3D screening mammogram (tomosynthesis), add-on at Westfield Memorial Hospital, Inc
CPT 77063 · Westfield, NY
These are Westfield Memorial Hospital, Inc's own posted figures from its standard-charges file dated April 14, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
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 |
|---|---|---|---|---|
| UPMC Chautauqua at Wca Jamestown, NY | 23.0 mi | $45.00 | $75.00 | 2026-03-06 |
| Mercy Hospital of Buffalo Buffalo, NY | 52.7 mi | $328.00 | $328.00 | 2026-04-01 |
| Sisters of Charity Hospital Buffalo, NY | 56.7 mi | $328.00 | $328.00 | 2026-04-01 |
| Kenmore Mercy Hospital Kenmore, NY | 57.3 mi | $328.00 | $328.00 | 2026-04-01 |
| Erie County Medical Center Buffalo, NY | 57.5 mi | $75.91 | 2026-08-25 | |
| Niagara Falls Memorial Medical Center Niagara Falls, NY | 59.8 mi | $24.63 | $35.19 | 2026-06-17 |
| Olean General Hospital Olean, NY | 61.3 mi | $145.00 | $145.00 | 2026-04-01 |
| Mount St. Mary's Hospital & Health Center Lewiston, NY | 66.0 mi | $328.00 | $328.00 | 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 SCREEN BREAST TOMO BIL line 624587 | both | $119.34 | $153.00 | |
| CHG SCREENING DIGITAL BREAST TOMOSYNTHESIS BI line 624588 | outpatient | $17.60 | $80.00 | $19.33 – $102.38 |
| CHG SCREENING DIGITAL BREAST TOMOSYNTHESIS BI line 624613 | outpatient | $19.33 – $102.38 | ||
| CHG SCREENING DIGITAL BREAST TOMOSYNTHESIS BI mod 00 line 624618 | outpatient | $19.33 – $102.38 | ||
| CHG SCREENING DIGITAL BREAST TOMOSYNTHESIS BI mod 26 line 624619 | outpatient | $19.33 – $102.38 | ||
| CHG SCREENING DIGITAL BREAST TOMOSYNTHESIS BI mod FX line 624650 | outpatient | $19.33 – $102.38 | ||
| CHG SCREENING DIGITAL BREAST TOMOSYNTHESIS BI mod FY line 624661 | outpatient | $19.33 – $102.38 |
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 Westfield Memorial Hospital, Inc prices