Diagnostic mammogram (both breasts)
Facility: Johnson Memorial Hospital
Billing Code: 77066 (CPT)
- CPT Billing Code: 77066
- Insurance Median: $499
- Cash Discount Price: $637
- vs. Medicare Baseline: 3.18x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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 318% of the Medicare baseline (a markup of 218%). 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $117 - $499 | 75% |
| Medicare (plans) | $117 - $123 | 75% |
| Aetna | $117 - $373 | 75% |
| UnitedHealthcare | $117 - $1,159 | 75% |
| Cca Senior Care Options | $119 | 76% |
| Cigna | $120 - $1,058 | 76% |
| Fallon Health | $155 | 99% |
| Connecticut Dept of Correction | $169 | 108% |
| Harvard Pilgrim Healthcare | $193 | 123% |
| Geha | $193 | 123% |
| Diversified Administrators | $250 | 159% |
| Claimdoc | $250 | 159% |
| Innovative Health Plan II | $250 | 159% |
| Centivo | $278 | 177% |
| 1199 National Benefit Fund | $373 | 238% |
| Meritain | $373 | 238% |
| Hap | $373 | 238% |
| Nippon Life Ins | $373 | 238% |
| Gravie Admin Services | $373 | 238% |
| Luminare Health | $373 | 238% |
| Allied Benefit Systems | $373 | 238% |
| Webtpa | $373 | 238% |
| Blue Shield - PA (Highmark) | $499 | 318% |
| Wellpoint | $499 | 318% |
| Bcn Domestic | $499 | 318% |
| Unicare | $499 | 318% |
| Kaiser Domestic | $499 | 318% |
| Blue Distinction Transplant | $499 | 318% |
| Blue Shield - Ny Highmark Western | $499 | 318% |
| Blue Shield - Ca | $499 | 318% |
| Blue Shield - Id (Regence) | $499 | 318% |
| Health Choices | $499 | 318% |
| Blue Benefit Administrators of Massachusetts | $499 | 318% |
| Blue Shield - Wa (Regence) | $499 | 318% |
| Blue Care Network | $499 | 318% |
| Blue Shield - Ny Highmark Northeastern | $499 | 318% |
| Pre-Employment | $499 | 318% |
| Wc Domestic | $499 | 318% |
| Connecticare | $710 - $887 | 452% |
| Health New England | $753 | 480% |
| Prime Health Services | $927 | 591% |
| International Benefit Administrators | $962 | 613% |
| Medi Share | $962 | 613% |
| Ghc Scw | $962 | 613% |
| Pai | $962 | 613% |
| Asrm - Reliance Standard Life Insurance | $962 | 613% |
| Allied National Global Care | $962 | 613% |
| Paramount HMO | $962 | 613% |
| Mvp | $962 | 613% |
| Dean Health | $962 | 613% |
| Family Life Insurance Company | $962 | 613% |
| Lifetime Benefit Solutions | $962 | 613% |
| Pan-American Life | $962 | 613% |
| Trinity Health Share | $962 | 613% |
| Manhattan Life | $962 | 613% |
| Christian Care Ministry | $962 | 613% |
| Multiplan | $962 | 613% |
| PHCS | $962 | 613% |
| Health Smart | $985 | 627% |
| Health Partners | $1,058 | 674% |
| Magnacare | $1,058 | 674% |
| Allegiance | $1,058 | 674% |
| United Behavioral Health Eap | $1,159 | 738% |