CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Lancaster Rehabilitation Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $481
  • Cash Discount Price: $481
  • vs. Medicare Baseline: 3.06x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Lancaster Rehabilitation Hospital is $481. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $481. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.06x the Medicare baseline. Located in 675 Good Dr, Lancaster, PA.
Cash / Self-Pay
$481

Average discount available for prompt cash payment at this facility.

Insurance Median
$481

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: $481 (306%)
Insurance Median: $481 (306%)
Cash: $481 (306% of Medicare)
Ins. Median: $481 (306% 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 306% of the Medicare baseline (a markup of 206%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Multiplan $289 184%
Fed Med $313 199%
Aetna $481 306%
All Well - PA Health & Wellness $481 306%
Ambetter / Centene $481 306%
Amerihealth Caritas $481 306%
Blue Cross Blue Shield $481 306%
Cigna $481 306%
Freedom Blue Cpd (Highmark Freedcom Blue) $481 306%
Geha $481 306%
Geisinger $481 306%
Geisinger Gold $481 306%
Geisinger Health Cpd $481 306%
Highmark $481 306%
Highmark (Freedom Blue) $481 306%
Highmark Wholecare McD (Formerly Gateway) $481 306%
Highmark Wholecare Mgg (Formerly Gateway) $481 306%
Humana $481 306%
Medishare $481 306%
Optimum Healthcare $481 306%
Out of Area Blues $481 306%
PA Medical Assistance $481 306%
Preferred Health Care (Eliance) $481 306%
Tricare $481 306%
Triwest $481 306%
UPMC Health Plan $481 306%
UPMC for Life $481 306%
UPMC for You $481 306%
UnitedHealthcare $481 306%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 675 Good Dr, Lancaster, PA 17601
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL