CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Excela Health - Frick Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $159
Cash Discount Price: $185
vs. Medicare Baseline: 1.01x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Excela Health - Frick Hospital is $159. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $185. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.01x the Medicare baseline. Located in 508 South Church Street, Mount Pleasant, PA.

Cash / Self-Pay

$185

Average discount available for prompt cash payment at this facility.

Insurance Median

$159

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: $185 (118%)

Insurance Median: $159 (101%)

Cash: $185 (118% of Medicare)

Ins. Median: $159 (101% 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 Advantage Community Blue	$135	86%
Va	$145	92%
Aetna	$149 - $333	95%
Health Partners Plan	$149	95%
Martin'S Point	$149	95%
Peak Health	$149 - $340	95%
The Health Plan Of West Virginia	$149 - $340	95%
Humana	$151	96%
United	$151	96%
Amerihealth Caritas	$152 - $169	97%
Cigna	$152 - $362	97%
Devoted	$152	97%
Geisinger	$152 - $156	97%
Pa Health And Wellness	$155 - $169	99%
Health Partners Plans	$156	99%
Upmc	$156 - $165	99%
Highmark Wholecare	$158 - $160	101%
American Health Plan Of Pa	$159	101%
Provider Network Of America	$159 - $246	101%
Provider Plan Partners Plan	$159	101%
UnitedHealthcare	$159	101%
Upmc Health Plan	$168 - $530	107%
Highmark Children'S Health Insurance Program	$174	111%
Ambetter / Centene	$181	115%
Highmark	$196 - $320	125%
Velocity	$217	138%
Community Blue	$288	183%

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 $185.
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 Excela Health - Frick 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.