CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Sharp Chula Vista Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $386
Cash Discount Price: $526
vs. Medicare Baseline: 2.46x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Sharp Chula Vista Medical Center is $386. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $526. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.46x the Medicare baseline. Located in 751 Medical Center Court, Chula Vista, CA.

Cash / Self-Pay

$526

Average discount available for prompt cash payment at this facility.

Insurance Median

$386

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: $526 (335%)

Insurance Median: $386 (246%)

Cash: $526 (335% of Medicare)

Ins. Median: $386 (246% 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 246% of the Medicare baseline (a markup of 146%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$44 - $687	28%
Health Net	$44 - $491	28%
UnitedHealthcare	$105 - $438	67%
Blue Cross Blue Shield	$208 - $596	133%
Cigna	$238 - $438	152%
Epic Americas	$238 - $470	152%
Humana	$238	152%
Managed Health Network	$277	176%
Community Health Group	$336 - $428	214%
Interplan	$336	214%
Medicare (plans)	$386	246%
Indian Health Council	$428	273%
Medi-Cal	$447	285%
California Health And Wellness	$460	293%
Kaiser	$491	313%
San Diego Pace	$491	313%
Molina	$526	335%
Blue Shield	$596	380%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $526.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sharp Chula Vista Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.