent of total billed charges · outpatientfrom % of charges | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 20 | Margaretville Memorial Hospital Margaretville, NY facility · fee schedule · outpatient | 2 | $264 | $264 | — | — | — | $264 – $264 |
| 21 | Memorial Hosp of Wm F & Gertrude F Jones A/K/A Jones Memorial Hosp Wellsville, NY fee schedule · outpatient | 2 | $12 | $12 | — | — | — | $12 – $12 |
| 22 | Mercy Fitzgerald Hospital Darby, PA facility · fee schedule · both | 1 | $218 | $242 | $34 | 14% | — | $218 – $289 |
| 23 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · both | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 24 | Mercy Health Lakeshore Campus Shelby, MI facility · percent of total billed charges · bothfrom % of charges | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 25 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · both | 1 | $44 | $44 | — | — | — | $44 – $44 |
← Payers reporting HCPCS G0279 · Snapshot 20261111T120946Z-9134e7f7