CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Saint Michael's Medical Center

Billing Code: 77067 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$142

about 1.1× the $126 Medicare rate · typically $103–$182

modeled estimate · not a bill or quote

What this hospital charges insurers

$115

Below the fair price — a good deal

about $27 under the fair price · 0.9× Medicare

Medicare pays $126 Fair price $142 This hospital $115 Cash price $105 Hospital's list price $506

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 4 charge more and 4 charge less, among the 9 NJ hospitals compared.

Cheapest $83 Priciest $126

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

A fair price for a Screening mammogram (both breasts) is about $142 (about 1.1× the $126 Medicare rate). Saint Michael's Medical Center charges insurers about $115, or about $105 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	$97 - $145	77%
Blue Cross Blue Shieldmajor	$106	84%
Aetnamajor	$106 - $224	84%
Cignamajor	$164	130%
Humanamajor	$106	84%
AmeriHealth	$97 - $106	77%
Clover Health	$110	87%
WellCare	$109 - $143	86%
+ 5 smaller / regional plans	$106 - $148

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.

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 105), 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: 77067.

Insurance Before you use insurance

Call your insurance company to confirm Saint Michael's Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 77067.
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 Saint Michael's Medical Center

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

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