CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ventura County Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $269
  • Cash Discount Price: $629
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Ventura County Medical Center is $269. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $629. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.71x the Medicare baseline. Located in 300 Hillmont Avenue, Ventura, CA.
Cash / Self-Pay
$629

Average discount available for prompt cash payment at this facility.

Insurance Median
$269

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: $629 (401%)
Insurance Median: $269 (171%)
Cash: $629 (401% of Medicare)
Ins. Median: $269 (171% 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
Tricare $174 111%
Alignment Hp - All Plans $179 114%
Blue Shield Mcr Adv $179 114%
Humana $179 114%
UnitedHealthcare $184 - $688 117%
Healthnet Mcr Adv $188 120%
Clinicas Mcr Adv $204 130%
Americas Hp Mcr Adv Ip/Op Only $206 131%
Scan-All Plans $215 137%
Hpn Ip/Op Only Medi-Cal $222 141%
Kaiser Medi-Cal Ip/Op Only $222 141%
Medi-Cal $222 141%
Western Growers-All Plans $224 143%
Clinicas Comm - All Other Plans $233 148%
Imperial-All Plans $233 148%
Ntwrk Provdrs-All Plans $233 148%
Vchcp-All Plans $239 152%
Kaiser Mcal Pediatric Ip/Op Only $244 155%
Americas Hp Comm Ip/Op Only-All Other Plans $269 171%
Clinicas Mcal $277 176%
Americas Hp Mcal Ip/Op Only $289 184%
Blue Shield Comm - All Other Plans $332 211%
Cigna $380 242%
Gold Coast Medi-Cal-All Plans $392 250%
Blue Shield Epn $488 311%
Healthnet Comm-All Other Plans $691 440%
Kaiser Comm Pediatric Ip/Op Only $691 440%
Aetna $729 - $1,257 464%
Multiplan/Claritev-All Plans $1,006 641%
Three Rivers Ip/Op Only-All Plans $1,006 641%
Ppo Next Ip/Op Only-All Plans $1,131 720%
Blue Cross Blue Shield $1,163 741%
Kaiser Mcr Pediatric Ip/Op Only $1,257 801%
Medicare (plans) $1,257 801%
Hpn Comm Ip/Op Only-All Other Plans $1,785 1137%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 300 Hillmont Avenue, Ventura, CA 93003
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals