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
Burnet, 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: 7 payers, 36 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.
Filter by billing methodology
Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield 4127_blue cross blue shield bav exchange 20250101 fee schedule · outpatient | $25.23 | $25.23 | $25.23 – $25.23 |
| 2 | Humana 2668_humana hmo 20230701 other · outpatient | $44.50 | $44.50 | $44.50 – $44.50 |
| 3 | 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 |
| 4 | Blue Cross Blue Shield 3693_chirp blue cross star (chi,dcn) inpatient 20240901 fee schedule · both | $51.79 | $51.79 | $51.79 – $51.79 |
| 5 | UnitedHealthcare 3737_chirp uhc star (chi,dcn) inpatient 20240901 fee schedule · both | $51.79 | $51.79 | $51.79 – $51.79 |
| 6 | UnitedHealthcare 3748_chirp uhc star plus (chi,dcn) inpatient 20240901 fee schedule · both | $51.79 | $51.79 | $51.79 – $51.79 |
| 7 | UnitedHealthcare 4322_uhc star kids (chi,dcn) inpatient 20240901 fee schedule · both | $51.79 | $51.79 | $51.79 – $51.79 |
| 8 | Ambetter 3880_superior ambetter (chi,dcn) outpatient 20240901 fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
| 9 | Blue Cross Blue Shield 4168_blue cross chip (chi,dcn) outpatient 20241201 fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
| 10 | Blue Cross Blue Shield 4168_blue cross chip/star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
| 11 | Blue Cross Blue Shield 4219_chirp blue cross star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
| 12 | Blue Cross Blue Shield 5003_blue cross star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
| 13 | Superior Healthplan 4246_chirp superior star (shl) outpatient 20241201 fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
| 14 | Superior Healthplan 4399_chirp superior star plus (shl) outpatient 20241201 fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
| 15 | UnitedHealthcare 4253_chirp uhc star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
| 16 | UnitedHealthcare 4258_chirp uhc star (shl) outpatient 20241201 fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
| 17 | UnitedHealthcare 4264_chirp uhc star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
| 18 | UnitedHealthcare 4311_uhc star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
| 19 | UnitedHealthcare 4316_uhc star kids (shl) outpatient 20241201 fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
| 20 | Superior Healthplan 4188_superior star foster outpatient 20241201 fee schedule · outpatient | $63.20 | $63.20 | $63.20 – $63.20 |
| 21 | Superior Healthplan 4189_superior star foster (chi,dcn) outpatient 20241201 fee schedule · outpatient | $63.20 | $63.20 | $63.20 – $63.20 |
| 22 | Superior Healthplan 4241_chirp superior star (chi,dcn) outpatient 20241201 fee schedule · outpatient | $63.20 | $63.20 | $63.20 – $63.20 |
| 23 | Superior Healthplan 4389_chirp superior star plus (chi,dcn) outpatient 20241201 fee schedule · outpatient | $63.20 | $63.20 | $63.20 – $63.20 |
| 24 | Superior Healthplan 4888_superior star kids outpatient 20241201 fee schedule · outpatient | $63.20 | $63.20 | $63.20 – $63.20 |
| 25 | Superior Healthplan 4889_superior star kids (chi,dcn) outpatient 20241201 fee schedule · outpatient | $63.20 | $63.20 | $63.20 – $63.20 |
Last updated: Jan 1, 2026
See Bilateral breast tomosynthesis imaging pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.