CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St Anthony Community Hospital

Billing Code: 77066 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$407
about 2.6× the $157 Medicare rate · typically $148–$542
modeled estimate · not a bill or quote
What this hospital charges insurers
$426
About the fair price
about $19 over the fair price · 2.7× Medicare
Medicare pays $157 Fair price $407 This hospital $426 Cash price $915 Hospital's list price $915

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 $426

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

A fair price for a Diagnostic mammogram (both breasts) is about $407 (about 2.6× the $157 Medicare rate). St Anthony Community Hospital charges insurers about $426, or about $915 in cash — about the fair price. Located in Warwick, 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✓ Cigna HumanaKaiser 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 $808 - $951 515%
Blue Cross Blue Shieldmajor $93 - $366 59%
Aetnamajor $412 - $458 262%
Cignamajor $438 - $640 279%
CDPHP $458 292%
Geisinger $400 255%
MagnaCare $824 525%
Molina $127 81%
MVP Health Care $121 - $859 77%
+ 6 smaller / regional plans $121 - $755
Government programs also on file: Medicare, Military & VA.
Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 15 Maple Avenue -19, Warwick, NY 10990
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals