CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: St Rose Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $191
  • Cash Discount Price: $159
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at St Rose Hospital is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $159. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.22x the Medicare baseline. Located in 27200 Calaroga Ave, Hayward, CA.
Cash / Self-Pay
$159

Average discount available for prompt cash payment at this facility.

Insurance Median
$191

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: $159 (101%)
Insurance Median: $191 (122%)
Cash: $159 (101% of Medicare)
Ins. Median: $191 (122% 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
Healthnet Of California $145 - $370 92%
Centers For Elder Independence $147 94%
UnitedHealthcare $153 - $423 97%
Aetna $155 - $370 99%
Brown & Toland $155 99%
Humana $155 99%
Imperial Health Senior $155 99%
Medicare (plans) $155 99%
Cigna $158 - $397 101%
Blue Cross Blue Shield $275 175%
Canopy $295 188%
Interplan $370 236%
Blue Shield $388 247%
Blue Shield Affinity $388 247%
Blue Shield Hill $388 247%
Multiplan Inc $407 259%
Kaiser Foundation Hospitals $423 269%
Preferred Health Network $450 287%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 27200 Calaroga Ave, Hayward, CA 94545
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals