CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Clarion Hospital

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$125

about 0.8× the $157 Medicare rate · typically $97–$171

modeled estimate · not a bill or quote

What this hospital charges insurers

$111

Below the fair price — a good deal

about $14 under the fair price · 0.7× Medicare

Medicare pays $157 Fair price $125 This hospital $111 Cash price $291 Hospital's list price $520

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

Highest price of the 9 PA hospitals we have prices for — worth calling around.

Cheapest $44 Priciest $111

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

A fair price for a Diagnostic mammogram (both breasts) is about $125 (about 0.8× the $157 Medicare rate). Clarion Hospital charges insurers about $111, or about $291 in cash — below the fair price — a good deal. Located in Clarion, PA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$100	64%
Blue Cross Blue Shieldmajor	$99 - $226	63%
Aetnamajor	$103 - $463	66%
Cignamajor	$100 - $260	64%
AmeriHealth	$100 - $143	64%
Devoted Health	$106 - $208	68%
Geisinger	$105 - $156	67%
UPMC Health Plan	$112 - $530	71%
+ 8 smaller / regional plans	$100 - $390

Government programs also on file: Medicare, Medicaid, Military & VA.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 291), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Clarion Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Clarion Hospital

Compare: Diagnostic mammogram (both breasts) at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.