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
BREAST TOMOSYNTHESIS SCREEN UNI
Chicago, IL
See all hospitals reporting CPT 77063 →Price type
Advocate Illinois Masonic Medical Center’s median price of $228 is 355% above the median hospital's median price ($50), higher than 97% of the 2,403 hospitals reporting CPT 77063. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 13 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Ambetter medicare advantage case rate · outpatient | $34.55 | $34.55 | $34.55 – $34.55 |
| 2 | Molina medicare advantage case rate · outpatient | $34.55 | $34.55 | $34.55 – $34.55 |
| 3 | Oscar medicare advantage case rate · outpatient | $35.74 | $35.74 | $35.74 – $35.74 |
| 4 | Cigna commercial fee schedule · outpatient | $107.14 | $107.14 | $107.14 – $107.14 |
| 5 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $164.55 | $164.55 | $164.55 – $164.55 |
| 6 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $235.92 | $235.92 | $226.62 – $245.22 |
| 7 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $244.00 | $244.00 | $244.00 – $244.00 |
| 8 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $244.00 | $244.00 | $244.00 – $244.00 |
| 9 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $244.00 | $244.00 | $244.00 – $244.00 |
| 10 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $248.27 | $248.27 | $248.27 – $248.27 |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $257.42 | $257.42 | $257.42 – $257.42 |
| 12 | UnitedHealthcare commercial case rate · outpatient | $307.00 | $312.33 | $264.00 – $366.00 |
| 13 | UnitedHealthcare hmo case rate · outpatient | $524.00 | $524.00 | $524.00 – $524.00 |
Last updated: Nov 4, 2025
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