Diagnostic mammogram of one breast at St Helena Hospital

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Diagnostic mammography of 1 breast

Helena, CA

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How this price compares nationally

St Helena Hospital’s median price of $389 is 136% above the median hospital's median price ($165), higher than 90% of the 2,433 hospitals reporting CPT 77065. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 77065 at St Helena Hospital

Negotiated rates from the hospital’s own file: 7 payers, 33 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	Blue Cross Blue Shield blue shield bh mcr adv fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
2	Blue Cross Blue Shield blue shield mcr adv fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
3	Blue Cross Blue Shield tricare blue shield fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
4	Kaiser kaiser mcr adv fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
5	Kaiser kaiser-all other plans fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
6	Cigna cigna-all other plans fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
7	Blue Cross Blue Shield blue shield epn-all other plans fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
8	Blue Cross Blue Shield blue shield non-epn fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
9	Medicaid medi-cal fee schedule · outpatient	$117	$117	—	—	—	$117 – $117
10	Blue Cross Blue Shield blue shield bh mcr adv other · outpatient	$155	$155	—	—	—	$155 – $155
11	Blue Cross Blue Shield blue shield mcr adv other · outpatient	$155	$155	—	—	—	$155 – $155
12	Blue Cross Blue Shield tricare blue shield other · outpatient	$155	$155	—	—	—	$155 – $155
13	Kaiser kaiser mcr adv other · outpatient	$155	$155	—	—	—	$155 – $155
14	UnitedHealthcare uhc mcr adv other · outpatient	$155	$155	—	—	—	$155 – $155
15	UnitedHealthcare uhc all payer - all other plans fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
16	UnitedHealthcare uhc jll fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
17	UnitedHealthcare uhc options ppo fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
18	UnitedHealthcare uhc select/select plus fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
19	Phcs phcs-all plans percent of total billed charges · outpatientfrom % of charges	$468	$405	$234	58%	—	$92 – $655
20	UnitedHealthcare uhc select/select plus percent of total billed charges · outpatientfrom % of charges	$453	$453	$75	17%	—	$377 – $528
21	Blue Cross Blue Shield blue shield behav hlth percent of total billed charges · outpatientfrom % of charges	$459	$459	$77	17%	—	$383 – $536
22	Aetna aetna-all plans fee schedule · outpatient	$621	$464	$223	48%	—	$149 – $621
23	Blue Cross Blue Shield blue shield non-epn percent of total billed charges · outpatientfrom % of charges	$474	$474	$79	17%	—	$395 – $553
24	Blue Cross Blue Shield blue shield epn-all other plans percent of total billed charges · outpatientfrom % of charges	$481	$481	$80	17%	—	$401 – $561
25	UnitedHealthcare uhc jll percent of total billed charges · outpatientfrom % of charges	$488	$488	$81	17%	—	$406 – $569

Page 1 of 2 · 33 rates

Last updated: Jul 15, 2026

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