CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St Mary's Healthcare

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$123

about 0.8× the $157 Medicare rate · typically $110–$176

modeled estimate · not a bill or quote

What this hospital charges insurers

$110

Below the fair price — a good deal

about $13 under the fair price · 0.7× Medicare

Medicare pays $157 Fair price $123 This hospital $110 Cash price $377 Hospital's list price $547

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

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

Cheapest $44 Priciest $110

Black dot = this hospital, among the 9 NY 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 $123 (about 0.8× the $157 Medicare rate). St Mary's Healthcare charges insurers about $110, or about $377 in cash — below the fair price — a good deal. Located in Amsterdam, NY.

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✓ Humana CignaKaiser 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	$108	69%
Blue Cross Blue Shieldmajor	$29 - $465	18%
Aetnamajor	$65 - $471	41%
Humanamajor	$87 - $110	55%
CDPHP	$232 - $299	148%
+ 3 smaller / regional plans	$44 - $440

Government programs also on file: Medicare, Medicaid, Military & VA.

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 377), 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 Mary's Healthcare 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 Mary's Healthcare

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

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