3D screening mammogram (tomosynthesis), add-on at Samaritan Medical Center
CPT 77063 · Watertown, NY
These are Samaritan Medical Center's own posted figures from its standard-charges file dated February 2, 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 |
|---|---|---|---|---|
| Gouverneur Hospital Gouverneur, NY | 33.1 mi | $84.37 | $129.80 | 2026-04-01 |
| Rome Memorial Hospital, Inc Rome, NY | 56.6 mi | $37.95 | $94.00 | 2026-08-11 |
| Crouse Hospital Syracuse, NY | 65.7 mi | $75.00 | $75.00 | 2026-05-19 |
| Canton-Potsdam Hospital Potsdam, NY | 68.5 mi | $65.14 | $100.22 | 2026-04-01 |
| Little Falls Hospital Little Falls, NY | 80.3 mi | $81.68 | $302.50 | 2026-01-01 |
| Newark-Wayne Community Hospital Newark, NY | 85.8 mi | $80.17 | $123.34 | 2026-04-01 |
| Clifton Springs Hospital and Clinic Clifton Springs, NY | 93.3 mi | $80.17 | $123.34 | 2026-04-01 |
| Geneva General Hospital Geneva, NY | 94.8 mi | $28.88 | $72.18 | 2026-08-27 |
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 |
|---|---|---|---|---|
| BREAST TOMOSYNTHESIS LT SCREEN line 34991 | outpatient | $146.00 | $146.00 | $49.29 – $226.22 |
| BREAST TOMOSYNTHESIS LT SCREEN line 991 | inpatient | $146.00 | $146.00 | $116.80 – $116.80 |
| BREAST TOMOSYNTHESIS RT SCREEN line 2123 | inpatient | $146.00 | $146.00 | $116.80 – $116.80 |
| BREAST TOMOSYNTHESIS BI SCREEN line 3372 | inpatient | $146.00 | $146.00 | $116.80 – $116.80 |
| BREAST TOMOSYNTHESIS BI SCREEN line 36000 | outpatient | $146.00 | $146.00 | $49.29 – $226.22 |
| BREAST TOMOSYNTHESIS RT SCREEN line 37541 | outpatient | $146.00 | $146.00 | $49.29 – $226.22 |
| BREAST TOMOSYNTHESIS BI line 303476 | both | $46.83 – $68.20 |
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 Samaritan Medical Center prices