3D screening mammogram (tomosynthesis), add-on at Ascension Providence Hospital, Southfield and Novi
CPT 77063 · Southfield, MI
These are Ascension Providence Hospital, Southfield and Novi's own posted figures from its standard-charges file dated January 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
Across 15 Michigan hospitals we index that post a cash price for this service: lowest $15.68, median $45.45, highest $144.75. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Sinai-Grace Hospital Detroit, MI | 3.0 mi | $121.50 | $162.00 | 2026-04-08 |
| St. Joe Mercy Hospital System Livonia Livonia, MI | 8.5 mi | $83.85 | $129.00 | 2026-03-31 |
| Henry Ford Health West Bloomfield Hospital W Bloomfield, MI | 9.5 mi | $31.13 | $133.00 | 2026-06-28 |
| Henry Ford Health Hospital Detroit, MI | 9.8 mi | $31.13 | $133.00 | 2026-06-28 |
| Henry Ford Health Warren Hospital Warren, MI | 11.5 mi | $20.72 | $37.00 | 2026-01-01 |
| Karmanos Cancer Center Detroit, MI | 11.7 mi | $47.45 | $94.90 | 2025-12-31 |
| Trinity Health Oakland Hospital Pontiac, MI | 11.8 mi | $83.85 | $129.00 | 2026-03-31 |
| McLaren Oakland Pontiac, MI | 12.8 mi | $68.25 | $136.50 | 2025-12-31 |
Distances are straight-line from ZIP code centers. Each hospital's figures come from its own file; files are updated on different dates.
Every row for CPT 77063 in this hospital's file
| Row in the hospital's file | Setting | Cash | Gross | Insurer min – max |
|---|---|---|---|---|
| DGTL BREAST SCREEN TOMO BILAT line 61053 | outpatient | $15.68 | $28.00 | $21.92 – $25.84 |
| BREAST TOMOSYNTHESIS BI line 138801 | inpatient | $12.31 – $29.28 | ||
| BREAST TOMOSYNTHESIS BI line 138802 | outpatient | $12.31 – $29.28 | ||
| BREAST TOMOSYNTHESIS BI line 311352 | outpatient | $21.92 – $69.63 | ||
| BREAST TOMOSYNTHESIS BI line 311353 | both | $21.92 – $69.63 |
The first row is the one used above. A price for one code usually covers the hospital's facility charge only; the doctor, anesthesia, pathology and other services can be billed separately. Ask the hospital for a good faith estimate before a scheduled service: if you pay yourself and the bill comes in $400 or more above the estimate, you can dispute it under the No Surprises Act.
Check a bill from this hospital All Ascension Providence Hospital, Southfield and Novi prices