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)
FRIENDSWOOD, TX
See all hospitals reporting CPT 77063 →Price type
Hca Houston Healthcare Clear Lake’s median price of $50 is about the same as the median hospital's median price ($50), higher than 50% 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: 15 payers, 73 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 | Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges | $8.16 | $8.16 | $8.16 – $8.16 |
| 2 | Superior Healthplan chpfc percent of total billed charges · outpatientfrom % of charges | $8.16 | $8.16 | $8.16 – $8.16 |
| 3 | Superior Healthplan star percent of total billed charges · outpatientfrom % of charges | $8.16 | $8.16 | $8.16 – $8.16 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $8.16 | $8.16 | $8.16 – $8.16 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $8.16 | $8.16 | $8.16 – $8.16 |
| 6 | Oscar mgmcr fee schedule · outpatient | $22.76 | $22.76 | $22.76 – $22.76 |
| 7 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $23.22 | $23.22 | $23.22 – $23.22 |
| 8 | Blue Cross Blue Shield medicareadvantagehmo fee schedule · outpatient | $23.22 | $23.22 | $23.22 – $23.22 |
| 9 | Cigna Healthspring mcrhmo fee schedule · outpatient | $23.22 | $23.22 | $23.22 – $23.22 |
| 10 | Cigna Healthspring mcrppo fee schedule · outpatient | $23.22 | $23.22 | $23.22 – $23.22 |
| 11 | Cigna Healthspring mcrsnp fee schedule · outpatient | $23.22 | $23.22 | $23.22 – $23.22 |
| 12 | Cigna Healthspring mmp fee schedule · outpatient | $23.22 | $23.22 | $23.22 – $23.22 |
| 13 | Cigna Healthspring pffs fee schedule · outpatient | $23.22 | $23.22 | $23.22 – $23.22 |
| 14 | Devoted mgmcr fee schedule · outpatient | $23.22 | $23.22 | $23.22 – $23.22 |
| 15 | Humana medicareadvantagehmo fee schedule · outpatient | $23.22 | $23.22 | $23.22 – $23.22 |
| 16 | Humana medicareadvantageppopffs fee schedule · outpatient | $23.22 | $23.22 | $23.22 – $23.22 |
| 17 | Aetna mcr fee schedule · outpatient | $23.42 | $23.42 | $23.42 – $23.42 |
| 18 | UnitedHealthcare mcr fee schedule · outpatient | $23.68 | $23.68 | $23.68 – $23.68 |
| 19 | WellCare mcrhmo fee schedule · outpatient | $23.92 | $23.92 | $23.92 – $23.92 |
| 20 | WellCare pffs fee schedule · outpatient | $23.92 | $23.92 | $23.92 – $23.92 |
| 21 | WellCare pos fee schedule · outpatient | $23.92 | $23.92 | $23.92 – $23.92 |
| 22 | WellCare ppo fee schedule · outpatient | $23.92 | $23.92 | $23.92 – $23.92 |
| 23 | WellCare snp fee schedule · outpatient | $23.92 | $23.92 | $23.92 – $23.92 |
| 24 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $23.93 | $23.93 | $23.93 – $23.93 |
| 25 | Superior Healthplan dualeligible fee schedule · outpatient | $24.38 | $24.38 | $24.38 – $24.38 |
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.