CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Northwest Medical Center Sahuarita

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $160
  • Cash Discount Price: $370
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Northwest Medical Center Sahuarita is $160. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $370. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.02x the Medicare baseline. Located in 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ.
Cash / Self-Pay
$370

Average discount available for prompt cash payment at this facility.

Insurance Median
$160

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: $370 (236%)
Insurance Median: $160 (102%)
Cash: $370 (236% of Medicare)
Ins. Median: $160 (102% 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 - $166 67%
Blue Cross Blue Shield $105 - $470 67%
Cigna $105 - $359 67%
Humana $105 67%
Medicare (plans) $105 67%
Mercy Care $105 - $187 67%
Node Caremore Mcr Adv $105 67%
Node Mercy Care Mcr Adv $105 67%
UnitedHealthcare $105 - $255 67%
Department Of Veterans Affairs $106 68%
Node Champva $106 68%
Tricare $106 68%
Node Non Par Hospice Agree $107 68%
Node Triwest $107 68%
Node Va $107 68%
Node Clover Health Mcr Adv $108 69%
Node Devoted Health Mcr Adv $108 69%
Banner Mcr Adv $111 71%
Node Banner Mcr Adv $111 71%
Node Wellcare Mcr Adv $111 71%
Ambetter / Centene $151 96%
Node Health Choice Health Exchange $160 102%
Medicaid / KanCare $187 - $200 119%
Node Fusion Network $193 123%
Node J Allen Inmate Health Svcs $203 129%
Self Pay $233 - $506 148%
Node Us Dept Of Labor $235 150%
Coventry Work Comp Al $778 496%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals