CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Saint Michael's Medical Center

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$174
about 1.1× the $157 Medicare rate · typically $126–$221
modeled estimate · not a bill or quote
What this hospital charges insurers
$144
Below the fair price — a good deal
about $30 under the fair price · 0.9× Medicare
Medicare pays $157 Fair price $174 This hospital $144 Cash price $128 Hospital's list price $907

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NJ hospitals compared.

Cheapest $105 Priciest $152

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

A fair price for a Diagnostic mammogram (both breasts) is about $174 (about 1.1× the $157 Medicare rate). Saint Michael's Medical Center charges insurers about $144, or about $128 in cash — below the fair price — a good deal. Located in Newark, NJ.

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 $117 - $175 75%
Blue Cross Blue Shieldmajor $128 82%
Aetnamajor $128 - $272 82%
Cignamajor $199 127%
Humanamajor $128 82%
AmeriHealth $127 - $128 81%
Clover Health $133 85%
WellCare $132 - $173 84%
+ 5 smaller / regional plans $128 - $214
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 111 Central Avenue, Newark, NJ 07102
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals