CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Penn State Health Hampden Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $116
Cash Discount Price: $206
vs. Medicare Baseline: 0.74x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Penn State Health Hampden Medical Center is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $206. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.74x the Medicare baseline. Located in 2200 Good Hope Road, Enola, PA.

Cash / Self-Pay

$206

Average discount available for prompt cash payment at this facility.

Insurance Median

$116

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: $206 (131%)

Insurance Median: $116 (74%)

Cash: $206 (131% of Medicare)

Ins. Median: $116 (74% 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
[Amerihealth Caritas]	$86 - $102	55%
[Highmark Wholecare]	$86 - $102	55%
[Geisinger]	$91 - $436	58%
[Health Partners Plans]	$94 - $104	60%
[Pa Health & Wellness]	$95 - $105	61%
[Highmark]	$100 - $302	64%
UnitedHealthcare	$102 - $306	65%
[Cbc]	$102 - $326	65%
Aetna	$103 - $392	66%
Humana	$103	66%
[Healthspring]	$103	66%
[Upmc]	$104 - $482	66%
[Point Comfort Underwriters]	$127	81%
[Highmark Choice Blue]	$241	154%
[Highmark Aca]	$253	161%
Cigna	$401	255%
[Preferred Healthcare Systems]	$490	312%
[First Health]	$522	333%
[Multiplan]	$522	333%

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 $206.
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 Penn State Health Hampden Medical Center 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.