CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Saratoga Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $161
  • Cash Discount Price: $614
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Saratoga Hospital is $161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $614. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.03x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.
Cash / Self-Pay
$614

Average discount available for prompt cash payment at this facility.

Insurance Median
$161

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: $614 (391%)
Insurance Median: $161 (103%)
Cash: $614 (391% of Medicare)
Ins. Median: $161 (103% 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
Aetna $48 - $601 31%
Mvp Commercial $99 - $859 63%
Cdphp $100 - $356 64%
Blue Cross Blue Shield $110 - $736 70%
Fidelis $110 - $356 70%
Medicare (plans) $110 - $147 70%
Medicaid / KanCare $127 - $144 81%
Hamaspik $137 - $372 87%
Tricare $140 - $147 89%
Emblem Health Ghi $147 - $162 94%
UnitedHealthcare $147 - $1,104 94%
Mvp $148 - $280 94%
Mvp Essential Plan $158 - $317 101%
Mvp Govt Programs $158 101%
Blue Shield $161 - $535 103%
Blue Shield Highmark $193 - $462 123%
Emblem $208 - $231 133%
Nascentia Health Options $225 143%
Cigna $231 - $280 147%
Empire Plan Nyship $859 547%
Multiplan $920 - $1,043 586%
Magnacare $1,104 - $1,166 703%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals