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Diagnostic mammography unilateral

CPT 77065 · negotiated-rate distribution across hospitals in PA

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Hospitals
52
Min
$97.38
Median
$293.57
Max
$633.50
Range multiplier
6.5×

By payer (50 payers with published rates)

PayerHosp.RatesMinMedianMaxRange×
Aetna25147$46.89$251.86$572.1412.2×
Blue Cross Blue Shield25144$57.72$166.91$572.839.9×
Cigna2370$83.16$319.20$560.796.7×
UnitedHealthcare2469$74.56$218.79$628.068.4×
upmc health plan2365$78.11$170.84$420.005.4×
Multiplan1044$219.75$411.84$724.003.3×
intergroup1336$280.50$523.25$3,704.0013.2×
geisinger1830$98.70$150.88$480.004.9×
First Health1130$264.53$355.34$633.502.4×
amerihealth caritas2025$81.58$133.14$2,208.3227.1×
pa health & wellness1925$85.54$174.53$2,315.5227.1×
private health care systems1122$448.80$634.40$753.301.7×
Medicaid218$34.54$99.02$204.205.9×
Humana817$169.68$662.16$769.254.5×
america's choice512$422.40$422.40$475.201.1×
preferred healthcare system612$396.50$396.50$669.601.7×
wirerope works512$266.32$293.57$293.571.1×
keystone first512$87.34$224.28$285.723.3×
health partners plans (jefferson health plan)1111$107.08$154.43$154.431.4×
three rivers provider network48$475.20$475.20$475.201.0×
selectcare36$562.40$724.00$753.301.3×
health coalition partners46$584.64$724.00$753.301.3×
health partners plans36$80.12$80.12$80.121.0×
jup health partners chip16$29.64$77.01$116.783.9×
abington pro ibc16$40.69$98.99$143.213.5×
gateway health plan34$80.85$123.05$160.882.0×
pa health_wellness chc24$92.31$112.72$133.131.4×
jup geisinger commercial13$63.46$148.84$212.303.3×
jup pa health_wellness13$40.82$92.31$133.133.3×
Oscar Health33$183.77$183.77$183.771.0×
pennsylvania health and wellness33$228.63$228.63$228.631.0×
prime health services33$324.30$324.30$324.301.0×
Anthem BCBS13$49.00$305.54$408.588.3×
univera13$119.70$263.34$351.122.9×
fidelis12$678.75$678.75$678.751.0×
independent health12$99.50$102.38$105.251.1×
Medicare12$94.14$114.21$134.281.4×
ibc12$126.44$157.06$187.671.5×
national provider network12$257.84$257.84$257.841.0×
occunet22$378.35$378.35$378.351.0×
innovage22$270.25$270.25$270.251.0×
health payors organization12$769.25$769.25$769.251.0×
upmc commercial22$263.70$263.70$263.701.0×
prime net12$734.72$734.72$734.721.0×
qualcare12$670.22$670.22$670.221.0×
galaxy health plan12$480.00$480.00$480.001.0×
health plan of upper ohio valley11$328.94$328.94$328.941.0×
pa health and wellness inc11$122.89$122.89$122.891.0×
community care behavioral health11$80.85$80.85$80.851.0×
jab health partners11$80.12$80.12$80.121.0×

By hospital (top 200 by negotiated median, descending)

HospitalCitySTPayersGrossCashNeg minNeg medianNeg max
Curahealth Heritage ValleyBeaverPA9$322.00$86.94$71.01$97.38$268.02
Upmc ShadysidePittsburghPA18$905.00$543.00$58.27$633.50$769.25
Upmc Bedford Memorial HospitalEverettPA16$837.00$502.20$107.53$533.17$753.30
Upmc Northwest HospitalSenecaPA12$812.00$487.20$112.65$494.10$3,704.00
Upmc Magee-Womens HospitalPittsburghPA11$793.00$475.80$57.72$380.45$634.40
The Childrens Home Of PittsburghPittsburghPA11$793.00$475.80$57.72$380.45$634.40
Upmc Childrens Hospital Of PghPittsburghPA11$793.00$475.80$57.72$380.45$634.40
Altoona Regional Health SystemAltoonaPA11$793.00$475.80$57.72$380.45$634.40
Upmc Horizon HospitalGreenvillePA16$896.00$537.60$49.00$358.40$761.60
WellsboroWellsboroPA13$528.00$383.20$86.22$351.39$501.60
Divine Providence HospitalWilliamsportPA14$528.00$316.80$90.89$321.03$475.20
Williamsport Hospital & Medical CtrWilliamsportPA14$528.00$316.80$90.89$321.03$475.20
Lock Haven HospitalLock HavenPA14$528.00$316.80$90.89$321.03$475.20
Muncy Valley HospitalMuncyPA14$528.00$316.80$79.20$293.57$2,315.52
Upmc PassavantPittsburghPA13$712.00$427.20$58.27$284.80$662.16
Charles Cole Memorial HospitalCoudersportPA13$600.00$360.00$107.53$249.32$572.83
Upmc HamotEriePA13$798.00$478.80$57.72$239.40$638.40
Temple University HospitalPhiladelphiaPA15$1,081.00$65.94$227.48$392.17
Jeanes HospitalPhiladelphiaPA14$1,081.00$65.94$227.48$378.35
Upmc East HospitalMonroevillePA12$561.00$336.60$58.27$218.79$448.80
Upmc St MargaretPittsburghPA11$703.00$421.80$58.27$203.87$597.55
Thomas Jefferson Univ. HospitalPhiladelphiaPA9$393.00$103.22$80.12$198.12$572.14
American Oncologic HospialPhiladelphiaPA10$1,081.00$80.12$181.37$670.22
Upmc JamesonNew CastlePA11$293.00$175.80$58.73$178.00$364.39
Aria HealthPhiladelphiaPA13$550.40$148.01$29.64$101.98$320.96
Miners HospitalHastingsPA0$518.00$207.20
Westmoreland Regional HospitalGreensburgPA0$243.00$145.80
Armstrong County MemorialKittanningPA0$393.00$117.90
Butler Memorial HospitalButlerPA0$498.00$348.60
Phoenixville HospitalPhoenixvillePA0$610.00$152.50
Hospital Of The Univ Of PennaPhiladelphiaPA0$2,032.00$2,032.00
The Chester County HospitalWest ChesterPA0$433.00$433.00
Wayne Memorial HospitalHonesdalePA0$469.00$328.30
Doylestown HospitalDoylestownPA0$455.00$455.00
Frick HospitalMount PleasantPA0$243.00$145.80
Latrobe Area HospitalLatrobePA0$243.00$145.80
Presbyterian Medical CenterPhiladelphiaPA0$1,057.00$1,057.00
Pennsylvania Hospital Of UphsPhiladelphiaPA0$2,032.00$2,032.00
Milton S. Hershey Medical CenterHersheyPA0$513.00$169.96
Holy Spirit HospitalCamp HillPA0$513.00$122.56
Hampden Medical CenterEnolaPA0$513.00$161.44
Pottstown Memorial Medical CenterPottstownPA0$342.00$85.50
Meyersdale Community HospitalMeyersdalePA0$315.00$126.00
St. Joseph Medical CenterReadingPA0$513.00$133.43
Clarion HospitalClarionPA0$498.00$278.88
Miners HospitalHastingsPA0$518.00$207.20
Reading Hospital And Medical CenterReadingPA0$610.00$427.00
Lifecare Hospitals Of Chester CountyWest ChesterPA0$433.00$433.00
Penn State Hershey Rehabilitation LlHummelstownPA0$513.00$133.43
Uniontown HospitalUniontownPA0$517.00$258.50
Chestnut Hill HospitalPhiladelphiaPA0$610.00$152.50
Windber Hospital Inc.WindberPA0$380.00$323.00

Median is taken across all payer × plan combinations the hospital publishes. Cash and gross are the latest snapshot values. Range multiplier (max ÷ min) is a quick way to see which hospitals or payers vary the most.