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 Scr Brst Tomsynthesis Bi
Belleville, IL
See all hospitals reporting CPT 77063 →Price type
Memorial Hospital’s median price of $33 is 35% below the median hospital's median price ($50), higher than 25% 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, 28 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 | Aetna bjc hb medicare advantra bsp fee schedule · both | $11.13 | $14.84 | $11.13 – $22.26 |
| 2 | Aetna bjc hb medicare gold advantage bsp fee schedule · both | $11.13 | $14.84 | $11.13 – $22.26 |
| 3 | Devoted bjc hb medicare devoted bsp fee schedule · both | $11.29 | $15.06 | $11.29 – $22.59 |
| 4 | Medica bjc hb medicare wellfirst bsp fee schedule · both | $11.29 | $15.06 | $11.29 – $22.59 |
| 5 | Humana bjc hb medicare humana bsp fee schedule · both | $11.32 | $15.09 | $11.32 – $22.64 |
| 6 | UnitedHealthcare bjc hb medicare uhc bsp fee schedule · both | $11.35 | $15.14 | $11.35 – $22.71 |
| 7 | Blue Cross Blue Shield bjc hb medicare anthem advantage bsp fee schedule · both | $11.80 | $15.73 | $11.80 – $23.60 |
| 8 | Aetna bjc hb aetna national percent of total billed charges · bothfrom % of charges | $37.15 | $37.15 | $37.15 – $37.15 |
| 9 | Aetna bjc hb first health percent of total billed charges · bothfrom % of charges | $37.15 | $37.15 | $37.15 – $37.15 |
| 10 | First Health bjc hb first health percent of total billed charges · bothfrom % of charges | $37.15 | $37.15 | $37.15 – $37.15 |
| 11 | UnitedHealthcare bjc hb first health percent of total billed charges · bothfrom % of charges | $37.15 | $37.15 | $37.15 – $37.15 |
| 12 | Aetna bjc hb group health plan ppo select percent of total billed charges · bothfrom % of charges | $37.50 | $37.50 | $37.50 – $37.50 |
| 13 | Beechstreet bjc hb multiplan percent of total billed charges · bothfrom % of charges | $37.50 | $37.50 | $37.50 – $37.50 |
| 14 | MultiPlan bjc hb multiplan percent of total billed charges · bothfrom % of charges | $37.50 | $37.50 | $37.50 – $37.50 |
| 15 | Phcs bjc hb phcs community percent of total billed charges · bothfrom % of charges | $37.50 | $37.50 | $37.50 – $37.50 |
| 16 | Medica bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $40.00 | $40.00 | $40.00 – $40.00 |
| 17 | Phcs bjc hb wellfirst first health community percent of total billed charges · bothfrom % of charges | $40.00 | $40.00 | $40.00 – $40.00 |
| 18 | Blue Cross Blue Shield bjc hb anthem alliance epo percent of total billed charges · bothfrom % of charges | $42.50 | $42.50 | $42.50 – $42.50 |
| 19 | Blue Cross Blue Shield bjc hb anthem blue preferred percent of total billed charges · bothfrom % of charges | $42.50 | $42.50 | $42.50 – $42.50 |
| 20 | Blue Cross Blue Shield bjc hb anthem traditional percent of total billed charges · bothfrom % of charges | $43.50 | $43.50 | $43.50 – $43.50 |
| 21 | Blue Cross Blue Shield bjc hb anthem choice community fee schedule · both | $43.69 | $43.69 | $43.69 – $43.69 |
| 22 | Blue Cross Blue Shield bjc hb anthem access community fee schedule · both | $43.73 | $43.73 | $43.73 – $43.73 |
| 23 | Cigna bjc hb cigna local plus community fee schedule · both | $74.48 | $74.48 | $74.48 – $74.48 |
| 24 | Cigna bjc hb cigna special community fee schedule · both | $82.31 | $82.31 | $82.31 – $82.31 |
| 25 | Cigna bjc hb cigna hmo/ppo community fee schedule · both | $83.05 | $83.05 | $83.05 – $83.05 |
Last updated: Dec 15, 2025
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