CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Saint Mary's Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $242
  • Cash Discount Price: $311
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Saint Mary's Hospital is $242. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $311. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.54x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$311

Average discount available for prompt cash payment at this facility.

Insurance Median
$242

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: $311 (198%)
Insurance Median: $242 (154%)
Cash: $311 (198% of Medicare)
Ins. Median: $242 (154% 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 - $137 68%
Aetna $117 - $307 75%
Medicare (plans) $117 - $122 75%
UnitedHealthcare $117 - $566 75%
Cca Senior Care Options $119 76%
Cigna $120 - $453 76%
Bcn Domestic $137 87%
Blue Benefit Administrators of Massachusetts $137 87%
Blue Care Network $137 87%
Blue Distinction Transplant $137 87%
Blue Shield - Ca $137 87%
Blue Shield - Id (Regence) $137 87%
Blue Shield - Ny Highmark Northeastern $137 87%
Blue Shield - Ny Highmark Western $137 87%
Blue Shield - PA (Highmark) $137 87%
Blue Shield - Wa (Regence) $137 87%
Health Choices $137 87%
Kaiser Domestic $137 87%
Pre-Employment $137 87%
Unicare $137 87%
Wc Domestic $137 87%
Wellpoint $137 87%
Connecticut Dept of Correction $169 108%
Geha $193 123%
Harvard Pilgrim Healthcare $193 123%
Allegiance $226 144%
Health Partners $226 144%
Magnacare $226 144%
Centivo $238 152%
Claimdoc $250 159%
Diversified Administrators $250 159%
Innovative Health Plan II $250 159%
Carelon Behavioral Health $283 180%
Health New England $300 191%
1199 National Benefit Fund $307 196%
Allied Benefit Systems $307 196%
Gravie Admin Services $307 196%
Hap $307 196%
Luminare Health $307 196%
Meritain $307 196%
Nippon Life Ins $307 196%
Webtpa $307 196%
Allied National Global Care $436 278%
Asrm - Reliance Standard Life Insurance $436 278%
Christian Care Ministry $436 278%
Dean Health $436 278%
Fallon Health $436 278%
Family Life Insurance Company $436 278%
Ghc Scw $436 278%
International Benefit Administrators $436 278%
Lifetime Benefit Solutions $436 278%
Manhattan Life $436 278%
Medi Share $436 278%
Multiplan $436 278%
Mvp $436 278%
PHCS $436 278%
Pai $436 278%
Pan-American Life $436 278%
Paramount HMO $436 278%
Trinity Health Share $436 278%
Prime Health Services $453 289%
Health Smart $481 306%
United Behavioral Health Eap $566 361%
Connecticare $618 - $631 394%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals