CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Saint Francis Hospital-Evanston

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$129

about 0.8× the $157 Medicare rate · typically $111–$205

modeled estimate · not a bill or quote

What this hospital charges insurers

$112

Below the fair price — a good deal

about $17 under the fair price · 0.7× Medicare

Medicare pays $157 Fair price $129 This hospital $112 Cash price $111 Hospital's list price $877

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $48 Priciest $112

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic mammogram (both breasts) is about $129 (about 0.8× the $157 Medicare rate). Saint Francis Hospital-Evanston charges insurers about $112, or about $111 in cash — below the fair price — a good deal. Located in Evanston, IL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$112 - $140	71%
Blue Cross Blue Shieldmajor	$60 - $157	38%
Aetnamajor	$60 - $877	38%
Cignamajor	$112 - $877	71%
Humanamajor	$60 - $123	38%
Ambetter (Centene)	$181	115%
Devoted Health	$112	71%
Health Net	$134	85%
HealthPartners	$112 - $129	71%
Meridian	$63 - $118	40%
Molina	$63 - $168	40%
WellCare	$112	71%
+ 9 smaller / regional plans	$60 - $174

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 111), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Saint Francis Hospital-Evanston is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint Francis Hospital-Evanston

Compare: Diagnostic mammogram (both breasts) at other IL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.