CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Bertrand Chaffee Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $105
  • Cash Discount Price: $219
  • vs. Medicare Baseline: 0.67x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Bertrand Chaffee Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $219. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.67x the Medicare baseline. Located in 224 East Main Street, Springville, NY.
Cash / Self-Pay
$219

Average discount available for prompt cash payment at this facility.

Insurance Median
$105

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: $219 (140%)
Insurance Median: $105 (67%)
Cash: $219 (140% of Medicare)
Ins. Median: $105 (67% 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
Comm Blue Essential $59 38%
Community Blue $59 38%
Community Care - Bc $59 38%
Fidelis Care Of New York $59 38%
Ghi Medical $59 38%
Gowanda Correctional Fac $59 38%
Medicaid / KanCare $59 38%
Molina Essential Plan $59 38%
Molina Heathcare Of Wny $59 38%
Seneca Nation Health Dept $59 38%
United Hc - Community Pln $59 38%
United Hc Essential Plan $59 38%
Univera Hc Myhealth $59 38%
Univera Hc Myhealth+ $59 - $131 38%
Yourcare $59 38%
Iha Essential Plans $79 - $91 50%
Iha Medisource $79 - $91 50%
Iha Encompass 65 $103 - $127 66%
Advantra-Mcr Advantage $105 67%
Aetna $105 - $258 67%
Centers Plan Hlty Living $105 67%
Champva $105 67%
Cigna $105 - $258 67%
Ctrs Plan For Hlthy Livng $105 67%
Geisinger Health Plan $105 67%
Humana $105 67%
Lifetime Benefits $105 67%
Medicare (plans) $105 67%
Mutual Of Omaha $105 67%
Nova Healthcare $105 67%
Optimum Healthcare - Mcr $105 67%
Todays Option - Amer Prog $105 67%
Tricare $105 67%
United Hc Mcr Solutions $105 67%
UnitedHealthcare $105 67%
Wellcare $105 67%
Blue Cross Blue Shield $118 - $130 75%
Senior Blue - Bc $118 75%
Iha $127 81%
Iha Custom Coverage $127 81%
Univera Essential Plans $131 83%
Univera Hc Child Health+ $131 83%
Univera Plus Med $131 83%
Univera Senior Choice $154 98%
Univera Healthcare $170 108%
Private Pay $219 140%
Fidelis Essential Plans $220 140%
American Progressive Ins. $258 164%
Commercial / Misc $258 164%
Global Excel Mgt $258 164%
Guardian Life Ins. Co. $258 164%
Mvp Commercial $258 164%
No Amer Meritian Health $258 164%
No-Fault $258 164%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 224 East Main Street, Springville, NY 14141
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals