CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: San Antonio Regional Hospital
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $307
- Cash Discount Price: $187
- vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at San Antonio Regional Hospital is $307. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.96x the Medicare baseline. Located in 999 San Bernardino Road, Upland, CA.
Cash / Self-Pay
$187
Average discount available for prompt cash payment at this facility.
Insurance Median
$307
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: $187 (119%)
Insurance Median: $307 (196%)
Cash: $187 (119% of Medicare)
Ins. Median: $307 (196% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Tricare | $165 | 105% |
| Blue Shield Mcr Adv | $169 | 108% |
| Caremore Mcr Adv - All Plans | $169 | 108% |
| Choice Phycn Ntwrk Mcr Adv-All Other Plans | $169 | 108% |
| Healthnet Mcr Adv | $169 | 108% |
| Humana | $169 | 108% |
| Iehp Mcr Adv | $169 | 108% |
| Inter Valley Hp Mcr Adv- All Plans | $169 | 108% |
| Kindred Mcr Adv-All Plans | $169 | 108% |
| Molina Mcr Adv | $169 | 108% |
| Scan Health Plan Mcr Adv-All Plans | $169 | 108% |
| Universal Care - All Plans | $169 | 108% |
| Blue Cross Blue Shield | $172 - $952 | 110% |
| Zelis Mcr Adv | $177 | 113% |
| Kasiser Mcr Adv | $181 | 115% |
| UnitedHealthcare | $182 - $666 | 116% |
| Imperial Health Mcr Adv-All Plans | $186 | 118% |
| Choice Phycn Ntwrk Op Only | $211 | 134% |
| Molina Exchange-All Other Plans | $220 | 140% |
| Medi-Cal | $222 | 141% |
| Aetna | $228 - $1,752 | 145% |
| Kaiser Medi-Cal | $233 | 148% |
| Healthnet Medi-Cal | $234 | 149% |
| Alpha Care Mg Mcal/Hlthy Kids | $244 | 155% |
| Heritage Prov Ntwrk/Regal Mcal | $244 | 155% |
| Iehp Comm - All Other Plans | $245 | 156% |
| Redlands Employee | $253 | 161% |
| Molina Medi-Cal | $255 | 162% |
| Redlands Hmo-All Other Plans | $263 | 168% |
| Blue Shield Epn | $286 | 182% |
| Iehp Mcal | $289 | 184% |
| Prime Health - All Plans | $295 | 188% |
| Ambetter / Centene | $319 | 203% |
| Healthnet - All Other Plans | $404 | 257% |
| Kaiser Comm - All Other Plans | $471 | 300% |
| Epic Health Plan - All Other Plans | $526 | 335% |
| Blue Shield Hmo Pos / Calpers Ppo | $632 | 403% |
| Blue Shield Epo Ppo - All Other Plans | $680 | 433% |
| Cigna | $697 | 444% |
| Pc Inland Valley Scan | $876 | 558% |
| Pc Inland Valley-All Other Plans | $876 | 558% |
| Coventry Ccn/First Hlth - All Plans | $964 | 614% |
| Choicecare Ntwrk-All Plans | $1,261 | 803% |
| Multiplan/Phcs - All Plans | $1,261 | 803% |
| Networks By Design - All Plans | $1,314 | 837% |
| Zelis Comm-All Other Plans | $1,314 | 837% |
| Foundation Inland Epo-All Other Plans | $1,402 | 893% |
| Foundation Inland Ppo | $1,489 | 949% |
| Health Payors - All Plans | $1,577 | 1005% |
| Interplan - All Plans | $1,577 | 1005% |
| Wellcare/Easy Choice-All Plans | $1,717 | 1094% |
| Alpha Care Mg Mcr Adv | $1,752 | 1116% |
| Central Hlth Plan Mcr Adv-All Plans | $1,752 | 1116% |
| Epic Health Plan Mcr Adv | $1,752 | 1116% |
| Prospect Hp-All Plans | $1,752 | 1116% |
| Providence Clevercare Mcr Adv | $1,752 | 1116% |
| Heritage Prov Ntwrk/Regal Mcr Adv | $1,778 | 1133% |
| Clever Care Mcr Adv - All Plans | $1,840 | 1172% |
| La Salle Hp Mcr Adv-All Plans | $1,840 | 1172% |
| Providence Oscar-All Other Plans | $1,840 | 1172% |
| Alpha Care Mg-All Other Plans | $2,190 | 1395% |
| Heritage Prov Ntwrk/Regal - All Other Plans | $3,219 | 2051% |