CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Lehigh Valley Hospital - Pocono

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$156
about 1.0× the $157 Medicare rate · typically $107–$172
modeled estimate · not a bill or quote
What this hospital charges insurers
$149
About the fair price
about $7 under the fair price · 0.9× Medicare
Medicare pays $157 Fair price $156 This hospital $149

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 $149

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 $156 (about 1.0× the $157 Medicare rate). Lehigh Valley Hospital - Pocono charges insurers about $149 — about the fair price. Located in East Stroudsburg, 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 $104 - $149 66%
Blue Cross Blue Shieldmajor $102 - $449 65%
Aetnamajor $105 - $557 67%
Cignamajor $103 66%
Humanamajor $106 68%
Ambetter (Centene) $305 194%
AmeriHealth $103 - $143 66%
Devoted Health $106 68%
Geisinger $105 - $238 67%
HealthPartners $105 - $201 67%
UPMC Health Plan $106 - $489 68%
+ 5 smaller / regional plans $107 - $586

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Facility Profile & Credentials

  • Address: 206 East Brown Street, East Stroudsburg, PA 18301
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals