CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Paradise Valley Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $132
  • Cash Discount Price: $131
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Paradise Valley Hospital is $132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $131. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.84x the Medicare baseline. Located in 2400 East 4Th St, National City, CA.
Cash / Self-Pay
$131

Average discount available for prompt cash payment at this facility.

Insurance Median
$132

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: $131 (83%)
Insurance Median: $132 (84%)
Cash: $131 (83% of Medicare)
Ins. Median: $132 (84% 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 $108 - $168 69%
Blue Sheid Of Promise $108 69%
County Of San Diego $108 69%
Golden Physicians Medical Group $108 - $165 69%
Health Excel Ins $108 - $132 69%
Heritage Provider Netwrok $108 - $171 69%
Molina $108 - $132 69%
Traditional Medi-Cal $108 69%
UnitedHealthcare $108 - $201 69%
Health Net Of Ca $116 - $192 74%
Community Health Group $130 - $132 83%
Blue Shield Of Ca, Va $132 84%
Ca Foundation For Medical Care $132 84%
Central Health $132 84%
Choice Physicians Network $132 84%
Clever Care Of Golden State, Inc $132 84%
Managed Health Network $132 84%
Medicare (plans) $132 84%
Renal Payer Solutions $132 84%
Tricare $132 84%
Usa Senior Care Network $132 84%
Verda Health Plan $132 84%
Brand New Day $133 - $198 85%
Imperial Health Plan Of Ca $140 89%
Health Net Federal Service (Cdcr) $165 105%
Veterans Evaluation Services $165 105%
Integrated Medical Solutions $174 111%
Worker Comp $174 111%
Ca Dept Of Correction & Rehab $185 118%
Employer Direct Healthcare $185 118%
Naphcare $204 - $264 130%
Scripps Health $224 143%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 East 4Th St, National City, CA 91950
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals