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
HC Breast Tomosynthesis Bi - Mammo Breast Screening Tomosynthesis Unilat
Choteau, MT
See all hospitals reporting CPT 77063 →Price type
Benefis Community Hospitals, Inc’s median price of $97 is 95% above the median hospital's median price ($50), higher than 84% 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, 10 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 | Tricare mrmc hb tricare other · both | $0.01 | $0.01 | $0.01 – $0.01 |
| 2 | Blue Cross Blue Shield mrmc hb bcbs pos fee schedule · outpatient | $45.13 | $45.13 | $45.13 – $45.13 |
| 3 | Aetna mrmc hb first choice health percent of total billed charges · bothfrom % of charges | $87.98 | $87.98 | $71.40 – $104.55 |
| 4 | Cigna mrmc hb allegiance percent of total billed charges · bothfrom % of charges | $87.98 | $87.98 | $71.40 – $104.55 |
| 5 | Blue Cross Blue Shield mrmc hb bcbs pos percent of total billed charges · inpatientfrom % of charges | $98.33 | $98.33 | $79.80 – $116.85 |
| 6 | Blue Cross Blue Shield mrmc hb bcbs traditional percent of total billed charges · bothfrom % of charges | $103.50 | $103.50 | $84.00 – $123.00 |
| 7 | Blue Cross Blue Shield mrmc hb medicare percent of total billed charges · bothfrom % of charges | $120.06 | $120.06 | $97.44 – $142.68 |
| 8 | Humana mrmc hb medicare percent of total billed charges · bothfrom % of charges | $120.06 | $120.06 | $97.44 – $142.68 |
| 9 | Medicare mrmc hb medicare percent of total billed charges · bothfrom % of charges | $120.06 | $120.06 | $97.44 – $142.68 |
| 10 | UnitedHealthcare mrmc hb medicare percent of total billed charges · bothfrom % of charges | $120.06 | $120.06 | $97.44 – $142.68 |
Last updated: Mar 26, 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.