CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: Adventist Health White Memorial
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $222
- Cash Discount Price: $365
- vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Adventist Health White Memorial is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $365. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.41x the Medicare baseline. Located in 1720 Cesar E Chavez Avenue, Los Angeles, CA.
Cash / Self-Pay
$365
Average discount available for prompt cash payment at this facility.
Insurance Median
$222
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: $365 (233%)
Insurance Median: $222 (141%)
Cash: $365 (233% of Medicare)
Ins. Median: $222 (141% 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 |
|---|---|---|
| Bc Medi-Cal | $52 | 33% |
| Blue Shield Mcr Adv | $85 | 54% |
| UnitedHealthcare | $151 - $973 | 96% |
| Access Group | $153 | 97% |
| Ahp - All Other Plans | $153 | 97% |
| Lasalle Mg Commercial - All Other Plans | $153 | 97% |
| Access Senior - All Other Plans | $180 | 115% |
| Ahp Senior | $180 | 115% |
| Alta Los Angeles Mcr 1/1/19-All Other Plans | $180 | 115% |
| Altamed Connect | $180 | 115% |
| Avanti Mcr Adv - All Other Plans | $180 | 115% |
| Brand New Day Mcare - All Plans | $180 | 115% |
| Bs Va Mcare | $180 | 115% |
| Care First Mcare - All Other Plans | $180 | 115% |
| Clever Care - All Plans | $180 | 115% |
| Fcs Ipa Mcr Advan Op/Profee Only | $180 | 115% |
| Humana | $180 | 115% |
| Lasalle Mg Senior | $180 | 115% |
| Medicare (plans) | $180 | 115% |
| Molina Mcare | $180 | 115% |
| Pacific Alliance Mcare - All Other Plans | $180 | 115% |
| Preferred Senior | $180 | 115% |
| Sunlight Living Hlth Mcr Adv-All Other Plans | $180 | 115% |
| Tricare | $180 | 115% |
| Blue Cross Blue Shield | $187 - $1,126 | 119% |
| Fcs Ipa Op/Profee Only - All Other Plans | $189 | 120% |
| Bright Health - All Plans | $207 | 132% |
| Assoc Hispanic Physcns Hmo/Mcr Adv-All Other Plans | $216 | 138% |
| Preferred Commercial - All Other Plans | $216 | 138% |
| Access Medi-Cal | $222 | 141% |
| Ahp Medi-Cal | $222 | 141% |
| Alta Los Angeles Mcal 1/1/19 | $222 | 141% |
| Avanti Mcal | $222 | 141% |
| Bella Vista Medi-Cal Op/Profee Only | $222 | 141% |
| Healthcare Inc Medi-Cal | $222 | 141% |
| Lasalle Mg Medi-Cal | $222 | 141% |
| Medi-Cal | $222 | 141% |
| Molina Medi-Cal | $222 | 141% |
| Pacific Alliance Medi-Cal | $222 | 141% |
| Pacific Ipa Medi-Cal | $222 | 141% |
| Preferred Ipa La Care Mcal Cap | $222 | 141% |
| Preferred Medi-Cal | $222 | 141% |
| Intergrated Medical - All Plans | $234 | 149% |
| Molina Benefit Exchange - All Other Plans | $243 | 155% |
| Altamed Medi-Cal - All Other Plans | $255 | 162% |
| Healthnet Mcal | $264 | 168% |
| Fcs Ipa Medi-Cal Op/Profee Only | $266 | 169% |
| Php-Prospect Health Plan Cap - All Plans | $270 | 172% |
| Preferred Healthy | $277 | 176% |
| Assoc Hispanic Physcns Mcal | $311 | 198% |
| Ah Employee Health Plan - All Plans | $323 | 206% |
| Centivo - All Plans | $404 | 257% |
| Blue Shield Epn | $482 | 307% |
| Aetna | $533 | 340% |
| Blue Shield Medi-Cal | $555 | 354% |
| Blue Shield - All Other Plans | $561 | 357% |
| Cigna | $752 | 479% |
| Pacific Ipa - All Other Plans | $770 | 491% |
| Care First Medi-Cal | $777 | 495% |
| Kaiser- All Plans | $831 | 529% |
| Western Growers/Pinnacle - All Plans | $831 | 529% |
| Healthnet - All Other Plans | $917 | 584% |
| Healthnet Comm Care | $946 | 603% |
| Caremore Mcare - All Plans | $1,014 | 646% |
| Hcpamg - All Plans | $1,016 | 647% |
| Healthcare Inc - All Other Plans | $1,115 | 710% |
| La Care Mcr Adv - All Plans | $1,115 | 710% |
| First Heatlh Ppo - All Plans | $1,176 | 749% |
| Phcs Ppo - All Plans | $1,318 | 840% |
| Scan Health Mcare - All Plans | $1,318 | 840% |
| Ahf - All Plans | $1,520 | 968% |
| Beech Street - All Plans | $1,520 | 968% |
| Interplan Ppo - All Plans | $1,520 | 968% |
| Bella Vista Mcr Adv Op/Profee Only - All Other Pla | $1,600 | 1019% |
| Corvel Corp - All Plans | $1,622 | 1033% |
| Multiplan Ppo - All Plans | $1,682 | 1071% |
| Healthmannet - All Plans | $1,723 | 1098% |
| Next Inc Ppo - All Plans | $1,723 | 1098% |
| Trpn - All Plans | $1,723 | 1098% |
| Fpn Ppo - All Plans | $1,824 | 1162% |
| Healthnet Mcr Adv | $3,101 | 1975% |