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
HC DIGITAL BREAST TOMO SCRN BI ADD-ON
Alexandria, VA
See all hospitals reporting CPT 77063 →Price type
Inova Mount Vernon Hospital’s median price of $74 is 48% above the median hospital's median price ($50), higher than 74% 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: 7 payers, 21 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 exchange fee schedule · both | $54.50 | $54.50 | $54.50 – $54.50 |
| 2 | UnitedHealthcare nonoptions fee schedule · both | $54.50 | $54.50 | $54.50 – $54.50 |
| 3 | UnitedHealthcare options fee schedule · both | $54.50 | $54.50 | $54.50 – $54.50 |
| 4 | Anthem exchange hmo fee schedule · both | $57.89 | $57.89 | $57.89 – $57.89 |
| 5 | Anthem hmo fee schedule · both | $57.89 | $57.89 | $57.89 – $57.89 |
| 6 | Anthem ppo fee schedule · both | $57.89 | $57.89 | $57.89 – $57.89 |
| 7 | Carefirst hmo fee schedule · both | $61.02 | $61.02 | $61.02 – $61.02 |
| 8 | Carefirst ppo fee schedule · both | $66.20 | $66.20 | $66.20 – $66.20 |
| 9 | Anthem medicaid advantage fee schedule · both | $67.44 | $67.44 | $67.44 – $67.44 |
| 10 | UnitedHealthcare medicaid advantage fee schedule · both | $68.79 | $68.79 | $68.79 – $68.79 |
| 11 | Humana medicaid advantage fee schedule · both | $70.14 | $70.14 | $70.14 – $70.14 |
| 12 | Aetna medicaid advantage fee schedule · both | $70.81 | $70.81 | $70.81 – $70.81 |
| 13 | Kaiser medicaid advantage fee schedule · both | $74.18 | $74.18 | $74.18 – $74.18 |
| 14 | Cigna exchange other · both | $79.58 | $79.58 | $77.57 – $81.58 |
| 15 | Aetna hmo other · both | $101.37 | $101.37 | $98.81 – $103.93 |
| 16 | Aetna ppo other · both | $101.37 | $101.37 | $98.81 – $103.93 |
| 17 | Aetna fannie-mae other · both | $106.39 | $106.39 | $103.70 – $109.07 |
| 18 | Cigna hmo other · both | $115.28 | $115.28 | $112.37 – $118.18 |
| 19 | Cigna ppo other · both | $115.28 | $115.28 | $112.37 – $118.18 |
| 20 | Kaiser hmo other · both | $139.23 | $139.23 | $135.72 – $142.74 |
| 21 | Kaiser ppo other · both | $139.23 | $139.23 | $135.72 – $142.74 |
Last updated: Apr 1, 2026
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