CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Lehigh Valley Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $188
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Lehigh Valley Hospital is $188. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.20x the Medicare baseline. Located in 1200 South Cedar Crest Boulevard, Allentown, PA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$188

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%)
Insurance Median: $188 (120%)
Ins. Median: $188 (120% 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
Cigna $85 54%
Amerihealth $100 - $103 64%
Blue Cross Blue Shield $100 - $667 64%
Ibc $100 - $492 64%
UnitedHealthcare $100 - $251 64%
Highmark Blue Shield $102 - $325 65%
Geisinger $103 - $442 66%
Aetna $105 - $557 67%
Jefferson Health Partners $105 - $201 67%
Devoted Health $106 68%
Humana $106 68%
Upmc $106 - $489 68%
Gateway $107 68%
Emblem $108 - $448 69%
Pa Health & Wellness (Allwell) $110 70%
Amerihealth Caritas $143 - $234 91%
Highmark Wholecare/Gateway $165 105%
Pa Health & Wellness $175 111%
Keystone First $188 120%
Ambetter / Centene $305 194%
Valley Preferred $586 373%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 South Cedar Crest Boulevard, Allentown, PA 18103
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals