CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Vidant Chowan Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $843
Cash Discount Price: $745
vs. Medicare Baseline: 5.37x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Vidant Chowan Hospital is $843. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $745. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 5.37x the Medicare baseline. Located in 211 Virginia Rd, Edenton, NC.

Cash / Self-Pay

$745

Average discount available for prompt cash payment at this facility.

Insurance Median

$843

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: $745 (475%)

Insurance Median: $843 (537%)

Cash: $745 (475% of Medicare)

Ins. Median: $843 (537% 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 537% of the Medicare baseline (a markup of 437%). 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
UnitedHealthcare	$102 - $820	65%
Liberty Advantage [1313]	$105	67%
Aetna	$105 - $1,089	67%
Longevity Health [1411]	$130	83%
Blue Cross Blue Shield	$400 - $808	255%
Carolina Complete Health [1317]	$404	257%
Wellcare [1320]	$406	259%
Amerihealth McAid Adv [1316]	$408	260%
Humana	$413	263%
Nc Dept of Public Safety [1095]	$745	475%
Medcost [1067]	$843 - $888	537%
Cigna	$1,131 - $1,264	720%
Multiplan [1031]	$1,264	805%

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 $745.
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 Vidant Chowan 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.