CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: UPMC Horizon

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$144
about 0.9× the $157 Medicare rate · typically $86–$179
modeled estimate · not a bill or quote
What this hospital charges insurers
$178
Above the fair price
about $34 over the fair price · 1.1× Medicare
Medicare pays $157 Fair price $144 This hospital $178 Cash price $591 Hospital's list price $985

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 $178

Black dot = this hospital, among the 9 PA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Diagnostic mammogram (both breasts) is about $144 (about 0.9× the $157 Medicare rate). UPMC Horizon charges insurers about $178, or about $591 in cash — above the fair price. Located in Greenville, 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 $144. 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 $136 - $394 87%
Blue Cross Blue Shieldmajor $49 - $492 31%
Aetnamajor $143 - $591 91%
Cignamajor $384 - $394 245%
Humanamajor $837 533%
AmeriHealth $203 129%
Geisinger $180 115%
HealthPartners $196 125%
UPMC Health Plan $143 - $675 91%
+ 5 smaller / regional plans $221 - $808
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.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 110 North Main Street, Greenville, PA 16125
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals