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 digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure)
Ladson, SC
See all hospitals reporting CPT 77063 →Price type
HCA Healthcare Live Oak Mental Health and Wellness’s median price of $41 is 18% below the median hospital's median price ($50), higher than 37% 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: 12 payers, 34 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 | Humana tricare fee schedule · outpatient | $20.63 | $20.63 | $20.63 – $20.63 |
| 2 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $21.60 | $21.60 | $21.60 – $21.60 |
| 3 | Devoted medicare fee schedule · outpatient | $21.60 | $21.60 | $21.60 – $21.60 |
| 4 | Humana mcr fee schedule · outpatient | $21.60 | $21.60 | $21.60 – $21.60 |
| 5 | UnitedHealthcare vaccn fee schedule · outpatient | $21.60 | $21.60 | $21.60 – $21.60 |
| 6 | Aetna mcr fee schedule · outpatient | $21.82 | $21.82 | $21.82 – $21.82 |
| 7 | Molina mcrmmp fee schedule · outpatient | $22.03 | $22.03 | $22.03 – $22.03 |
| 8 | UnitedHealthcare mcr fee schedule · outpatient | $22.03 | $22.03 | $22.03 – $22.03 |
| 9 | WellCare mcrhmo fee schedule · outpatient | $22.03 | $22.03 | $22.03 – $22.03 |
| 10 | WellCare pffs fee schedule · outpatient | $22.03 | $22.03 | $22.03 – $22.03 |
| 11 | WellCare pos fee schedule · outpatient | $22.03 | $22.03 | $22.03 – $22.03 |
| 12 | WellCare ppo fee schedule · outpatient | $22.03 | $22.03 | $22.03 – $22.03 |
| 13 | WellCare snp fee schedule · outpatient | $22.03 | $22.03 | $22.03 – $22.03 |
| 14 | Clover mcr fee schedule · outpatient | $22.68 | $22.68 | $22.68 – $22.68 |
| 15 | Cigna mcr fee schedule · outpatient | $23.33 | $23.33 | $23.33 – $23.33 |
| 16 | Blue Cross Blue Shield pbhix percent of total billed charges · outpatientfrom % of charges | $37.19 | $37.19 | $37.19 – $37.19 |
| 17 | Blue Cross Blue Shield bluechoice percent of total billed charges · outpatientfrom % of charges | $41.62 | $41.62 | $41.62 – $41.62 |
| 18 | Blue Cross Blue Shield preferredblue percent of total billed charges · outpatientfrom % of charges | $43.83 | $43.83 | $43.83 – $43.83 |
| 19 | UnitedHealthcare mcd fee schedule · outpatient | $44.32 | $44.32 | $44.32 – $44.32 |
| 20 | UnitedHealthcare allpayerappendix fee schedule · outpatient | $57.31 | $57.31 | $57.31 – $57.31 |
| 21 | Medcost newultra percent of total billed charges · outpatientfrom % of charges | $63.41 | $63.41 | $63.41 – $63.41 |
| 22 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $66.40 | $66.40 | $66.40 – $66.40 |
| 23 | Aetna afa fee schedule · outpatient | $58.36 | $69.55 | $45.96 – $104.32 |
| 24 | Aetna nb fee schedule · outpatient | $58.36 | $69.55 | $45.96 – $104.32 |
| 25 | UnitedHealthcare globalbenefit percent of total billed charges · outpatientfrom % of charges | $74.70 | $74.70 | $74.70 – $74.70 |
Last updated: Mar 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.