CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Lehigh Valley Hospital - Macungie

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$160
about 1.0× the $157 Medicare rate · typically $118–$185
modeled estimate · not a bill or quote
What this hospital charges insurers
$188
Above the fair price
about $28 over the fair price · 1.2× Medicare
Medicare pays $157 Fair price $160 This hospital $188

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 $188

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 $160 (about 1.0× the $157 Medicare rate). Lehigh Valley Hospital - Macungie charges insurers about $188 — above the fair price. Located in Macungie, PA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $160. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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
Blue Cross Blue Shieldmajor $100 - $634 64%
Aetnamajor $105 - $501 67%
Cignamajor $103 66%
Humanamajor $101 64%
Ambetter (Centene) $305 194%
AmeriHealth $103 - $188 66%
Geisinger $103 - $442 66%
HealthPartners $105 - $201 67%
UPMC Health Plan $106 - $489 68%
+ 5 smaller / regional plans $107 - $586

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 3369 State Route 100, Macungie, PA 18062
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals