CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Riverview Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $97
Cash Discount Price: $96
vs. Medicare Baseline: 0.62x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Riverview Regional Medical Center is $97. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.62x the Medicare baseline. Located in 600 South Third Street, Gadsden, AL.

Cash / Self-Pay

$96

Average discount available for prompt cash payment at this facility.

Insurance Median

$97

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: $96 (61%)

Insurance Median: $97 (62%)

Cash: $96 (61% of Medicare)

Ins. Median: $97 (62% 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.

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
Blue Cross Blue Shield	$65 - $97	41%
Humana	$92	59%
Viva Health	$96	61%
Cigna	$97	62%
Evernorth Behavioral Health	$97	62%
Health Service Center	$97	62%
Medicare (plans)	$97	62%
Tricare	$97	62%
UnitedHealthcare	$97 - $227	62%
Devoted Health	$98	62%
Simpra Advantage	$98	62%
Employer Direct Healthcare	$135	86%
Naphcare	$150	96%
Occunet	$193	123%

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 $96.
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 Riverview Regional Medical Center 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.