CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: El Centro Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $484
  • Cash Discount Price: $438
  • vs. Medicare Baseline: 3.08x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at El Centro Regional Medical Center is $484. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $438. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.08x the Medicare baseline. Located in 1415 Ross Avenue, El Centro, CA.
Cash / Self-Pay
$438

Average discount available for prompt cash payment at this facility.

Insurance Median
$484

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: $438 (279%)
Insurance Median: $484 (308%)
Cash: $438 (279% of Medicare)
Ins. Median: $484 (308% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 308% of the Medicare baseline (a markup of 208%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $168 - $636 107%
Brand New Day Comm - All Other Plans $168 107%
Brand New Day Mcr $168 107%
Healthnet Mcr Adv $168 107%
Molina Mcr Adv $168 107%
Scp Managed Care - All Plans $168 107%
Tricare $168 107%
UnitedHealthcare $168 - $319 107%
Easy Choice Mcr Adv-All Plans $185 118%
Healthnet Hmo $210 134%
Cdcr Correctional-All Plans $218 139%
Aetna $270 - $280 172%
Blue Shield-All Plans $283 180%
Pacificare-All Plans $381 - $394 243%
Mulitplan Primary - All Other Plans $418 - $432 266%
Cigna $460 - $477 293%
Multiplan Comp $491 - $509 313%
Trident - All Plans $522 - $541 333%
Healthnet Comm-All Other Plans $553 - $572 352%
Humana $571 - $591 364%
Ahccs/Medi-Cal Misc - All Plans $614 - $636 391%
Brand New Day Mcal $614 - $636 391%
Medi-Cal $614 - $636 391%
Molina Exchange - All Other Plans $614 - $636 391%
Ambetter / Centene $632 - $655 403%
Molina Mcal $675 - $700 430%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1415 Ross Avenue, El Centro, CA 92243
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals