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Diagnostic Mammography (Unilateral)

CPT 7706536 Colorado hospitals reporting

Targeted diagnostic mammogram of one breast, performed when a screening mammogram or symptom warrants closer evaluation.

Typical insured price · Colorado

$143to$303

What hospitals actually accept from insurers, between the 25th and 75th percentile — half of negotiated rates fall in this window with a median of $174.

$143$303

Cash price (median)

$235

What you'd pay self-pay

Gross charge (median)

$458

The chargemaster sticker

vs Medicare

Coming with enrichment

Sourced from 36 Colorado hospitals publishing under 45 CFR §180.50.

At a glance

Code
CPT 77065
Code system
CPT (Current Procedural Terminology)
Typical setting
an outpatient setting
Hospitals reporting
36

How they price Diagnostic Mammography (Unilateral)

Across 36 Colorado hospitals that publish a commercial negotiated rate for CPT 77065, the typical insured price for Diagnostic Mammography (Unilateral) runs $143 to $303 (the 25th-to-75th percentile of per-hospital medians). The Colorado median is $174 — half of reporting hospitals are at or below that figure. The median discounted cash price across the same hospitals is $235, against a median gross charge of $458.

What affects the price

Structural and contractual factors that move the price for this code — not clinical reasons.

  • · Outpatient setting (hospital outpatient department, ambulatory surgery center, or office) is the single biggest non-clinical price driver — the same code in a hospital outpatient department often costs 2–4× the ambulatory-surgery-center rate.
  • · In-network vs out-of-network status — out-of-network claims rarely use the negotiated rates shown here.
  • · Screening vs diagnostic mammography is coded differently and reimbursed differently — screening is typically zero cost-share, diagnostic is not.
  • · Facility fee — many hospitals add a separate facility fee in addition to the procedure rate; ask explicitly when calling.
  • · Bundled vs unbundled billing — the rate may or may not include radiology read, anaesthesia, or pathology. Ask which professional services are included.

Where to get it

Sorted by median negotiated rate, low to high. The bar shows each hospital’s position in the Colorado range.

Plans named by their MRF label. Confirm in-network status with your insurer before scheduling.

Hospitals reporting rates for this procedure, ranked by median negotiated price.
Community Hospital Grand Junction

Gross charge $368

Median negotiated
$39
25th–75th
$38 – $42
Cash
$206
Payers
7
Family Health West Hospital Fruita
Median negotiated
$79
25th–75th
$75 – $83
Cash
Payers
1
Valley View Hospital Glenwood Springs

Gross charge $274

Median negotiated
$82
25th–75th
$38 – $198
Cash
$233
Payers
3
Hca Healthone Sky Ridge Medical Center
Median negotiated
$92
25th–75th
$92 – $93
Cash
Payers
15
Hca Healthone Swedish Medical Center
Median negotiated
$92
25th–75th
$92 – $94
Cash
Payers
14
Hca Healthone Presbyterian St Luke S Medical Center
Median negotiated
$92
25th–75th
$92 – $93
Cash
Payers
16
Denver Health Medical Center

Gross charge $162

Median negotiated
$130
25th–75th
$90 – $212
Cash
$57
Payers
7
Boulder Community Health Foothills Hospital

Gross charge $475

Median negotiated
$133
25th–75th
$89 – $256
Cash
$238
Payers
31
Uchealth Grandview Hospital Colorado Springs

Gross charge $365

Median negotiated
$137
25th–75th
$127 – $193
Cash
$128
Payers
13
Uchealth Parkview Medical Center Pueblo

Gross charge $559

Median negotiated
$145
25th–75th
$127 – $280
Cash
$224
Payers
12
Commonspirit Longmont United Hospital

Gross charge $381

Median negotiated
$153
25th–75th
$90 – $206
Cash
$153
Payers
15
Commonspirit Orthocolorado Hospital

Gross charge $381

Median negotiated
$153
25th–75th
$88 – $204
Cash
$153
Payers
15
Commonspirit St Anthony North Hospital

Gross charge $381

Median negotiated
$153
25th–75th
$90 – $198
Cash
$153
Payers
16
Commonspirit St Francis Hospital

Gross charge $381

Median negotiated
$153
25th–75th
$88 – $204
Cash
$153
Payers
15
Uchealth Longs Peak Hospital Longmont

Gross charge $365

Median negotiated
$155
25th–75th
$127 – $215
Cash
$128
Payers
14
Uchealth Highlands Ranch Hospital

Gross charge $365

Median negotiated
$155
25th–75th
$127 – $212
Cash
$110
Payers
12
Commonspirit St Anthony Hospital Lakewood

Gross charge $381

Median negotiated
$171
25th–75th
$118 – $200
Cash
$153
Payers
14
Uchealth Memorial Hospital North Colorado Springs

Gross charge $648

Median negotiated
$174
25th–75th
$127 – $305
Cash
$292
Payers
14
Uchealth Memorial Hospital Central Colorado Springs

Gross charge $648

Median negotiated
$174
25th–75th
$127 – $305
Cash
$292
Payers
14
Commonspirit St Francis Hospital Interquest

Gross charge $381

Median negotiated
$174
25th–75th
$88 – $206
Cash
$153
Payers
14
Uchealth Estes Valley Medical Center Estes Park

Gross charge $189

Median negotiated
$180
25th–75th
$133 – $183
Cash
$142
Payers
15
Commonspirit St Mary Corwin Hospital Pueblo

Gross charge $773

Median negotiated
$213
25th–75th
$88 – $391
Cash
$309
Payers
14
Pikes Peak Regional Hospital Woodland Park

Gross charge $442

Median negotiated
$223
25th–75th
$140 – $354
Cash
$354
Payers
12
Uchealth Greeley Hospital

Gross charge $580

Median negotiated
$250
25th–75th
$127 – $401
Cash
$348
Payers
12
Uchealth University of Colorado Hospital Aurora

Gross charge $1,069

Median negotiated
$256
25th–75th
$127 – $537
Cash
$374
Payers
15
Commonspirit Mercy Hospital Durango

Gross charge $674

Median negotiated
$293
25th–75th
$126 – $553
Cash
$270
Payers
16
Commonspirit St Elizabeth Hospital Fort Morgan

Gross charge $381

Median negotiated
$296
25th–75th
$122 – $358
Cash
$152
Payers
12
Uchealth Poudre Valley Hospital Fort Collins

Gross charge $580

Median negotiated
$325
25th–75th
$114 – $462
Cash
$406
Payers
16
Uchealth Medical Center of the Rockies Loveland

Gross charge $580

Median negotiated
$325
25th–75th
$114 – $462
Cash
$406
Payers
16
Uchealth Yampa Valley Medical Center Steamboat Springs

Gross charge $474

Median negotiated
$357
25th–75th
$157 – $411
Cash
$427
Payers
12
Commonspirit St Anthony Summit Medical Center

Gross charge $610

Median negotiated
$366
25th–75th
$170 – $524
Cash
$244
Payers
14
Hca Healthone Rose Medical Center

Gross charge $1,768

Median negotiated
$460
25th–75th
$93 – $1,149
Cash
$1,768
Payers
24
Commonspirit St Thomas More Hospital Ca on City

Gross charge $674

Median negotiated
$536
25th–75th
$118 – $574
Cash
$269
Payers
14
Hca Healthone Aurora Medical Center of Aurora

Gross charge $1,453

Median negotiated
$708
25th–75th
$291 – $933
Cash
$1,453
Payers
22
Grand River Health Rifle

Gross charge $547

Median negotiated
$903
25th–75th
$903 – $903
Cash
$274
Payers
1
Hca Healthone Mountain Ridge Thornton

Gross charge $1,878

Median negotiated
$1,179
25th–75th
$350 – $1,690
Cash
$1,878
Payers
24
Prowers Medical Center Lamar

Gross charge $302

Median negotiated
25th–75th
Cash
$181
Payers

Common questions

Short answers, derived from the data on this page. See the full FAQ for site-wide questions.

What is the typical price for Diagnostic Mammography (Unilateral) in Colorado?
Across 36 Colorado hospitals reporting a commercial negotiated rate for CPT 77065, the 25th-to-75th percentile band runs $143 to $303 per hospital median. The 50th-percentile (Colorado median) is $174.
Why is the price range for Diagnostic Mammography (Unilateral) so wide?
Hospitals negotiate differently with different insurers, the procedure can be performed in different settings (hospital outpatient, ambulatory, inpatient), and in-network status varies plan-by-plan. The 2.1× spread between the 25th and 75th percentile in the data reflects those structural differences, not clinical ones.
What's the cash price for Diagnostic Mammography (Unilateral) if I don't have insurance?
The median discounted cash price across reporting Colorado hospitals is $235. Hospitals are required to offer a self-pay rate that's often less than the gross "chargemaster" charge but typically more than the lowest negotiated rate — the per-hospital table on this page shows the full spread.
What does CPT 77065 mean?
CPT 77065 is the CPT (Current Procedural Terminology) code for Diagnostic Mammography (Unilateral). It identifies the procedure for billing and price-disclosure purposes — every hospital's MRF reports rates against this code.

Browse related collections

The same procedure shows up under several useful lenses. Each collection groups it with peers that get shopped together.