CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St Mary's Healthcare

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $110
  • Cash Discount Price: $377
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at St Mary's Healthcare is $110. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $377. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.70x the Medicare baseline. Located in 427 Guy Park Avenue, Amsterdam, NY.
Cash / Self-Pay
$377

Average discount available for prompt cash payment at this facility.

Insurance Median
$110

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: $377 (240%)
Insurance Median: $110 (70%)
Cash: $377 (240% of Medicare)
Ins. Median: $110 (70% 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
Blue Cross Blue Shield $29 - $207 18%
Carelon_Commercial $44 - $314 28%
Carelon_Empire $44 - $314 28%
Emblem_Commercial $61 - $440 39%
Excellus_Commercial $64 - $465 41%
Aetna $65 - $471 41%
Humana $87 - $110 55%
Medicare (plans) $87 - $117 55%
Tricare $87 - $105 55%
Va $87 - $105 55%
Medicaid / KanCare $108 - $121 69%
UnitedHealthcare $108 69%
Highmark_Hmo_Pos $169 - $217 108%
Cdphp_Commercial $232 - $299 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 427 Guy Park Avenue, Amsterdam, NY 12010
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals