CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Adventist Health Reedley

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $168
  • Cash Discount Price: $108
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Adventist Health Reedley is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $108. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.07x the Medicare baseline. Located in 372 W Cypress Ave, Reedley, CA.
Cash / Self-Pay
$108

Average discount available for prompt cash payment at this facility.

Insurance Median
$168

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: $108 (69%)
Insurance Median: $168 (107%)
Cash: $108 (69% of Medicare)
Ins. Median: $168 (107% 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
Blue Shield Mcare $47 - $168 30%
Fhcn Pace Mcr Adv-All Plans $47 - $168 30%
Lasalle Med Assoc Profee Only - All Plans $47 30%
Tricare $47 - $168 30%
UnitedHealthcare $47 - $217 30%
Upn Mcr Adv Profee Only $47 30%
Ah Employee Health Plan - All Plans $52 - $302 33%
Bc Mcal $54 - $148 34%
Cigna $56 - $621 36%
Community Care Ipa Mcal-All Plans $57 - $289 36%
Blue Shield Epn - All Other Plans $63 - $423 40%
Kaiser - All Other Plans $64 - $478 41%
Kaiser Mcr Adv $64 - $168 41%
Blue Shield Non Epn $66 - $489 42%
Healthnet- All Other Plans $69 - $416 44%
Western Growers/Pinnacle- All Plans $70 - $440 45%
Blue Cross Blue Shield $98 - $1,196 62%
Aetna $111 - $554 71%
Healthnet Medi-Cal $143 91%
Cal Viva Hlth Mcal - All Plans $148 - $222 94%
Central Ca Alliance Mcal Profee Only $148 94%
Dignity Mcal Op/Profee Only-All Other Plans $148 - $244 94%
Medi-Cal $148 - $222 94%
Physicians Med Group Op/Profee Only- All Plans $148 - $765 94%
Upn Mcal Profee Only-All Other Plans $148 94%
Dignity Mcr Adv Op/Profee Only $168 107%
Healthnet- Mcr Adv $168 107%
Phs Prime Health Srvcs $168 107%
Central Ca Alliance Ccs Profee Only $185 118%
Central Ca Alliance Chdp Profee Only $185 118%
Central Ca Alliance Comm Profee Only - All Other P $185 118%
Kern Health Systems Mcal-All Plans $185 - $222 118%
Bright Health Mcr Adv - All Plans $264 168%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 372 W Cypress Ave, Reedley, CA 93654
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals