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 77063 SCRN BILAT DGTL BREAST TOMOSYNTHESIS
San Antonio, TX
See all hospitals reporting CPT 77063 →Price type
Santa Rosa Hospital - Westover Hills’s median price of $53 is 5% above the median hospital's median price ($50), higher than 54% 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, 29 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 mm fee schedule · outpatient | $19.43 | $19.43 | $19.43 – $19.43 |
| 2 | Aetna chip km percent of total billed charges · outpatientfrom % of charges | $20.63 | $20.63 | $11.66 – $29.59 |
| 3 | Aetna star km percent of total billed charges · outpatientfrom % of charges | $20.63 | $20.63 | $11.66 – $29.59 |
| 4 | Bcbs Tx star chip km percent of total billed charges · outpatientfrom % of charges | $20.63 | $20.63 | $11.66 – $29.59 |
| 5 | UnitedHealthcare chip km percent of total billed charges · outpatientfrom % of charges | $33.75 | $33.75 | $19.08 – $48.42 |
| 6 | UnitedHealthcare star km percent of total billed charges · outpatientfrom % of charges | $33.75 | $33.75 | $19.08 – $48.42 |
| 7 | UnitedHealthcare star plus km percent of total billed charges · outpatientfrom % of charges | $33.75 | $33.75 | $19.08 – $48.42 |
| 8 | Aetna new business fee schedule · outpatient | $52.46 | $52.46 | $52.46 – $52.46 |
| 9 | Molina chip km percent of total billed charges · outpatientfrom % of charges | $56.25 | $56.25 | $31.80 – $80.70 |
| 10 | Molina star plus km percent of total billed charges · outpatientfrom % of charges | $56.25 | $56.25 | $31.80 – $80.70 |
| 11 | Aetna epo fee schedule · outpatient | $58.29 | $58.29 | $58.29 – $58.29 |
| 12 | Aetna hmo fee schedule · outpatient | $58.29 | $58.29 | $58.29 – $58.29 |
| 13 | Aetna pos fee schedule · outpatient | $58.29 | $58.29 | $58.29 – $58.29 |
| 14 | Aetna ppo fee schedule · outpatient | $58.29 | $58.29 | $58.29 – $58.29 |
| 15 | Bcbs Tx blue advantangehmo fee schedule · outpatient | $77.96 | $77.96 | $77.96 – $77.96 |
| 16 | First Health hmo percent of total billed charges · outpatientfrom % of charges | $82.50 | $82.50 | $46.64 – $118.36 |
| 17 | Devoted mm percent of total billed charges · outpatientfrom % of charges | $93.75 | $93.75 | $53.00 – $134.50 |
| 18 | Bcbs Tx hmo fee schedule · outpatient | $94.61 | $94.61 | $94.61 – $94.61 |
| 19 | Bcbs Tx heb fee schedule · outpatient | $95.87 | $95.87 | $95.87 – $95.87 |
| 20 | Humana choicecare fee schedule · outpatient | $103.18 | $103.18 | $103.18 – $103.18 |
| 21 | Bcbs Tx ppo fee schedule · outpatient | $106.47 | $106.47 | $106.47 – $106.47 |
| 22 | Bcbs Tx traditional fee schedule · outpatient | $112.02 | $112.02 | $112.02 – $112.02 |
| 23 | First Health ppo percent of total billed charges · outpatientfrom % of charges | $121.88 | $121.88 | $68.90 – $174.85 |
| 24 | MultiPlan ppo percent of total billed charges · outpatientfrom % of charges | $121.88 | $121.88 | $68.90 – $174.85 |
| 25 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $121.88 | $121.88 | $68.90 – $174.85 |
Last updated: Jan 13, 2026
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