CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Westfield Memorial Hospital Inc

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $132
  • Cash Discount Price: $357
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Westfield Memorial Hospital Inc is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $357. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.84x the Medicare baseline. Located in 189 E Main St, Westfield, NY.
Cash / Self-Pay
$357

Average discount available for prompt cash payment at this facility.

Insurance Median
$132

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: $357 (227%)
Insurance Median: $132 (84%)
Cash: $357 (227% of Medicare)
Ins. Median: $132 (84% 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
Univera $39 - $186 25%
Amerihealth $41 - $214 26%
Pennsylvania Health And Wellness $52 - $195 33%
Highmark $53 - $237 34%
Geisinger $57 - $208 36%
UnitedHealthcare $57 - $311 36%
Cigna $75 - $246 48%
American Health Plans $100 64%
Life Pittsburgh $100 64%
Martin'S Point $100 - $313 64%
Medicare (plans) $103 66%
Aetna $104 - $193 66%
Humana $106 68%
Molina $109 69%
Jefferson Health Plans $139 - $199 89%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 189 E Main St, Westfield, NY 14787
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - RURAL EMERGENCY HOSPITAL (REH)