Bilateral breast tomosynthesis imaging at Bertrand Chaffee Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

BREAST TOMOSYNTHESIS BI

SPRINGVILLE, NY

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How this price compares nationally

Bertrand Chaffee Hospital’s median price of $29 is 42% below the median hospital's median price ($50), higher than 20% of the 2,403 hospitals reporting CPT 77063. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 77063 at Bertrand Chaffee Hospital

Negotiated rates from the hospital’s own file: 10 payers, 19 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	Medicare medicare fee schedule · both	$22.10	$22.10	$22.10 – $22.10
2	Tricare tricare east reg fee schedule · both	$22.10	$22.10	$22.10 – $22.10
3	Tricare tricare north region 1 fee schedule · both	$22.10	$22.10	$22.10 – $22.10
4	Aetna aetna medicare fee schedule · both	$22.32	$22.32	$22.32 – $22.32
5	Cigna cigna fee schedule · both	$22.32	$22.32	$22.32 – $22.32
6	Humana humana gold fee schedule · both	$22.32	$22.32	$22.32 – $22.32
7	Optum va optum community care fee schedule · both	$22.32	$22.32	$22.32 – $22.32
8	Tricare wps tricare for life fee schedule · both	$22.32	$22.32	$22.32 – $22.32
9	UnitedHealthcare aarp/united healthcare fee schedule · both	$22.32	$22.32	$22.32 – $22.32
10	WellCare wellcare fee schedule · both	$22.32	$22.32	$22.32 – $22.32
11	Blue Cross Blue Shield blue cross freedom blue fee schedule · both	$26.35	$26.35	$26.35 – $26.35
12	Blue Cross Blue Shield bc of wny hmo fee schedule · both	$28.44	$28.44	$28.44 – $28.44
13	Blue Cross Blue Shield bc of wny ppo fee schedule · both	$28.44	$28.44	$28.44 – $28.44
14	Blue Cross Blue Shield wny bcbs essential plan fee schedule · both	$28.44	$28.44	$28.44 – $28.44
15	Molina molina essential plan fee schedule · both	$29.19	$29.19	$29.19 – $29.19
16	Molina molina healthcare of wny fee schedule · both	$29.19	$29.19	$29.19 – $29.19
17	WellCare wellcare medicaid fee schedule · both	$29.19	$29.19	$29.19 – $29.19
18	Aetna aetna ins. percent of total billed charges · bothfrom % of charges	$36.13	$36.13	$36.13 – $36.13
19	Cigna cigna commercial percent of total billed charges · bothfrom % of charges	$36.13	$36.13	$36.13 – $36.13

Last updated: Oct 1, 2026

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