CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $191
  • Cash Discount Price: $364
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Independence Health System Butler Memorial Hospita is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $364. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.22x the Medicare baseline. Located in One Hospital Way, Butler, PA.
Cash / Self-Pay
$364

Average discount available for prompt cash payment at this facility.

Insurance Median
$191

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: $364 (232%)
Insurance Median: $191 (122%)
Cash: $364 (232% of Medicare)
Ins. Median: $191 (122% 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
Highmark $97 - $212 62%
Highmark - Ind.& Managed Care $97 - $235 62%
Highmark Aca - Direct Blue $97 - $132 62%
Highmark Community Blue $97 - $208 62%
Life Butler County $100 64%
Martin'S Point - Usfhp $100 - $182 64%
Medicare (plans) $100 64%
Peak Health $100 - $364 64%
Provider Partners $100 64%
Tricare $100 64%
UnitedHealthcare $100 - $130 64%
Aetna $103 - $416 66%
Humana $104 66%
Amerihealth $105 - $143 67%
Geisinger $105 - $520 67%
Devoted Health Plan $106 - $208 68%
The Health Plan $106 - $236 68%
Pa Health & Wellness $107 68%
Gateway $108 - $546 69%
American Health Plan $110 70%
Pnoa $110 - $416 70%
Medicaid / KanCare $130 83%
Upmc $135 - $546 86%
Jefferson Health Plan $143 91%
Ellwood Group $156 - $224 99%
Cigna $251 - $260 160%
Ccbh - Behavioral Health $260 - $497 166%
Private Healthcare Systems $364 - $442 232%
Devon $390 248%
Intergroup $416 265%
Multiplan $468 298%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: One Hospital Way, Butler, PA 16001
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals