CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Punxsutawney Area Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $105
Cash Discount Price: $187
vs. Medicare Baseline: 0.67x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Punxsutawney Area Hospital is $105. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.67x the Medicare baseline. Located in 81 Hillcrest Drive, Punxsutawney, PA.

Cash / Self-Pay

$187

Average discount available for prompt cash payment at this facility.

Insurance Median

$105

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: $187 (119%)

Insurance Median: $105 (67%)

Cash: $187 (119% of Medicare)

Ins. Median: $105 (67% 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 Wholecare	$27 - $147	17%
UnitedHealthcare	$31 - $360	20%
Tricare	$40 - $130	25%
Upmc Health Plan	$43 - $595	27%
Aetna	$45 - $317	29%
Amerihealth Caritas	$45 - $145	29%
Highmark	$45 - $271	29%
United Mine Workers Of America	$45 - $147	29%
Cigna	$46 - $535	29%
Geisinger Health Plan	$46 - $147	29%
Ambetter / Centene	$48 - $155	31%
Pa Health And Wellness Commercial	$57 - $203	36%
Geisinger	$64 - $284	41%
Humana	$100	64%
Pa Workers Compensation	$123 - $901	78%

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 $187.
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 Punxsutawney Area 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.