Diagnostic mammogram of one breast at UPMC Hamot

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

MAMMO DIGITAL DX UNI WWO CAD

Erie, PA

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Pricing by billing methodology

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How this price compares nationally

UPMC Hamot’s median price of $239 is 45% above the median hospital's median price ($165), higher than 68% 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 UPMC Hamot

Negotiated rates from the hospital’s own file: 7 payers, 27 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	Highmark complete blue medicare advantage/freedom blue medicare advantage/security blue medicare advantage facility · fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
2	Blue Cross Blue Shield commercial facility · fee schedule · outpatient	$100	$100	—	—	—	$100 – $100
3	UnitedHealthcare pa chip/pa medicaid facility · fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
4	Aetna medicaid facility · fee schedule · outpatient	$123	$123	—	—	—	$123 – $123
5	UnitedHealthcare commercial facility · per diem · outpatient	$136	$136	—	—	—	$136 – $136
6	Highmark medicaid facility · fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
7	Amerihealth Caritas community healthchoices (chc)/medicaid facility · fee schedule · outpatient	$160	$160	—	—	—	$160 – $160
8	Highmark commercial - indemnity/commercial - social mission indemnity/managed care/managed care - social mission facility · fee schedule · outpatient	$174	$174	—	—	—	$174 – $174
9	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$200	$200	—	—	—	$200 – $200
10	Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges	$215	$215	—	—	—	$215 – $215
11	Cigna nbr aso/fi facility · percent of total billed charges · inpatientfrom % of charges	$239	$239	—	—	—	$239 – $239
12	Cigna nbr aso/fi facility · percent of total billed charges · outpatientfrom % of charges	$239	$239	—	—	—	$239 – $239
13	Cigna new business aso facility · percent of total billed charges · inpatientfrom % of charges	$239	$239	—	—	—	$239 – $239
14	Cigna new business aso facility · percent of total billed charges · outpatientfrom % of charges	$239	$239	—	—	—	$239 – $239
15	Highmark upmc emergent facility · fee schedule · outpatient	$279	$279	—	—	—	$279 – $279
16	Aetna medicare facility · percent of total billed charges · outpatientfrom % of charges	$319	$319	—	—	—	$319 – $319
17	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$319	$319	—	—	—	$319 – $319
18	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$319	$319	—	—	—	$319 – $319
19	Cigna ebr facility · percent of total billed charges · inpatientfrom % of charges	$319	$319	—	—	—	$319 – $319
20	Cigna ebr facility · percent of total billed charges · outpatientfrom % of charges	$319	$319	—	—	—	$319 – $319
21	Highmark medicare facility · percent of total billed charges · outpatientfrom % of charges	$399	$399	—	—	—	$399 – $399
22	Aetna axa/mmo facility · percent of total billed charges · inpatientfrom % of charges	$559	$559	—	—	—	$559 – $559
23	Aetna axa/mmo facility · percent of total billed charges · outpatientfrom % of charges	$559	$559	—	—	—	$559 – $559
24	MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · inpatientfrom % of charges	$559	$559	—	—	—	$559 – $559
25	MultiPlan ppo (includes phcs as a payer) facility · percent of total billed charges · outpatientfrom % of charges	$559	$559	—	—	—	$559 – $559

Page 1 of 2 · 27 rates

Last updated: Mar 6, 2026

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