CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Riverside Community Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $143
Cash Discount Price: $1,607
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Riverside Community Hospital is $143. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,607. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.91x the Medicare baseline. Located in 4445 Magnolia Avenue, Riverside, CA.

Cash / Self-Pay

$1,607

Average discount available for prompt cash payment at this facility.

Insurance Median

$143

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: $1,607 (1024%)

Insurance Median: $143 (91%)

Cash: $1,607 (1024% of Medicare)

Ins. Median: $143 (91% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Bristol Hospice	$97	62%
La Care Health	$108	69%
Molina	$108	69%
Blue Shield	$112 - $712	71%
Health Net	$118 - $358	75%
Brand New Day	$119 - $121	76%
Aetna	$120 - $289	76%
Alignment Health Plan	$121	77%
Blue Cross Blue Shield	$121 - $856	77%
Central Health Plan	$121	77%
Clever Care Of Golden State	$121	77%
Easy Choice Health Plan	$121	77%
Heritage Provider Network	$121 - $166	77%
Humana	$121	77%
Redlands Community Hospital	$121	77%
Riverside Medical Clinic	$121 - $145	77%
Riverside Physician	$121	77%
Scan Health Plan	$121	77%
Triwest Healthcare Alliance	$121	77%
UnitedHealthcare	$121	77%
Care1St Health Plan	$123	78%
United	$123 - $423	78%
Corvel Corporation	$141	90%
Healthsmart	$143 - $1,286	91%
Next	$143 - $1,286	91%
Inland Empire Health Plan	$157 - $206	100%
Medcare Partners	$241	154%
Cigna	$411	262%
Redlands Community	$482	307%
First Health	$707 - $1,446	450%
American Health System	$723	461%
Multiplan	$1,286 - $1,366	819%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,607.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Riverside Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.