CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Baldwin Health

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $241
  • Cash Discount Price: $555
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Baldwin Health is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $555. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.54x the Medicare baseline. Located in 1613 North McKenzie Street, Foley, AL.
Cash / Self-Pay
$555

Average discount available for prompt cash payment at this facility.

Insurance Median
$241

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: $555 (354%)
Insurance Median: $241 (154%)
Cash: $555 (354% of Medicare)
Ins. Median: $241 (154% 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 $35 22%
First Choice $52 33%
Blue Cross Blue Shield $70 - $95 45%
Tricare $89 57%
Node Champva $94 60%
Veterans Eval Services $94 60%
Humana $95 61%
Medicare (plans) $95 61%
Triwest $95 61%
UnitedHealthcare $95 - $241 61%
Windsor Health Plan $95 61%
Al Bccedp $97 62%
Cigna $97 - $400 62%
Community Hospice $97 62%
Hospice $97 62%
Mercy Medical Hospice $97 62%
Node Devoted Health Mcr Adv $97 62%
Node Va $97 62%
Aetna $98 - $2,081 62%
Node Clover Health Mcr Adv $98 62%
Node Wellcare Mcr Adv $98 62%
Select Health $98 62%
Ambetter / Centene $145 92%
Self Pay $416 - $694 265%
American Employee Alliance $925 589%
Multiplan $1,318 - $1,896 840%
First Health $1,734 - $1,867 1105%
Alamed $1,769 1127%
Multiplan Inc $1,769 1127%
Coventry Work Comp Al $1,808 1152%
One Health $1,849 1178%
Pro America $1,849 1178%
Novanet $1,867 1189%
Alabama Wc $1,965 1252%
Gulf Health $1,965 1252%
Principal Ppo $1,965 1252%
Viva Health $1,965 1252%
National Health $2,081 1326%
Galaxy $2,104 1340%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1613 North McKenzie Street, Foley, AL 36535
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals