CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: UPMC St Margaret

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$136
about 0.9× the $157 Medicare rate · typically $88–$203
modeled estimate · not a bill or quote
What this hospital charges insurers
$209
Above the fair price
about $73 over the fair price · 1.3× Medicare
Medicare pays $157 Fair price $136 This hospital $209 Cash price $512 Hospital's list price $853

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 $209

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 $136 (about 0.9× the $157 Medicare rate). UPMC St Margaret charges insurers about $209, or about $512 in cash — above the fair price. Located in Pittsburgh, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $136. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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 $143 91%
Blue Cross Blue Shieldmajor $74 - $443 47%
Aetnamajor $213 - $341 136%
Cignamajor $239 - $341 152%
Humanamajor $725 462%
AmeriHealth $203 129%
UPMC Health Plan $143 - $320 91%
+ 3 smaller / regional plans $221 - $682
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 815 Freeport Road, Pittsburgh, PA 15215
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals