77063

Screening 3d breast mammography

Medicare pricing data for 24,755 providers across 52 states

🤖AI Overview

This is one of the most commonly performed procedures in Medicare, with 5.7 million services annually. Even small pricing inefficiencies here affect millions of patients. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Screening 3d breast mammography (HCPCS code 77063) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $35.60, but hospitals typically charge $133.16 — a 3.7x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$7.12

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $35.60, your out-of-pocket cost would be approximately $7.12. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$35.60
Average Hospital Charge
$133.16
Markup Ratio
3.7x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$133.16
Medicare Allowed$35.60
Medicare Payment$35.60

Hospitals charge 3.7x more than what Medicare allows for this procedure. Medicare actually pays $35.60 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Maryland$47$168344143,191+33.3%
New Jersey$46$164614160,922+29.1%
District of Columbia$44$1628427,847+22.4%
New York$43$1651,146329,151+20.8%
Nevada$43$15019740,547+20.5%
California$43$1761,656435,861+19.9%
Florida$42$1501,436374,254+18.3%
Hawaii$40$1177218,153+13.7%
Arizona$40$174377110,409+13.2%
Wyoming$40$1495510,748+11.5%
Alaska$39$1648318,449+9.8%
Connecticut$39$13536761,740+9.6%
Washington$38$135835138,851+6.5%
Rhode Island$38$1657532,333+6.3%
Colorado$37$13747289,282+5.1%
New Mexico$37$14310434,495+4.0%
Puerto Rico$37$6816136+3.8%
Delaware$36$1275227,256+0.7%
North Carolina$35$1451,136226,543-1.1%
Texas$35$1591,467338,843-1.7%
New Hampshire$34$9915636,142-4.0%
Minnesota$34$1151,106125,390-4.6%
Tennessee$33$136797126,831-6.8%
Virginia$33$119627200,764-7.4%
Alabama$33$9243970,507-7.9%
Iowa$33$9936186,683-8.4%
Massachusetts$33$112615204,810-8.7%
Arkansas$32$10920354,066-8.8%
Illinois$32$138883239,554-8.9%
Kansas$32$7744879,009-8.9%
Montana$32$938321,714-10.8%
Louisiana$31$11336670,719-11.5%
South Dakota$31$8219127,386-11.9%
Pennsylvania$31$108978284,837-12.1%
Georgia$31$132849139,088-12.3%
Michigan$31$93648144,433-12.5%
Wisconsin$31$146880126,339-12.6%
Oregon$31$10239665,380-13.3%
Missouri$30$99437146,929-14.5%
Mississippi$30$11923261,458-14.8%
Ohio$30$105683190,227-15.8%
Indiana$30$92449121,393-16.3%
Utah$30$8930129,406-16.3%
North Dakota$29$8213628,734-17.8%
South Carolina$29$133309113,921-17.9%
Kentucky$29$8237768,077-18.1%
Nebraska$29$10728661,762-18.3%
Idaho$29$10914726,908-19.4%
Vermont$29$1263715,780-19.6%
Oklahoma$29$11928666,407-19.7%
Maine$28$9125025,638-20.2%
West Virginia$28$9819725,132-20.5%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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