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 BI
Austin, TX
See all hospitals reporting CPT 77063 →Price type
Ascension Seton’s median price of $53 is 6% above the median hospital's median price ($50), higher than 54% 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: 10 payers, 58 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 | Aetna 4659_medicare advantage aetna inpatient 20251001 other · inpatient | $22.01 | $22.01 | $22.01 – $22.01 |
| 2 | Devoted 4684_medicare advantage devoted health inpatient 20251001 other · inpatient | $22.01 | $22.01 | $22.01 – $22.01 |
| 3 | Devoted 4918_medicare advantage devoted health outpatient 20250811 other · outpatient | $22.01 | $22.01 | $22.01 – $22.01 |
| 4 | Humana 4661_medicare advantage humana inpatient (aus,hay,nw,sw) 20251001 other · inpatient | $22.01 | $22.01 | $22.01 – $22.01 |
| 5 | Humana 4921_medicare advantage humana outpatient (aus,hay,nw,sw.smv) 20250811 other · outpatient | $22.01 | $22.01 | $22.01 – $22.01 |
| 6 | Tricare 4696_tricare inpatient 20251001 other · inpatient | $22.01 | $22.01 | $22.01 – $22.01 |
| 7 | WellCare 4691_medicare advantage wellcare inpatient 20251001 other · inpatient | $22.01 | $22.01 | $22.01 – $22.01 |
| 8 | WellCare 4929_medicare advantage wellcare outpatient 20250811 other · outpatient | $22.01 | $22.01 | $22.01 – $22.01 |
| 9 | UnitedHealthcare 4687_medicare advantage united healthcare inpatient (aus,nw,sw,hay) 20251001 other · inpatient | $22.45 | $22.45 | $22.45 – $22.45 |
| 10 | UnitedHealthcare 4928_medicare advantage united healthcare outpatient (aus,nw,sw,hay,smv) 20250811 other · outpatient | $22.45 | $22.45 | $22.45 – $22.45 |
| 11 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $25.23 | $25.23 | $25.23 – $25.23 |
| 12 | Ambetter 4652_superior ambetter inpatient 20251001 other · inpatient | $39.62 | $39.62 | $39.62 – $39.62 |
| 13 | Ambetter 4960_superior ambetter outpatient 20250811 other · outpatient | $39.62 | $39.62 | $39.62 – $39.62 |
| 14 | Humana 2668_humana hmo 20230701 other · outpatient | $44.50 | $44.50 | $44.50 – $44.50 |
| 15 | Blue Cross Blue Shield 3594_blue cross chip/star kids (chi,dcn) inpatient 20240901 fee schedule · both | $51.79 | $51.79 | $51.79 – $51.79 |
| 16 | Blue Cross Blue Shield 3598_blue cross chip/star kids (nw) inpatient 20240901 fee schedule · both | $51.79 | $51.79 | $51.79 – $51.79 |
| 17 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $51.79 | $51.79 | $51.79 – $51.79 |
| 18 | Blue Cross Blue Shield 3697_chirp blue cross star (nw) inpatient 20240901 fee schedule · both | $51.79 | $51.79 | $51.79 – $51.79 |
| 19 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $51.79 | $51.79 | $51.79 – $51.79 |
| 20 | UnitedHealthcare 3741_chirp uhc star (nw) inpatient 20240901 fee schedule · both | $51.79 | $51.79 | $51.79 – $51.79 |
| 21 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $51.79 | $51.79 | $51.79 – $51.79 |
| 22 | UnitedHealthcare 3752_chirp uhc star plus (nw) inpatient 20240901 fee schedule · both | $51.79 | $51.79 | $51.79 – $51.79 |
| 23 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $51.79 | $51.79 | $51.79 – $51.79 |
| 24 | UnitedHealthcare 4326_uhc star kids (nw) inpatient 20240901 fee schedule · both | $51.79 | $51.79 | $51.79 – $51.79 |
| 25 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
Last updated: Jan 1, 2026
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