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
MG SCR BRST W/TOMO RT
Trenton, NJ
See all hospitals reporting CPT 77063 →Price type
Capital Health System Inc’s median price of $54 is 9% 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: 8 payers, 16 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 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $9.72 | $9.72 | $6.08 – $13.36 |
| 2 | Aetna Better Health managed medicaid percent of total billed charges · outpatientfrom % of charges | $13.13 | $13.13 | $8.21 – $18.04 |
| 3 | Blue Cross Blue Shield omnia percent of total billed charges · outpatientfrom % of charges | $24.23 | $24.23 | $15.15 – $33.30 |
| 4 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $26.93 | $26.93 | $16.84 – $37.01 |
| 5 | Blue Cross Blue Shield indemnity percent of total billed charges · outpatientfrom % of charges | $29.07 | $29.07 | $18.18 – $39.95 |
| 6 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $29.07 | $29.07 | $18.18 – $39.95 |
| 7 | Clover medicare advantage case rate · outpatient | $54.79 | $54.79 | $54.79 – $54.79 |
| 8 | Humana medicare advantage case rate · outpatient | $55.88 | $55.88 | $55.88 – $55.88 |
| 9 | Cigna local plus fee schedule · outpatient | $63.02 | $63.02 | $63.02 – $63.02 |
| 10 | Cigna managed care/ppo fee schedule · outpatient | $63.02 | $63.02 | $63.02 – $63.02 |
| 11 | UnitedHealthcare commercial fee schedule · outpatient | $64.67 | $64.67 | $64.67 – $64.67 |
| 12 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $86.27 | $86.27 | $53.96 – $118.57 |
| 13 | Cigna shared administration percent of total billed charges · inpatientfrom % of charges | $182.25 | $182.25 | $114.00 – $250.50 |
| 14 | Cigna shared administration percent of total billed charges · outpatientfrom % of charges | $182.25 | $182.25 | $114.00 – $250.50 |
| 15 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $206.55 | $206.55 | $129.20 – $283.90 |
| 16 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $206.55 | $206.55 | $129.20 – $283.90 |
Last updated: Jun 24, 2026
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