CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St Catherine of Siena Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $299
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.90x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at St Catherine of Siena Hospital is $299. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.90x the Medicare baseline. Located in 50 Route 25A, Smithtown, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$299

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%)
Insurance Median: $299 (190%)
Ins. Median: $299 (190% 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
Affinity Health Plan $98 - $220 62%
Beacon Health Options $98 - $374 62%
Beacon Health Strategies $98 - $299 62%
Centerlight Healthcare $98 62%
Elderplan Inc. $98 62%
Emblem Health $98 - $374 62%
Fidelis Care New York $98 - $220 62%
Health First $98 - $220 62%
Health Plus $98 - $220 62%
Independent Health $98 62%
Medicaid / KanCare $98 62%
Mvp Health Plans $98 - $374 62%
Senior Whole Health $98 62%
UnitedHealthcare $98 - $443 62%
Self Pay $100 64%
Us Family Health Plan $172 110%
Centers Plan For Healthy Living $224 143%
Aetna $253 - $374 161%
Surest $263 168%
Zadroga $292 186%
Liberty Health $299 190%
Mail Handlers Benefit Plan $301 192%
Meritain Health $301 192%
Nippon Life Insurance Company Of America $301 192%
Salvation Army $301 192%
Oscar Health $307 196%
American Plan Administrators $337 215%
Amerihealth Administrators $337 215%
Benefit Services $337 215%
Blue Cross Blue Shield $337 - $443 215%
Ghi Cbp Ny City Employee Alternate $337 215%
International Benefit Administrator $337 215%
Ultra Benefits Inc. $337 215%
Apwu $374 238%
Centivo $374 - $461 238%
Cigna $374 - $486 238%
Daniel H Cook $374 238%
Nalc $374 238%
Samba $374 238%
Allied Wellfare Fund $486 310%
American Group Administrators $486 310%
Bakery & Confectionery Union $486 310%
Comprehensive Benefits Consultant $486 310%
Guardian Life Insurance Company Of America $486 310%
Maloney And Assoc $486 310%
Multiplan $486 310%
Performax $486 310%
Phcs $486 310%
Pomco $486 310%
Tpa Inc $486 310%
Unicare $486 310%
United Employees Health Plan $486 310%
Brighton $535 - $688 341%
Coventry $554 - $598 353%
Local 1199 $572 364%
Longevity Health Plan $598 381%
Magellan $598 381%
Galaxy $673 429%
Three Rivers Provider Network $673 429%
Aither Health $748 476%
Alpha Care $748 476%
Dentaquest $748 476%
Veterans Affairs $748 476%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 50 Route 25A, Smithtown, NY 11787
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals