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
CITY, IN
See all hospitals reporting CPT 77063 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY’s median price of $72 is 45% above the median hospital's median price ($50), higher than 73% 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, 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-nir-michigan city fee schedule · both | $21.67 | $28.89 | $21.67 – $43.34 |
| 2 | Blue Cross Blue Shield anthem franciscan employee copps- all locations fee schedule · both | $32.51 | $32.51 | $21.67 – $43.34 |
| 3 | Cigna cigna localplus-nid percent of total billed charges · bothfrom % of charges | $47.29 | $47.29 | $47.29 – $47.29 |
| 4 | Aetna aetna-nid-dyer-munster-crn point fee schedule · both | $54.50 | $54.50 | $54.50 – $54.50 |
| 5 | Blue Cross Blue Shield anthem healthsync pos with copps - michigan city/laporte fee schedule · both | $58.19 | $58.19 | $38.79 – $77.58 |
| 6 | Bcbs In anthem blue access ppo-cid fee schedule · both | $60.45 | $60.45 | $60.45 – $60.45 |
| 7 | Blue Cross Blue Shield anthem blue access ppo-cid fee schedule · both | $60.45 | $60.45 | $60.45 – $60.45 |
| 8 | Bcbs Il anthem blue access ppo with copps - michigan city/laporte fee schedule · both | $65.01 | $65.01 | $43.34 – $86.68 |
| 9 | Bcbs In anthem blue access ppo with copps - michigan city/laporte fee schedule · both | $65.01 | $65.01 | $43.34 – $86.68 |
| 10 | Blue Cross Blue Shield anthem blue access ppo with copps - michigan city/laporte fee schedule · both | $65.01 | $65.01 | $43.34 – $86.68 |
| 11 | Medicaid in mcd-nir-michigan city fee schedule · both | $72.27 | $72.27 | $72.27 – $72.27 |
| 12 | Bcbs Il st anthony health-nir-stmar&fhm&stant mc percent of total billed charges · bothfrom % of charges | $55.50 | $74.00 | $55.50 – $111.00 |
| 13 | Cigna cigna behavioral health-nir-st anth mc percent of total billed charges · bothfrom % of charges | $77.70 | $77.70 | $77.70 – $77.70 |
| 14 | Aetna aetna-nir-michigan city fee schedule · both | $81.75 | $81.75 | $54.50 – $109.00 |
| 15 | UnitedHealthcare uhc all payer-nid-michigan city percent of total billed charges · bothfrom % of charges | $66.49 | $83.11 | $66.49 – $132.98 |
| 16 | Medicaid in mdc mi city caresource 120% of in mcd fee schedule · both | $86.72 | $86.72 | $86.72 – $86.72 |
| 17 | Cigna cigna hmo-nid-michigan city & laporte percent of total billed charges · bothfrom % of charges | $67.04 | $89.39 | $67.04 – $134.09 |
| 18 | UnitedHealthcare uhc options ppo-nid-michigan city percent of total billed charges · bothfrom % of charges | $73.93 | $92.41 | $73.93 – $147.85 |
| 19 | Cigna cigna ppo-nid-michigan city percent of total billed charges · bothfrom % of charges | $70.26 | $93.68 | $70.26 – $140.53 |
Last updated: Jan 1, 2026
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