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
$11
Average
$81
Median
$51
High
$689
Each hospital's average Wellmark rate, under the methodology and billing class chosen below.
86 hospitals; the 90th percentile is 9.4× 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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142 hospital rates
iThe hospitals that file a Wellmark 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 | Avera McKennan Hospital Sioux Falls, SD case rate · outpatient | 2 | $15 | $15 | — | — | 872 | $15 – $15 |
| 2 | Spencer Municipal Hospital Spencer, IA fee schedule · outpatient | 3 | $205 | $157 | $83 | 53% | 253–262 | $40 – $226 |
| 3 | Lakes Regional Hospital Spirit Lake, IA case rate · outpatient | 2 | $12 | $12 | — | — | 120 | $12 – $12 |
| 4 | Avera St. Luke's Aberdeen, SD outpatient | 1 | $15 | $15 | — | — | 57 | $15 – $15 |
| 5 | Avera St. Luke's Aberdeen, SD case rate · outpatient | 1 | $15 | $15 | — | — | 57 | $15 – $15 |
| 6 | Avera Holy Family Hospital Estherville, IA case rate · outpatient | 2 | $79 | $79 | — | — | 46 | $79 – $79 |
| 7 | Sioux Center Health Sioux Center, IA case rate · outpatient | 2 | $116 | $116 | — | — | 42 | $116 – $116 |
| 8 | Avera St. Anthony's Hospital O'Neill, NE inpatient | 1 | $75 | $75 | — | — | 27 | $75 – $75 |
| 9 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · inpatientfrom % of charges | 1 | $75 | $75 | — | — | 27 | $75 – $75 |
| 10 | Avera Milbank Hospital Milbank, SD outpatient | 1 | $48 | $48 | — | — | 23 | $48 – $48 |
| 11 | Avera Milbank Hospital Milbank, SD percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | 23 | $44 – $44 |
| 12 | Avera St. Mary's Hospital Pierre, SD outpatient | 1 | $15 | $15 | — | — | 22 | $15 – $15 |
| 13 | Avera St. Mary's Hospital Pierre, SD case rate · outpatient | 1 | $15 | $15 | — | — | 22 | $15 – $15 |
| 14 | Avera Sacred Heart Hospital Yankton, SD outpatient | 1 | $15 | $15 | — | — | 11 | $15 – $15 |
| 15 | Avera Sacred Heart Hospital Yankton, SD percent of total billed charges · outpatientfrom % of charges | 1 | $70 | $70 | — | — | 11 | $70 – $70 |
| 16 | Regional Health Services of Howard County Cresco, IA case rate · outpatient | 2 | $36 | $36 | — | — | 2–20 | $36 – $36 |
| 17 | Sioux Center Health Sioux Center, IA case rate · inpatient | 2 | $23 | $23 | — | — | 2–20 | $23 – $23 |
| 18 | Avera Creighton Hospital Creighton, NE inpatient | 1 | $75 | $75 | — | — | 1–10 | $75 – $75 |
| 19 | Avera Creighton Hospital Creighton, NE outpatient | 1 | $79 | $79 | — | — | 1–10 | $79 – $79 |
| 20 | Avera Creighton Hospital Creighton, NE percent of total billed charges · inpatientfrom % of charges | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 21 | Avera Creighton Hospital Creighton, NE percent of total billed charges · outpatientfrom % of charges | 1 | $74 | $74 | — | — | 1–10 | $74 – $74 |
| 22 | Avera Queen of Peace Mitchell, SD outpatient | 1 | $40 | $40 | — | — | 1–10 | $40 – $40 |
| 23 | Avera Queen of Peace Mitchell, SD case rate · outpatient | 1 | $40 | $40 | — | — | 1–10 | $40 – $40 |
| 24 | Avera St. Anthony's Hospital O'Neill, NE outpatient | 1 | $79 | $79 | — | — | 1–10 | $79 – $79 |
| 25 | Avera St. Anthony's Hospital O'Neill, NE percent of total billed charges · outpatientfrom % of charges | 1 | $75 | $75 | — | — | 1–10 | $75 – $75 |
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