CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Barnes Jewish Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $400
Cash Discount Price: $320
vs. Medicare Baseline: 2.55x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Barnes Jewish Hospital is $400. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $320. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.55x the Medicare baseline. Located in One Barnes-Jewish Hospital Plaza, Saint Louis, MO.

Cash / Self-Pay

$320

Average discount available for prompt cash payment at this facility.

Insurance Median

$400

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: $320 (204%)

Insurance Median: $400 (255%)

Cash: $320 (204% of Medicare)

Ins. Median: $400 (255% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 255% of the Medicare baseline (a markup of 155%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$107 - $396	68%
Blue Cross Blue Shield	$229 - $464	146%
Healthlink [225]	$259 - $402	165%
Healthscope Benefits [258]	$274 - $346	175%
Cox Health Systems Insurance Company [220]	$293 - $346	187%
Health Alliance [224]	$293	187%
Allied Benefits [498]	$309 - $480	197%
Hope Trust [806]	$309	197%
Cigna	$343 - $483	218%
Med-Pay [480]	$346 - $400	220%
Unicare [568]	$346 - $402	220%
Humana	$395	252%
Aetna	$396 - $480	252%
First Health Commercial [734]	$396	252%
Beechstreet [551]	$400	255%
Detego Health [868]	$400	255%
Health Systems Inc [620]	$400	255%
Healthcare Sol Mercy [609]	$400	255%
Multiplan Commercial [737]	$400	255%
Multiplan [240]	$400	255%
Phcs [244]	$400 - $426	255%
Preferred Health Professionals [561]	$402	256%
Consociate [478]	$408	260%
Sarah Bush Lincoln [636]	$408	260%
Medica [661]	$426	271%
Hfn [563]	$453	289%
Apwu Health Plan [216]	$475	303%
Nalc Health Benefit Plan [242]	$475	303%
Priority Health [648]	$475	303%
Coresource [497]	$480	306%
Fmh Benefit Service Inc [222]	$480	306%
Mail Handlers [495]	$480	306%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $320.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Barnes Jewish Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.