Diagnostic mammogram of one breast at St. Joseph Health System, LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

77065 BR-DIG MAMMO UNILAT - LT

Wayne, IN

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Pricing by billing methodology

Price type

How this price compares nationally

St. Joseph Health System, LLC’s median price of $199 is 20% above the median hospital's median price ($165), higher than 59% 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. Joseph Health System, LLC

Negotiated rates from the hospital’s own file: 13 payers, 43 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 node uhc mcr adv facility · fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
2	Tricare node tricare facility · fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
3	Aetna node aetna mcr adv facility · fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
4	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
5	Humana node humana mcr adv facility · fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
6	Anthem anthem in healthsync facility · fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
7	Anthem anthem in hip facility · fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
8	Anthem anthem in hmo ppo trad facility · fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
9	Anthem anthem in marketplace stld facility · fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
10	Optum node united optum va ccn facility · per diem · outpatient	$80	$80	—	—	—	$80 – $80
11	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
12	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$120	$120	—	—	—	$120 – $120
13	Anthem anthem in work comp facility · other · outpatient	$128	$128	—	—	—	$128 – $128
14	UnitedHealthcare uhc apa facility · per diem · outpatient	$159	$159	—	—	—	$159 – $159
15	UnitedHealthcare uhc options ppo facility · per diem · outpatient	$169	$169	—	—	—	$169 – $169
16	Cigna cigna hmo facility · percent of total billed charges · inpatientfrom % of charges	$256	$211	$90	43%	—	$30 – $256
17	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$256	$211	$90	43%	—	$30 – $256
18	Anthem anthem in ppo facility · percent of total billed charges · outpatientfrom % of charges	$288	$237	$102	43%	—	$34 – $288
19	Cigna cigna ppo facility · percent of total billed charges · inpatientfrom % of charges	$288	$237	$102	43%	—	$34 – $288
20	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$288	$237	$102	43%	—	$34 – $288
21	Anthem anthem in medicaid facility · other · outpatient	$256	$256	—	—	—	$256 – $256
22	Caresource caresource hhw in medicaid facility · other · outpatient	$256	$256	—	—	—	$256 – $256
23	Caresource caresource in hip facility · other · outpatient	$256	$256	—	—	—	$256 – $256
24	Humana humana pathways in medicaid facility · other · outpatient	$256	$256	—	—	—	$256 – $256
25	Medicaid in medicaid facility · other · outpatient	$256	$256	—	—	—	$256 – $256

Page 1 of 2 · 43 rates

Last updated: Apr 1, 2026

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