CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Pennsylvania Hospital

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$155

about 1.0× the $157 Medicare rate · typically $108–$222

modeled estimate · not a bill or quote

What this hospital charges insurers

$139

Below the fair price — a good deal

about $16 under the fair price · 0.9× Medicare

Medicare pays $157 Fair price $155 This hospital $139 Cash price $1,400 Hospital's list price $1,400

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 $139

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 $155 (about 1.0× the $157 Medicare rate). Pennsylvania Hospital charges insurers about $139, or about $1,400 in cash — below the fair price — a good deal. Located in Philadelphia, 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	$122 - $1,400	78%
Blue Cross Blue Shieldmajor	$87 - $1,400	55%
Aetnamajor	$122 - $1,400	78%
Cignamajor	$119 - $310	76%
Humanamajor	$119 - $1,120	76%
Clover Health	$124	79%
Geisinger	$119 - $365	76%
Health Net	$840	535%
HealthPartners	$111 - $1,400	71%
Oscar Health	$196	125%
UPMC Health Plan	$115 - $1,400	73%
+ 38 smaller / regional plans	$87 - $1,400

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

Excludes 4 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 1,400), 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 Pennsylvania Hospital 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 Pennsylvania Hospital

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

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