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
Screening Breast Tomo Bilat
INDIANAPOLIS, IN
See all hospitals reporting CPT 77063 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS’s median price of $48 is 4% below the median hospital's median price ($50), higher than 47% 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: 9 payers, 53 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 | Blue Cross Blue Shield anthem franciscan employee copps- all locations fee schedule · both | $21.67 | $21.67 | $21.67 – $21.67 |
| 2 | Medicare medicare part a & b [109993] fee schedule · both | $21.67 | $21.67 | $21.67 – $21.67 |
| 3 | Medicare medicare-cir-indianapolis fee schedule · both | $21.67 | $21.67 | $21.67 – $21.67 |
| 4 | Blue Cross Blue Shield anthem healthsync hmo with copps - indianapolis & carmel fee schedule · both | $34.24 | $34.24 | $34.24 – $34.24 |
| 5 | UnitedHealthcare united healthcare charter [322010] percent of total billed charges · bothfrom % of charges | $35.05 | $35.05 | $35.05 – $35.05 |
| 6 | UnitedHealthcare united healthcare charter-cid percent of total billed charges · bothfrom % of charges | $35.05 | $35.05 | $35.05 – $35.05 |
| 7 | UnitedHealthcare bind/surest insurance [322006] percent of total billed charges · bothfrom % of charges | $35.75 | $35.75 | $35.75 – $35.75 |
| 8 | UnitedHealthcare united healthcare [115607] percent of total billed charges · bothfrom % of charges | $35.75 | $35.75 | $35.75 – $35.75 |
| 9 | UnitedHealthcare united healthcare [315698] percent of total billed charges · bothfrom % of charges | $35.75 | $35.75 | $35.75 – $35.75 |
| 10 | UnitedHealthcare united healthcare choice [315037] percent of total billed charges · bothfrom % of charges | $35.75 | $35.75 | $35.75 – $35.75 |
| 11 | UnitedHealthcare united healthcare core [321009] percent of total billed charges · bothfrom % of charges | $35.75 | $35.75 | $35.75 – $35.75 |
| 12 | UnitedHealthcare united healthcare ppo [115605] percent of total billed charges · bothfrom % of charges | $35.75 | $35.75 | $35.75 – $35.75 |
| 13 | UnitedHealthcare united healthcare ppo [115606] percent of total billed charges · bothfrom % of charges | $35.75 | $35.75 | $35.75 – $35.75 |
| 14 | UnitedHealthcare united healthcare-cid percent of total billed charges · bothfrom % of charges | $35.75 | $35.75 | $35.75 – $35.75 |
| 15 | Cigna cigna oa plus [312118] percent of total billed charges · bothfrom % of charges | $37.58 | $37.58 | $37.58 – $37.58 |
| 16 | Cigna cigna ppo [103703] percent of total billed charges · bothfrom % of charges | $37.58 | $37.58 | $37.58 – $37.58 |
| 17 | Cigna cigna-cid percent of total billed charges · bothfrom % of charges | $37.58 | $37.58 | $37.58 – $37.58 |
| 18 | Blue Cross Blue Shield anthem healthsync pos with copps - indianapolis & carmel fee schedule · both | $38.79 | $38.79 | $38.79 – $38.79 |
| 19 | Aetna aetna-cid percent of total billed charges · bothfrom % of charges | $40.65 | $40.65 | $40.65 – $40.65 |
| 20 | Humana choice care ppo-cir percent of total billed charges · bothfrom % of charges | $41.11 | $41.11 | $41.11 – $41.11 |
| 21 | Bcbs Il anthem blue access ppo with copps - indianapolis & carmel fee schedule · both | $43.34 | $43.34 | $43.34 – $43.34 |
| 22 | Bcbs In anthem blue access ppo with copps - indianapolis & carmel fee schedule · both | $43.34 | $43.34 | $43.34 – $43.34 |
| 23 | Blue Cross Blue Shield anthem blue access ppo with copps - indianapolis & carmel fee schedule · both | $43.34 | $43.34 | $43.34 – $43.34 |
| 24 | Aetna aetna [100507] fee schedule · both | $54.50 | $54.50 | $54.50 – $54.50 |
| 25 | Aetna aetna choice ppo [100503] fee schedule · both | $54.50 | $54.50 | $54.50 – $54.50 |
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.