CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Excela Health Westmoreland Regional Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $150
Cash Discount Price: $185
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Excela Health Westmoreland Regional Hospital is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.96x the Medicare baseline. Located in 532 West Pittsburgh Street, Greensburg, PA.

Cash / Self-Pay

$185

Average discount available for prompt cash payment at this facility.

Insurance Median

$150

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: $185 (118%)

Insurance Median: $150 (96%)

Cash: $185 (118% of Medicare)

Ins. Median: $150 (96% 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
Highmark Advantage Community Blue	$54 - $135	34%
Health Partners Plan	$60 - $149	38%
Humana	$60 - $151	38%
Peak Health	$60 - $340	38%
United	$60 - $151	38%
Amerihealth Caritas	$61 - $169	39%
Cigna	$61 - $362	39%
Devoted	$61 - $152	39%
Geisinger	$61 - $156	39%
The Health Plan Of West Virginia	$61 - $340	39%
Highmark Wholecare	$62 - $160	39%
Pa Health And Wellness	$62 - $169	39%
Upmc	$63 - $165	40%
American Health Plan Of Pa	$64 - $159	41%
Provider Network Of America	$64 - $246	41%
Provider Plan Partners Plan	$64 - $159	41%
UnitedHealthcare	$64 - $159	41%
Upmc Health Plan	$67 - $530	43%
Highmark Children'S Health Insurance Program	$70 - $174	45%
Ambetter / Centene	$72 - $181	46%
Highmark	$78 - $320	50%
Velocity	$87 - $217	55%
Community Blue	$115 - $152	73%
Aetna	$149 - $333	95%
Martin'S Point	$149	95%
Health Partners Plans	$156	99%

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 $185.
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 Excela Health Westmoreland Regional 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.