CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Medical Center Enterprise

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $99
  • Cash Discount Price: $793
  • vs. Medicare Baseline: 0.63x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Medical Center Enterprise is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $793. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.63x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$793

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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: $793 (505%)
Insurance Median: $99 (63%)
Cash: $793 (505% of Medicare)
Ins. Median: $99 (63% 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.

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
Medicaid / KanCare $29 - $35 18%
Blue Cross Blue Shield $67 - $95 43%
Tricare $89 57%
Node Champva $94 60%
Veterans Eval Services $94 60%
Humana $95 61%
Medicare (plans) $95 61%
UnitedHealthcare $95 - $241 61%
Select Health $96 61%
Al Breast And Cervical Program $97 62%
Covenant Hospice $97 62%
Dayspring Hospice $97 62%
Healthspring $97 62%
Node Devoted Health Mcr Adv $97 62%
Node Hospice Non Par $97 62%
Node Va $97 62%
Southerncare Hospice $97 62%
Wiregrass Hospice $97 62%
Aetna $98 - $2,846 62%
Node Clover Mcr Adv $98 62%
Node Wellcare Mcr Adv $98 62%
Eon Health $100 64%
Ambetter / Centene $145 92%
Occunet $169 108%
Cigna $170 - $884 108%
Self Pay $366 - $1,220 233%
American Employee Alliance $1,626 1036%
Alamed $2,439 1554%
Affordable Health $2,846 1813%
Health Choice $2,846 1813%
Novanet Ppo $2,846 1813%
Coventry Work Comp Al $2,992 1906%
Multiplan $3,008 - $3,211 1916%
Wc Dept Ind Relations $3,252 2072%
Corvel $3,455 2201%
Galaxy Health $3,659 2331%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals