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Diagnostic Mammography (Unilateral)

CPT 7706536 Colorado hospitals reporting a negotiated rate

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 of per-hospital medianshalf of reporting hospitals’ median 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, anesthesia, 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.

Medians shown combine all commercial payers; your plan's rate may differ. Choose your insurance carrier to filter.

Carriers 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

Metro
Rest of Colorado
Median negotiated
$39
Your carrier's rate
25th–75th
$38 – $42
Cash
$206
Payers
7
Family Health West Hospital Fruita
Metro
Rest of Colorado
Median negotiated
$79
Your carrier's rate
25th–75th
$75 – $83
Cash
Payers
1
Valley View Hospital Glenwood Springs

Gross charge $274

Metro
Rest of Colorado
Median negotiated
$82
Your carrier's rate
25th–75th
$38 – $198
Cash
$233
Payers
3
Hca Healthone Sky Ridge Medical Center
Metro
Denver Metro
Median negotiated
$92
Your carrier's rate
25th–75th
$92 – $93
Cash
Payers
15
Hca Healthone Swedish Medical Center
Metro
Denver Metro
Median negotiated
$92
Your carrier's rate
25th–75th
$92 – $94
Cash
Payers
14
Hca Healthone Presbyterian St Luke S Medical Center
Metro
Denver Metro
Median negotiated
$92
Your carrier's rate
25th–75th
$92 – $93
Cash
Payers
16
Denver Health Medical Center

Gross charge $162

Metro
Denver Metro
Median negotiated
$130
Your carrier's rate
25th–75th
$90 – $212
Cash
$57
Payers
7
Boulder Community Health Foothills Hospital

Gross charge $475

Metro
Boulder
Median negotiated
$133
Your carrier's rate
25th–75th
$89 – $256
Cash
$238
Payers
31
Uchealth Grandview Hospital Colorado Springs

Gross charge $365

Metro
Colorado Springs
Median negotiated
$137
Your carrier's rate
25th–75th
$127 – $193
Cash
$128
Payers
13
Uchealth Parkview Medical Center Pueblo

Gross charge $559

Metro
Rest of Colorado
Median negotiated
$145
Your carrier's rate
25th–75th
$127 – $280
Cash
$224
Payers
12
Commonspirit Longmont United Hospital

Gross charge $381

Metro
Boulder
Median negotiated
$153
Your carrier's rate
25th–75th
$90 – $206
Cash
$153
Payers
15
Commonspirit Orthocolorado Hospital

Gross charge $381

Metro
Denver Metro
Median negotiated
$153
Your carrier's rate
25th–75th
$88 – $204
Cash
$153
Payers
15
Commonspirit St Anthony North Hospital

Gross charge $381

Metro
Denver Metro
Median negotiated
$153
Your carrier's rate
25th–75th
$90 – $198
Cash
$153
Payers
16
Commonspirit St Francis Hospital

Gross charge $381

Metro
Colorado Springs
Median negotiated
$153
Your carrier's rate
25th–75th
$88 – $204
Cash
$153
Payers
15
Uchealth Longs Peak Hospital Longmont

Gross charge $365

Metro
Boulder
Median negotiated
$155
Your carrier's rate
25th–75th
$127 – $215
Cash
$128
Payers
14
Uchealth Highlands Ranch Hospital

Gross charge $365

Metro
Denver Metro
Median negotiated
$155
Your carrier's rate
25th–75th
$127 – $212
Cash
$110
Payers
12
Commonspirit St Anthony Hospital Lakewood

Gross charge $381

Metro
Denver Metro
Median negotiated
$171
Your carrier's rate
25th–75th
$118 – $200
Cash
$153
Payers
14
Uchealth Memorial Hospital North Colorado Springs

Gross charge $648

Metro
Colorado Springs
Median negotiated
$174
Your carrier's rate
25th–75th
$127 – $305
Cash
$292
Payers
14
Uchealth Memorial Hospital Central Colorado Springs

Gross charge $648

Metro
Colorado Springs
Median negotiated
$174
Your carrier's rate
25th–75th
$127 – $305
Cash
$292
Payers
14
Commonspirit St Francis Hospital Interquest

Gross charge $381

Metro
Colorado Springs
Median negotiated
$174
Your carrier's rate
25th–75th
$88 – $206
Cash
$153
Payers
14
Uchealth Estes Valley Medical Center Estes Park

Gross charge $189

Metro
Fort Collins
Median negotiated
$180
Your carrier's rate
25th–75th
$133 – $183
Cash
$142
Payers
15
Commonspirit St Mary Corwin Hospital Pueblo

Gross charge $773

Metro
Rest of Colorado
Median negotiated
$213
Your carrier's rate
25th–75th
$88 – $391
Cash
$309
Payers
14
Pikes Peak Regional Hospital Woodland Park

Gross charge $442

Metro
Colorado Springs
Median negotiated
$223
Your carrier's rate
25th–75th
$140 – $354
Cash
$354
Payers
12
Uchealth Greeley Hospital

Gross charge $580

Metro
Rest of Colorado
Median negotiated
$250
Your carrier's rate
25th–75th
$127 – $401
Cash
$348
Payers
12
Uchealth University of Colorado Hospital Aurora

Gross charge $1,069

Metro
Denver Metro
Median negotiated
$256
Your carrier's rate
25th–75th
$127 – $537
Cash
$374
Payers
15
Commonspirit Mercy Hospital Durango

Gross charge $674

Metro
Rest of Colorado
Median negotiated
$293
Your carrier's rate
25th–75th
$126 – $553
Cash
$270
Payers
16
Commonspirit St Elizabeth Hospital Fort Morgan

Gross charge $381

Metro
Rest of Colorado
Median negotiated
$296
Your carrier's rate
25th–75th
$122 – $358
Cash
$152
Payers
12
Uchealth Poudre Valley Hospital Fort Collins

Gross charge $580

Metro
Fort Collins
Median negotiated
$325
Your carrier's rate
25th–75th
$114 – $462
Cash
$406
Payers
16
Uchealth Medical Center of the Rockies Loveland

Gross charge $580

Metro
Fort Collins
Median negotiated
$325
Your carrier's rate
25th–75th
$114 – $462
Cash
$406
Payers
16
Uchealth Yampa Valley Medical Center Steamboat Springs

Gross charge $474

Metro
Rest of Colorado
Median negotiated
$357
Your carrier's rate
25th–75th
$157 – $411
Cash
$427
Payers
12
Commonspirit St Anthony Summit Medical Center

Gross charge $610

Metro
Rest of Colorado
Median negotiated
$366
Your carrier's rate
25th–75th
$170 – $524
Cash
$244
Payers
14
Hca Healthone Rose Medical Center

Gross charge $1,768

Metro
Denver Metro
Median negotiated
$460
Your carrier's rate
25th–75th
$93 – $1,149
Cash
$1,768
Payers
24
Commonspirit St Thomas More Hospital Ca on City

Gross charge $674

Metro
Rest of Colorado
Median negotiated
$536
Your carrier's rate
25th–75th
$118 – $574
Cash
$269
Payers
14
Hca Healthone Aurora Medical Center of Aurora

Gross charge $1,453

Metro
Denver Metro
Median negotiated
$708
Your carrier's rate
25th–75th
$291 – $933
Cash
$1,453
Payers
22
Grand River Health Rifle

Gross charge $547

Metro
Rest of Colorado
Median negotiated
$903
Your carrier's rate
25th–75th
$903 – $903
Cash
$274
Payers
1
Hca Healthone Mountain Ridge Thornton

Gross charge $1,878

Metro
Denver Metro
Median negotiated
$1,179
Your carrier's rate
25th–75th
$350 – $1,690
Cash
$1,878
Payers
24
Prowers Medical Center Lamar

Gross charge $302

Metro
Rest of Colorado
Median negotiated
Your carrier's rate
25th–75th
Cash
$181
Payers

0 of 3 hospitals selected

Pick up to 3 hospitals from the table to compare.

Prices by metro: Denver MetroColorado SpringsFort CollinsBoulderRest of Colorado

What to do next

Ask the hospital for a Good Faith Estimate — under the federal No Surprises Act, hospitals must give uninsured and self-pay patients a written estimate for scheduled care. If you're insured, ask your insurer for your expected cost-sharing in advance, confirm the hospital is in-network, and bring your insurance card.

Know your rights under the No Surprises Act (CMS)

Common questions

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

How much does Diagnostic Mammography (Unilateral) cost in Colorado?

Across 36 Colorado hospitals that publish a commercial negotiated rate, the median is $174. The middle half of hospitals fall between $143 and $303 — the 25th-to-75th percentile of per-hospital medians.

Is the doctor's fee included in these prices?

Usually not. These rates are the hospital's facility charge — the room, equipment, and hospital staff. The physician who treats you or reads your results often bills separately for their professional fee. Ask the practice whether professional fees are billed separately before you schedule.

Does insurance change what I'd pay?

Yes. The negotiated rate depends on which insurer and plan you have, and what you actually pay depends on your deductible, coinsurance, and whether the hospital is in your network. Colorado hospitals publish negotiated rates for Diagnostic Mammography (Unilateral) under 81 different payer names. Verify coverage with your insurer before scheduling. Choose your insurance carrier above the hospital table to see per-insurer rates.

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 publish any discounted cash price they offer self-pay patients — 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.

Is this a price quote?

No. These are rates hospitals have published under the federal price-transparency rule — they show what insurers have negotiated, not what you will be billed. Your bill depends on your plan, deductible, in-network status, and clinical circumstances. Verify the price with the hospital and confirm coverage with your insurer before scheduling.

What are my rights if the bill doesn't match?

If you're uninsured or paying cash, the federal No Surprises Act gives you the right to a written Good Faith Estimate before scheduled care — and if the final bill is at least $400 over that estimate, you can dispute it. Most insured patients are also protected from surprise bills for emergency care and certain out-of-network care at in-network facilities.

Know your rights under the No Surprises Act (CMS)

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 machine-readable file 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.