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 SCREENIN
San Antonio, TX
See all hospitals reporting CPT 77063 →Price type
Bexar County Hospital District’s median price of $54 is 8% above the median hospital's median price ($50), higher than 57% 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: 11 payers, 28 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 medicare advantage fee schedule · outpatient | $22.01 | $22.01 | $22.01 – $22.01 |
| 2 | First Health medicare advantage fee schedule · outpatient | $22.01 | $22.01 | $22.01 – $22.01 |
| 3 | Humana medicare advantage fee schedule · outpatient | $22.01 | $22.01 | $22.01 – $22.01 |
| 4 | MultiPlan medicare advantage fee schedule · outpatient | $22.01 | $22.01 | $22.01 – $22.01 |
| 5 | Superior Healthplan medicare advantage fee schedule · outpatient | $22.01 | $22.01 | $22.01 – $22.01 |
| 6 | UnitedHealthcare medicare advantage fee schedule · outpatient | $22.01 | $22.01 | $22.01 – $22.01 |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $22.45 | $22.45 | $22.45 – $22.45 |
| 8 | Molina medicare advantage fee schedule · outpatient | $22.67 | $22.67 | $22.67 – $22.67 |
| 9 | WellCare medicare advantage fee schedule · outpatient | $22.67 | $22.67 | $22.67 – $22.67 |
| 10 | Molina commercial fee schedule · outpatient | $35.21 | $35.21 | $35.21 – $35.21 |
| 11 | First Health managed medicaid fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
| 12 | UnitedHealthcare managed medicaid fee schedule · outpatient | $52.79 | $52.79 | $52.79 – $52.79 |
| 13 | Superior Healthplan managed medicaid fee schedule · outpatient | $54.37 | $54.37 | $54.37 – $54.37 |
| 14 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $55.43 | $55.43 | $52.79 – $58.07 |
| 15 | Molina managed medicaid fee schedule · outpatient | $55.96 | $55.96 | $55.96 – $55.96 |
| 16 | Aetna Better Health managed medicaid and chip fee schedule · outpatient | $63.35 | $63.35 | $63.35 – $63.35 |
| 17 | UnitedHealthcare commercial fee schedule · outpatient | $172.00 | $172.00 | $172.00 – $172.00 |
| 18 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $308.00 | $308.00 | $308.00 – $308.00 |
| 19 | Aetna exchange percent of total billed charges · outpatientfrom % of charges | $331.10 | $331.10 | $331.10 – $331.10 |
| 20 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $338.80 | $338.80 | $338.80 – $338.80 |
| 21 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $346.50 | $346.50 | $346.50 – $346.50 |
| 22 | First Health commercial percent of total billed charges · inpatientfrom % of charges | $438.90 | $438.90 | $438.90 – $438.90 |
| 23 | First Health commercial percent of total billed charges · outpatientfrom % of charges | $488.95 | $488.95 | $438.90 – $539.00 |
| 24 | MultiPlan primary network percent of total billed charges · inpatientfrom % of charges | $500.50 | $500.50 | $500.50 – $500.50 |
| 25 | MultiPlan primary network percent of total billed charges · outpatientfrom % of charges | $500.50 | $500.50 | $500.50 – $500.50 |
Last updated: Oct 14, 2025
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