CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Saint Mary's Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $206
  • Cash Discount Price: $274
  • vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Saint Mary's Hospital is $206. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $274. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.63x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$274

Average discount available for prompt cash payment at this facility.

Insurance Median
$206

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $274 (217%)
Insurance Median: $206 (163%)
Cash: $274 (217% of Medicare)
Ins. Median: $206 (163% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 $88 - $113 70%
Aetna $96 - $253 76%
Medicare (plans) $96 - $100 76%
UnitedHealthcare $96 - $499 76%
Cca Senior Care Options $98 78%
Cigna $99 - $399 78%
Bcn Domestic $113 90%
Blue Benefit Administrators of Massachusetts $113 90%
Blue Care Network $113 90%
Blue Distinction Transplant $113 90%
Blue Shield - Ca $113 90%
Blue Shield - Id (Regence) $113 90%
Blue Shield - Ny Highmark Northeastern $113 90%
Blue Shield - Ny Highmark Western $113 90%
Blue Shield - PA (Highmark) $113 90%
Blue Shield - Wa (Regence) $113 90%
Health Choices $113 90%
Kaiser Domestic $113 90%
Pre-Employment $113 90%
Unicare $113 90%
Wc Domestic $113 90%
Wellpoint $113 90%
Connecticut Dept of Correction $134 106%
Geha $160 - $320 127%
Harvard Pilgrim Healthcare $160 - $320 127%
Allegiance $187 - $374 148%
Health Partners $187 - $374 148%
Magnacare $187 - $374 148%
Centivo $196 155%
Claimdoc $206 163%
Diversified Administrators $206 163%
Innovative Health Plan II $206 163%
Carelon Behavioral Health $250 198%
1199 National Benefit Fund $253 200%
Allied Benefit Systems $253 200%
Gravie Admin Services $253 200%
Hap $253 200%
Luminare Health $253 200%
Meritain $253 200%
Nippon Life Ins $253 200%
Webtpa $253 200%
Health New England $265 210%
Allied National Global Care $384 304%
Asrm - Reliance Standard Life Insurance $384 304%
Christian Care Ministry $384 304%
Dean Health $384 304%
Fallon Health $384 304%
Family Life Insurance Company $384 304%
Ghc Scw $384 304%
International Benefit Administrators $384 304%
Lifetime Benefit Solutions $384 304%
Manhattan Life $384 304%
Medi Share $384 304%
Multiplan $384 304%
Mvp $384 304%
PHCS $384 304%
Pai $384 304%
Pan-American Life $384 304%
Paramount HMO $384 304%
Trinity Health Share $384 304%
Prime Health Services $399 316%
Health Smart $424 336%
United Behavioral Health Eap $499 395%
Connecticare $511 - $521 405%

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