CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Reading Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $302
Cash Discount Price: $529
vs. Medicare Baseline: 1.92x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Reading Hospital is $302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $529. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.92x the Medicare baseline. Located in 420 S 5Th Avenue, West Reading, PA.

Cash / Self-Pay

$529

Average discount available for prompt cash payment at this facility.

Insurance Median

$302

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: $529 (337%)

Insurance Median: $302 (192%)

Cash: $529 (337% of Medicare)

Ins. Median: $302 (192% 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
Blue Cross Blue Shield	$79 - $940	50%
Upmc	$100 - $408	64%
Geisinger	$109 - $478	69%
Keystone First	$109	69%
Pa Health & Wellness	$114	73%
UnitedHealthcare	$114 - $550	73%
Amerihealth Caritas	$116	74%
Gateway	$116	74%
Health Partners	$116	74%
Wernersville State Hospital	$118	75%
Aetna	$227 - $521	145%
Pma	$302	192%
Lehigh Valley Health Network	$340	217%
Cigna	$432	275%
Berkshire	$566	361%
First Health	$581	370%
Blue Ridge	$717	457%

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 $529.
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 Reading 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.