CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St Francis Hospital & Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $288
  • Cash Discount Price: $623
  • vs. Medicare Baseline: 1.83x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at St Francis Hospital & Medical Center is $288. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $623. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.83x the Medicare baseline. Located in 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT.
Cash / Self-Pay
$623

Average discount available for prompt cash payment at this facility.

Insurance Median
$288

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $623 (397%)
Insurance Median: $288 (183%)
Cash: $623 (397% of Medicare)
Ins. Median: $288 (183% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $106 - $136 68%
Aetna $117 - $577 75%
Medicare (plans) $117 - $123 75%
Cca Senior Care Options $119 76%
UnitedHealthcare $119 - $386 76%
Cigna $120 - $906 76%
Bcn Domestic $136 87%
Blue Benefit Administrators of Massachusetts $136 87%
Blue Care Network $136 87%
Blue Distinction Transplant $136 87%
Blue Shield - Ca $136 87%
Blue Shield - Id (Regence) $136 87%
Blue Shield - Ny Highmark Northeastern $136 87%
Blue Shield - Ny Highmark Western $136 87%
Blue Shield - PA (Highmark) $136 87%
Blue Shield - Wa (Regence) $136 87%
Health Choices $136 87%
Kaiser Domestic $136 87%
Pre-Employment $136 87%
Unicare $136 87%
Wc Domestic $136 87%
Wellpoint $136 87%
Fallon Health $155 99%
Connecticut Dept of Correction $169 108%
Geha $193 - $386 123%
Harvard Pilgrim Healthcare $193 - $386 123%
Centivo $238 152%
Innovative Health Plan II $250 159%
1199 National Benefit Fund $288 - $577 183%
Allied Benefit Systems $288 - $577 183%
Gravie Admin Services $288 - $577 183%
Hap $288 - $577 183%
Luminare Health $288 - $577 183%
Meritain $288 - $577 183%
Nippon Life Ins $288 - $577 183%
Webtpa $288 - $577 183%
Connecticare $376 - $459 240%
Allegiance $453 - $905 289%
Health Partners $453 - $905 289%
Magnacare $453 - $905 289%
Health New England $624 398%
Allied National Global Care $770 491%
Asrm - Reliance Standard Life Insurance $770 491%
Christian Care Ministry $770 491%
Dean Health $770 491%
Family Life Insurance Company $770 491%
Ghc Scw $770 491%
International Benefit Administrators $770 491%
Lifetime Benefit Solutions $770 491%
Manhattan Life $770 491%
Medi Share $770 491%
Multiplan $770 491%
Mvp $770 491%
PHCS $770 491%
Pai $770 491%
Pan-American Life $770 491%
Paramount HMO $770 491%
Trinity Health Share $770 491%
Prime Health Services $792 505%
Health Smart $962 613%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 114 Woodland Street & 500 Blue Hills Avenue, Hartford, CT 06105
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals