CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Elizabethtown Community Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $187
Cash Discount Price: $397
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Elizabethtown Community Hospital is $187. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $397. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.19x the Medicare baseline. Located in 75 Park Street, Elizabethtown, NY.

Cash / Self-Pay

$397

Average discount available for prompt cash payment at this facility.

Insurance Median

$187

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: $397 (253%)

Insurance Median: $187 (119%)

Cash: $397 (253% of Medicare)

Ins. Median: $187 (119% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Capital District Physicians' Health Plan	$100 - $538	64%
UnitedHealthcare	$103 - $602	66%
Harvard Pilgrim	$111 - $523	71%
Magnacare	$111 - $523	71%
Coventry	$118 - $556	75%
Fidelis Care	$125 - $249	80%
Multiplan	$125 - $589	80%
Mvp	$125 - $511	80%
Blue Cross Blue Shield	$129 - $492	82%
Humana	$140	89%
Aetna	$147 - $490	94%
Martins Point	$147 - $249	94%
Veterans Affairs Community Care Network	$147 - $249	94%
Choicecare	$162 - $523	103%
Highmark Blueshield	$187 - $533	119%
Wellpath	$206 - $373	131%
Emblem Health	$523	333%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $397.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Elizabethtown Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.