CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Oro Valley Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $198
  • Cash Discount Price: $428
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Oro Valley Hospital is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $428. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.26x the Medicare baseline. Located in 1551 East Tangerine Road, Oro Valley, AZ.
Cash / Self-Pay
$428

Average discount available for prompt cash payment at this facility.

Insurance Median
$198

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: $428 (273%)
Insurance Median: $198 (126%)
Cash: $428 (273% of Medicare)
Ins. Median: $198 (126% 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
Aetna $105 - $246 67%
Caremore Health Plan $105 67%
Cigna $105 - $359 67%
Humana $105 67%
Medicare (plans) $105 67%
Scan Health $105 67%
UnitedHealthcare $105 - $255 67%
Department Of Veterans Affairs $106 68%
Pascua Yaqui Tribe $106 68%
Tricare $106 68%
Veterans Eval Services $106 68%
Blue Cross Blue Shield $107 - $470 68%
Fresenius Health $107 68%
Node Non Par Hospice Agree $107 68%
Node Triwest $107 68%
Node Va $107 68%
Clover Health Mcr Adv $108 69%
Node Devoted Health Mcr Adv $108 69%
Magellan $111 - $778 71%
Node Banner Mcr Adv $111 71%
Wellcare Mcr Adv $111 71%
Ambetter / Centene $151 96%
Node Health Choice Exchange $160 102%
Medicaid / KanCare $187 - $200 119%
Node Fusion Network $193 123%
Node J Allen Inmate Health Svcs $203 129%
Health Net $225 143%
Node Us Dept Of Labor $235 150%
Seven Corners $246 157%
Self Pay $311 - $545 198%
Beacon Health Options $648 413%
Mtc $648 413%
First Health Coventry $681 434%
Coventry Work Comp Al $778 496%
Multiplan $1,077 686%
Prime Health $1,102 702%
Three Rivers $1,102 702%
Healthsmart $1,167 743%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1551 East Tangerine Road, Oro Valley, AZ 85755
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals