CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Mt Sinai Hospital Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $161
  • Cash Discount Price: $306
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Mt Sinai Hospital Medical Center is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $306. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.03x the Medicare baseline. Located in 15Th Street at California, Chicago, IL.
Cash / Self-Pay
$306

Average discount available for prompt cash payment at this facility.

Insurance Median
$161

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: $306 (195%)
Insurance Median: $161 (103%)
Cash: $306 (195% of Medicare)
Ins. Median: $161 (103% 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
Partners In Hlth - All Plans $46 - $304 29%
Blue Cross Blue Shield $51 - $482 32%
Healthlink Hmo $58 - $379 37%
Healthlink Ppo - All Other Plans $58 - $379 37%
Compsych Ip/Op Only - All Plans $69 - $455 44%
Aetna $73 - $1,715 47%
Family Health Network Mcaid - All Plans $73 47%
Hfn Platinum $75 - $493 48%
Cigna $77 - $938 49%
Molina Mcaid $77 49%
Multiplan Primary Ntwrk/Phcs - All Other Plans $81 - $531 52%
Hfn Epo $92 - $607 59%
Multiplan Complementary Ntwrk $92 - $607 59%
Hfn Ppo - All Other Plans $101 - $668 64%
Ambetter / Centene $121 - $797 77%
Oscar - All Plans $127 - $797 81%
Tricare $156 99%
Va Healthnet - All Plans $156 99%
Advocate Physician Prtnrs Mcr $161 103%
Cenpatico Illinicare Dual $161 103%
Cenpatico Illinicare Mcr - All Other Plans $161 103%
Humana $161 - $2,383 103%
Lawndale Christian - All Plans $161 103%
Meridian/Harmony D-Snp - All Plans $161 103%
Nextlevel Hlth Icp Fhp Aca - All Plans $161 103%
UnitedHealthcare $161 - $295 103%
Harmony Behavioral Htlh - All Plans $166 106%
Zing Mcr Adv - All Plans $168 107%
Molina Mcr - All Other Plans $169 108%
Advocate Physician Prtnrs - All Other Plans $177 113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15Th Street at California, Chicago, IL 60608
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals