CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Henry Ford Macomb Hospital

Billing Code: 77066 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$103

about 0.7× the $157 Medicare rate · typically $46–$166

modeled estimate · not a bill or quote

What this hospital charges insurers

$46

Below the fair price — a good deal

about $57 under the fair price · 0.3× Medicare

Medicare pays $157 Fair price $103 This hospital $46 Hospital's list price $442

How we calculate the fair BaseRate →

How this hospital compares to other MI hospitals

One of the lower prices — 4 of 8 other MI hospitals charge more for the same procedure.

Cheapest $44 Priciest $56

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 $103 (about 0.7× the $157 Medicare rate). Henry Ford Macomb Hospital charges insurers about $46 — below the fair price — a good deal. Located in Clinton Township, MI.

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	$46 - $222	29%
Blue Cross Blue Shieldmajor	$46 - $262	29%
Aetnamajor	$30 - $279	19%
Cignamajor	$355	226%
Humanamajor	$44 - $212	28%
AmeriHealth	$30 - $45	19%
Meridian	$30 - $58	19%
Molina	$32 - $133	20%
Priority Health	$58 - $423	37%
WellCare	$46 - $108	29%
+ 11 smaller / regional plans	$30 - $354

Excludes 2 rental-network / third-party entries (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, 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 Henry Ford Macomb Hospital 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 Henry Ford Macomb Hospital

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

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