CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Geisinger Jersey Shore Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $441
Cash Discount Price: $557
vs. Medicare Baseline: 2.81x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Geisinger Jersey Shore Hospital is $441. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $557. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.81x the Medicare baseline. Located in 1020 Thompson Street, Jersey Shore, PA.

Cash / Self-Pay

$557

Average discount available for prompt cash payment at this facility.

Insurance Median

$441

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: $557 (355%)

Insurance Median: $441 (281%)

Cash: $557 (355% of Medicare)

Ins. Median: $441 (281% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 281% of the Medicare baseline (a markup of 181%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Cigna	$104	66%
Medicaid / KanCare	$130	83%
Amerihealth	$143	91%
Geisinger Family Plan	$143	91%
Blue Cross Blue Shield	$144 - $533	92%
Upmc For You	$153	97%
Health Partners	$156	99%
Upmc Chip	$162	103%
Geisinger Health Plan	$180 - $441	115%
UnitedHealthcare	$399	254%
Christian Healthcare Ministries	$449	286%
Medical Development International	$629	401%
Integrated Health Plan	$674	429%
Prime Health Services	$674	429%
Multiplan	$718	457%

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 $557.
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 Geisinger Jersey Shore 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.