CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Independence Health System Butler Memorial Hospita

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$127

about 0.8× the $157 Medicare rate · typically $93–$180

modeled estimate · not a bill or quote

What this hospital charges insurers

$128

About the fair price

about $1 over the fair price · 0.8× Medicare

Medicare pays $157 Fair price $127 This hospital $128 Cash price $364 Hospital's list price $520

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 $128

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 $127 (about 0.8× the $157 Medicare rate). Independence Health System Butler Memorial Hospita charges insurers about $128, or about $364 in cash — about the fair price. Located in Butler, PA.

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	$100 - $130	64%
Blue Cross Blue Shieldmajor	$97 - $235	62%
Aetnamajor	$103 - $416	66%
Cignamajor	$251 - $260	160%
Humanamajor	$104	66%
AmeriHealth	$105 - $143	67%
Devoted Health	$106 - $208	68%
Geisinger	$105 - $520	67%
UPMC Health Plan	$135 - $546	86%
+ 14 smaller / regional plans	$100 - $546

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 364), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Independence Health System Butler Memorial Hospita is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

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

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Independence Health System Butler Memorial Hospita

Compare: Diagnostic mammogram (both breasts) at other PA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.