CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St Joseph's University Medical Center Inc

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $170
  • Cash Discount Price: $1,206
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at St Joseph's University Medical Center Inc is $170. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,206. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.08x the Medicare baseline. Located in 703 Main St, Paterson, NJ.
Cash / Self-Pay
$1,206

Average discount available for prompt cash payment at this facility.

Insurance Median
$170

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: $1,206 (768%)
Insurance Median: $170 (108%)
Cash: $1,206 (768% of Medicare)
Ins. Median: $170 (108% 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Fidelis Care of New Jersey $38 - $241 24%
UnitedHealthcare $38 - $214 24%
Blue Cross Blue Shield $45 - $509 29%
Aetna $50 - $365 32%
Ambetter / Centene $50 - $268 32%
Amerihealth $50 - $768 32%
Clover Health $50 - $179 32%
Horizon New Jersey Total Care $50 - $179 32%
Wellpoint $50 - $237 32%
Multiplan $76 - $904 48%
Private Healthcare Systems $108 - $784 69%
Consumer Health Network $124 - $1,085 79%
Horizon New Jersey Health $133 - $141 85%
Cigna $166 - $1,206 106%
Oxford $170 108%
Longevity Health Plan $205 131%
Magnacare $844 538%
Oscar $1,136 724%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 Main St, Paterson, NJ 07503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals