CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St Joseph's University Medical Center Inc

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$158

about 1.0× the $157 Medicare rate · typically $102–$224

modeled estimate · not a bill or quote

What this hospital charges insurers

$163

About the fair price

about $5 over the fair price · 1.0× Medicare

Medicare pays $157 Fair price $158 This hospital $163 Cash price $1,206 Hospital's list price $1,206

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

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

Cheapest $105 Priciest $163

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Diagnostic mammogram (both breasts) is about $158 (about 1.0× the $157 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $163, or about $1,206 in cash — about the fair price. Located in Paterson, NJ.

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✓ Cigna HumanaKaiser 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	$38 - $214	24%
Blue Cross Blue Shieldmajor	$45 - $509	29%
Aetnamajor	$50 - $365	32%
Cignamajor	$166 - $1,206	106%
Ambetter (Centene)	$50 - $268	32%
AmeriHealth	$50 - $768	32%
Clover Health	$50 - $179	32%
Fidelis Care	$38 - $241	24%
Health Net	$124 - $1,085	79%
MagnaCare	$844	538%
Oscar Health	$1,136	724%
+ 4 smaller / regional plans	$50 - $205

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 (about 1,206), 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 St Joseph's University Medical Center Inc 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 St Joseph's University Medical Center Inc

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

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