CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: UPMC Memorial

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $252
  • Cash Discount Price: $310
  • vs. Medicare Baseline: 1.61x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at UPMC Memorial is $252. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $310. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.61x the Medicare baseline. Located in 1701 Innovation Drive, York, PA.
Cash / Self-Pay
$310

Average discount available for prompt cash payment at this facility.

Insurance Median
$252

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: $310 (197%)
Insurance Median: $252 (161%)
Cash: $310 (197% of Medicare)
Ins. Median: $252 (161% 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
Blue Cross Blue Shield $60 - $742 38%
Prime Net $85 - $385 54%
Keystone Health Plan $103 - $742 66%
UnitedHealthcare $119 - $381 76%
Aetna $139 - $294 89%
Amerihealth Caritas $165 105%
Highmark Wholecare (Prev Gateway) $165 105%
Upmc Health Plan $169 - $675 108%
Health Partners Plans (Jefferson Health Plan) $177 113%
Geisinger $189 - $373 120%
Wellspan Population Health $362 231%
Multiplan $439 280%
Cigna $611 389%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Innovation Drive, York, PA 17408
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals