3D screening mammogram (tomosynthesis), add-on at Frisbie Memorial Hospital
CPT 77063 · Rochester, NH
These are Frisbie Memorial Hospital's own posted figures from its standard-charges file dated September 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
The posted cash price equals the gross charge: this file shows no self-pay discount for this service.
See every New Hampshire hospital we index for this service.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Parkland Medical Center Derry, NH | 31.7 mi | $11.25 | $11.25 | 2026-09-01 |
| Jersey City Medical Center Jersey City, NJ | 237.5 mi | $57.76 | $278.00 | 2026-03-04 |
| Newark Beth Israel Medical Center Newark, NJ | 243.6 mi | $57.90 | $278.00 | 2026-03-04 |
| Robert Wood Johnson University Hospital at Rahway Rahway, NJ | 251.4 mi | $43.08 | $334.00 | 2026-03-04 |
| Monmouth Medical Center Long Branch, NJ | 258.8 mi | $60.82 | $278.00 | 2026-03-04 |
| Robert Wood Johnson University Hospital New Brunswick, NJ | 263.5 mi | $59.29 | $278.00 | 2026-03-04 |
| Robert Wood Johnson University Hospital - Somerset Somerville, NJ | 266.7 mi | $56.44 | $334.00 | 2026-03-04 |
| Monmouth Medical Center-Southern Campus Lakewood, NJ | 277.5 mi | $66.08 | $278.00 | 2026-03-03 |
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 |
|---|---|---|---|---|
| Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) standard_charge_information[84593] | outpatient | $56.00 | $56.00 | $23.61 – $43.39 |
| Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) standard_charge_information[2682] | outpatient | $272.78 – $854.43 | ||
| Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) standard_charge_information[8005] | outpatient | $854.43 – $854.43 | ||
| Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) standard_charge_information[8047] | outpatient | $127.88 – $149.11 | ||
| Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) standard_charge_information[11363] | outpatient | $144.90 – $168.94 | ||
| Screening digital breast tomosynthesis, bilateral (List separately in addition to code for primary procedure) standard_charge_information[116259] | outpatient | $56.00 | $56.00 | $854.43 – $854.43 |
| BREAST TOMO SCREENING standard_charge_information[142898] | outpatient | $56.00 | $56.00 | $4.61 – $44.80 |
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 Frisbie Memorial Hospital prices