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
C SCREENING DIGITAL BREAST TOMOSYNTHESIS, BILATERAL
Puyallup, WA
See all hospitals reporting CPT 77063 →Price type
Good Samaritan Hospital’s median price of $39 is 22% below the median hospital's median price ($50), higher than 35% 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, 24 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 all commercial plans fee schedule · outpatient | $23.74 | $23.74 | $23.74 – $23.74 |
| 2 | Aetna medadvantage fee schedule · outpatient | $24.45 | $24.45 | $24.45 – $24.45 |
| 3 | Regence medadvantage fee schedule · outpatient | $24.45 | $24.45 | $24.45 – $24.45 |
| 4 | UnitedHealthcare medadvantage fee schedule · outpatient | $24.69 | $24.69 | $24.69 – $24.69 |
| 5 | Molina medadvantage fee schedule · outpatient | $24.92 | $24.92 | $24.92 – $24.92 |
| 6 | WellCare medadvantage fee schedule · outpatient | $24.92 | $24.92 | $24.92 – $24.92 |
| 7 | Regence blue high performance fee schedule · outpatient | $26.22 | $26.22 | $26.22 – $26.22 |
| 8 | Regence mcc/ahn fee schedule · outpatient | $26.22 | $26.22 | $26.22 – $26.22 |
| 9 | Regence realvalue fee schedule · outpatient | $26.97 | $26.97 | $26.97 – $26.97 |
| 10 | Regence commercial fee schedule · outpatient | $29.96 | $29.96 | $29.96 – $29.96 |
| 11 | Molina apple health fee schedule · outpatient | $35.95 | $35.95 | $35.95 – $35.95 |
| 12 | UnitedHealthcare apple health fee schedule · outpatient | $38.83 | $38.83 | $38.83 – $38.83 |
| 13 | Cigna all commercial plans fee schedule · outpatient | $39.77 | $39.77 | $39.77 – $39.77 |
| 14 | Premera hmo fee schedule · outpatient | $40.10 | $40.10 | $40.10 – $40.10 |
| 15 | Premera prime fee schedule · outpatient | $44.14 | $44.14 | $44.14 – $44.14 |
| 16 | Premera signature fee schedule · outpatient | $44.14 | $44.14 | $44.14 – $44.14 |
| 17 | Aetna all commercial plans percent of total billed charges · outpatientfrom % of charges | $46.44 | $46.44 | $46.44 – $46.44 |
| 18 | Ambetter coordinated care exchange fee schedule · outpatient | $47.47 | $47.47 | $47.47 – $47.47 |
| 19 | Premera other commercial plans fee schedule · outpatient | $53.94 | $53.94 | $53.94 – $53.94 |
| 20 | First Health all commercial plans percent of total billed charges · outpatientfrom % of charges | $67.16 | $67.16 | $67.16 – $67.16 |
| 21 | MultiPlan all commercial plans percent of total billed charges · outpatientfrom % of charges | $67.16 | $67.16 | $67.16 – $67.16 |
| 22 | First Health all commercial plans percent of total billed charges · inpatientfrom % of charges | $83.95 | $83.95 | $83.95 – $83.95 |
| 23 | MultiPlan all commercial plans percent of total billed charges · inpatientfrom % of charges | $83.95 | $83.95 | $83.95 – $83.95 |
| 24 | Kaiser ppo fee schedule · outpatient | $134.96 | $134.96 | $134.96 – $134.96 |
Last updated: Aug 27, 2026
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