CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ascension Providence Hospital, Southfield and Novi

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$122

about 0.8× the $157 Medicare rate · typically $74–$186

modeled estimate · not a bill or quote

What this hospital charges insurers

$121

About the fair price

about $1 under the fair price · 0.8× Medicare

Medicare pays $157 Fair price $122 This hospital $121 Cash price $268 Hospital's list price $478

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

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

Cheapest $44 Priciest $121

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

A fair price for a Diagnostic mammogram (both breasts) is about $122 (about 0.8× the $157 Medicare rate). Ascension Providence Hospital, Southfield and Novi charges insurers about $121, or about $268 in cash — about the fair price. Located in Southfield, MI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$57	36%
Blue Cross Blue Shieldmajor	$224 - $227	143%
Aetnamajor	$99 - $320	63%
Humanamajor	$100	64%
Ambetter (Centene)	$124	79%
AmeriHealth	$85 - $98	54%
Molina	$57 - $124	36%
Priority Health	$141	90%
WellCare	$104	66%
+ 13 smaller / regional plans	$57 - $227

Government programs also on file: 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 268), 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 Ascension Providence Hospital, Southfield and Novi 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 Ascension Providence Hospital, Southfield and Novi

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

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