CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: AHMC Anaheim Regional Medical Center
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $568
- Cash Discount Price: $835
- vs. Medicare Baseline: 3.62x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at AHMC Anaheim Regional Medical Center is $568. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $835. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.62x the Medicare baseline. Located in 1111 W La Palma Avenue, Anaheim, CA.
Cash / Self-Pay
$835
Average discount available for prompt cash payment at this facility.
Insurance Median
$568
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: $835 (532%)
Insurance Median: $568 (362%)
Cash: $835 (532% of Medicare)
Ins. Median: $568 (362% 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 362% of the Medicare baseline (a markup of 262%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Msi/Medical Services For Indigents | $52 | 33% |
| Genesis Healthcare Ipa Ancillary | $55 | 35% |
| Affiliated Doctors Of Orange County | $60 | 38% |
| Veterans Administration | $91 | 58% |
| Prospect Medical Group | $117 | 75% |
| Alta Los Angeles Hospital | $122 | 78% |
| Prospect Health Plan | $122 - $207 | 78% |
| Tricare | $123 | 78% |
| Aetna | $128 - $356 | 82% |
| Aids Health Foundation | $128 - $148 | 82% |
| Alignment Health Plan | $128 | 82% |
| Allied Physicians | $128 - $196 | 82% |
| Altamed Health Network | $128 - $148 | 82% |
| Apa Aco Inc | $128 | 82% |
| Avanti | $128 - $157 | 82% |
| Beverly Hospital | $128 - $148 | 82% |
| Blue Cross Blue Shield | $128 - $2,990 | 82% |
| Brand New Day | $128 - $163 | 82% |
| Caloptima | $128 - $207 | 82% |
| Central Health Of California | $128 | 82% |
| Davita Heatlhcare Partners Plan Inc | $128 - $2,684 | 82% |
| Healthcare Partners | $128 - $148 | 82% |
| Healthnet | $128 | 82% |
| Heritage Provider Network | $128 - $200 | 82% |
| Humana | $128 | 82% |
| Kaiser Foundation Hospitals | $128 - $148 | 82% |
| Medicare (plans) | $128 - $2,486 | 82% |
| Monarch Health Plan | $128 - $3,375 | 82% |
| Pacificare | $128 | 82% |
| Scan Health Plan | $128 | 82% |
| Seoul Medical Group | $128 - $130 | 82% |
| Wellcare | $128 | 82% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $130 | 83% |
| Emanate Health | $130 - $163 | 83% |
| Innovative Integrated Health (Iih)/Orange County Pace | $130 | 83% |
| Memorial Healthcare Ipa/Cap/Valuation Rates | $130 | 83% |
| Monarch Healthcare Medical Group | $130 | 83% |
| Private Pay Flat Rate | $130 - $241 | 83% |
| Self-Pay | $130 | 83% |
| Talbert Medical Group | $130 - $148 | 83% |
| Nchp | $135 | 86% |
| Align Senior Care | $136 | 87% |
| Ahmc Reciprocity Agreement | $148 - $1,491 | 94% |
| Applecare Medical Group | $148 | 94% |
| Health Net | $148 | 94% |
| Health Net Inc | $148 - $3,818 | 94% |
| Healthnet Cal Optima Medi-Cal/Healthy Families | $148 | 94% |
| Healthy Way La | $148 | 94% |
| Hollywood Presbyterian Advanced Med Mgmt Mcal | $148 | 94% |
| Hollywood Presbyterian Medpoint Mcal | $148 | 94% |
| Medi-Cal | $148 | 94% |
| Medical Safety Net Program | $148 | 94% |
| Non Contracted Medi-Cal | $148 | 94% |
| Ahmc Health Self-Insurance Epo | $163 | 104% |
| Knox-Keene Act | $163 | 104% |
| UnitedHealthcare | $185 - $462 | 118% |
| Netcare Life And Health Insurance | $190 - $1,243 | 121% |
| Advance Clinical Research Institute | $228 - $1,491 | 145% |
| Memorial Healthcare Ipa | $228 - $1,000 | 145% |
| Cigna | $230 | 147% |
| Medical Acquisition Company | $304 - $1,988 | 194% |
| Healthcare Partners Commercial | $410 - $2,684 | 261% |
| Huntington Memorial Hospital | $410 - $2,684 | 261% |
| Affiliated Health Fund | $531 - $3,480 | 338% |
| Allnet Preferred Provider | $531 - $3,480 | 338% |
| Care First | $531 - $2,600 | 338% |
| Interplan | $531 - $3,480 | 338% |
| Orange County Preferred Provider Organization | $531 - $3,728 | 338% |
| Private Healthcare Systems | $531 - $3,480 | 338% |
| Capp Care | $569 - $3,728 | 362% |
| Choicecare | $569 - $3,000 | 362% |
| Corvel | $569 - $3,728 | 362% |
| Multiplan Inc | $569 - $3,728 | 362% |
| National Provider Network | $607 - $3,977 | 387% |
| Three Rivers Providers Network | $607 - $3,977 | 387% |
| First Health | $645 - $3,977 | 411% |
| Health Payors Organization | $683 - $4,474 | 435% |
| Non Contracted Commercial | $759 - $4,971 | 484% |
| Blue Shield Of California | $1,150 - $1,378 | 733% |