3D screening mammogram (tomosynthesis), add-on at Mount St. Mary's Hospital & Health Center
CPT 77063 · Lewiston, NY
These are Mount St. Mary's Hospital & Health Center's own posted figures from its standard-charges file dated April 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.
Across 75 New York hospitals we index that post a cash price for this service: lowest $24.63, median $90.95, highest $581.00. See every hospital.
Nearby hospitals, same service
| Hospital | Distance | Cash price | Gross charge | File date |
|---|---|---|---|---|
| Niagara Falls Memorial Medical Center Niagara Falls, NY | 6.2 mi | $24.63 | $35.19 | 2026-06-17 |
| Kenmore Mercy Hospital Kenmore, NY | 15.1 mi | $328.00 | $328.00 | 2026-04-01 |
| Sisters of Charity Hospital Buffalo, NY | 17.9 mi | $328.00 | $328.00 | 2026-04-01 |
| Erie County Medical Center Buffalo, NY | 18.9 mi | $75.91 | 2026-08-25 | |
| Mercy Hospital of Buffalo Buffalo, NY | 24.2 mi | $328.00 | $328.00 | 2026-04-01 |
| United Memorial Medical Center Batavia, NY | 41.2 mi | $61.42 | $94.50 | 2026-04-01 |
| Westfield Memorial Hospital, Inc Westfield, NY | 66.0 mi | $119.34 | $153.00 | 2026-04-14 |
| Unity Specialty Hospital Rochester, NY | 67.9 mi | $98.67 | $123.34 | 2026-04-01 |
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 |
|---|---|---|---|---|
| HC Breast Tomosynthesis Bi - Mammo Breast Screening Tomosynthesis Bilat line 128937 | both | $328.00 | $328.00 | $3.07 – $328.00 |
| HC Breast Tomosynthesis Bi - Mammo Breast Screening Tomosynthesis Bilat|REDUCED SERVICES mod 52 line 128966 | both | $328.00 | $328.00 | $3.07 – $328.00 |
| HC Breast Tomosynthesis Bi - Mammo Breast Screening Tomosynthesis Bilat|TECHNICAL COMPONENT mod TC line 128969 | both | $328.00 | $328.00 | $3.07 – $328.00 |
| HC Breast Tomosynthesis Bi - Mammo Breast Screening Tomosynthesis Left|TECHNICAL COMPONENT mod TC line 128978 | both | $328.00 | $328.00 | $3.07 – $328.00 |
| HC Breast Tomosynthesis Bi - Mammo Breast Screening Tomosynthesis Left|TECHNICAL COMPONENT|REDUCED SERVICES mod TC|52 line 128995 | both | $328.00 | $328.00 | $3.07 – $328.00 |
| HC Breast Tomosynthesis Bi - Mammo Breast Screening Tomosynthesis Right line 129011 | both | $328.00 | $328.00 | $3.07 – $328.00 |
| HC Breast Tomosynthesis Bi - Mammo Breast Screening Tomosynthesis Right|REDUCED SERVICES mod 52 line 151812 | both | $328.00 | $328.00 | $3.07 – $328.00 |
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 Mount St. Mary's Hospital & Health Center prices