Diagnostic digital breast tomosynthesis

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 DIGITAL BREAST TOMOSYNTHESIS, UNILATERAL OR BILATERAL (LIST SEPARATELY IN ADDITION TO 77065 OR 77066)

Superior Healthplan pricing summary

Low

Average

$40

Median

$19

High

$207

Superior Healthplan rate distribution

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99 hospital rates

#		Plans
1	Adventhealth Central Texas Killeen, TX fee schedule · outpatient	1	$20	$20	—	—	—	$20 – $20
2	Ascension Cedar Park Park, TX fee schedule · outpatient	6	$36	$36	—	—	—	$36 – $36
3	Ascension Providence Waco, TX fee schedule · both	2	$52	$52	—	—	—	$52 – $52
4	Ascension Providence Waco, TX fee schedule · outpatient	2	$53	$53	—	—	—	$53 – $53
5	Ascension Seton Austin, TX fee schedule · outpatient	8	$54	$54	—	—	—	$54 – $54
6	Ascension Seton Austin, TX fee schedule · outpatient	8	$54	$54	—	—	—	$54 – $54
7	Ascension Seton Luling, TX fee schedule · outpatient	8	$56	$56	—	—	—	$56 – $56
8	Ascension Seton Burnet, TX fee schedule · outpatient	8	$56	$55	$1	2%	—	$53 – $56
9	Ascension Seton Smithville, TX fee schedule · outpatient	8	$60	$60	—	—	—	$60 – $60
10	Ascension Seton Bastrop, TX fee schedule · outpatient	8	$60	$60	—	—	—	$60 – $60
11	Ascension Seton Austin, TX fee schedule · outpatient	8	$54	$54	—	—	—	$54 – $54
12	Bexar County Hospital District San Antonio, TX fee schedule · outpatient	2	$34	$34	$20	58%	—	$14 – $54
13	Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient	2	$69	$69	—	—	—	$69 – $69
14	HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX fee schedule · outpatient	6	$13	$13	—	—	—	$13 – $13
15	HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX percent of total billed charges · outpatientfrom % of charges	5	$8	$8	—	—	—	$8 – $8
16	HCA HOUSTON HEALTHCARE CONROE CONROE, TX fee schedule · outpatient	6	$13	$13	—	—	—	$13 – $13
17	HCA HOUSTON HEALTHCARE CONROE CONROE, TX percent of total billed charges · outpatientfrom % of charges	5	$106	$106	$24	22%	—	$82 – $129
18	HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX fee schedule · outpatient	6	$13	$13	—	—	—	$13 – $13
19	HCA HOUSTON HEALTHCARE KINGWOOD KINGWOOD, TX percent of total billed charges · outpatientfrom % of charges	5	$123	$123	$41	33%	—	$82 – $163
20	HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX fee schedule · outpatient	6	$13	$13	—	—	—	$13 – $13
21	HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX fee schedule · outpatient	6	$13	$13	—	—	—	$13 – $13
22	HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX fee schedule · outpatient	6	$13	$13	—	—	—	$13 – $13
23	HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX percent of total billed charges · outpatientfrom % of charges	5	$25	$25	—	—	—	$25 – $25
24	HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX fee schedule · outpatient	6	$13	$13	—	—	—	$13 – $13
25	HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges	5	$114	$114	—	—	—	$114 – $114