CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: AHMC Seton Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $194
  • Cash Discount Price: $700
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at AHMC Seton Medical Center is $194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $700. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.24x the Medicare baseline. Located in 1900 Sullivan Avenue, Daly City, CA.
Cash / Self-Pay
$700

Average discount available for prompt cash payment at this facility.

Insurance Median
$194

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: $700 (446%)
Insurance Median: $194 (124%)
Cash: $700 (446% of Medicare)
Ins. Median: $194 (124% 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 Cross Blue Shield $46 - $665 29%
Veterans Administration (Va) $109 69%
Self Pay $131 - $298 83%
Health Plan Of San Mateo Healthworx $133 85%
Cmac $148 94%
Hill Physicians Medical Group Inc $148 - $182 94%
Kaiser $148 - $718 94%
Medi-Cal $148 94%
Health Plan Of San Mateo $151 96%
Aetna $153 - $462 97%
Asian American Medical Group $153 - $194 97%
Blue Shield Of California $153 - $1,510 97%
Brand New Day $153 - $194 97%
Brown And Toland Medical Group $153 - $194 97%
Care Advantage $153 97%
Chinese Community Health Plan $153 - $438 97%
For Your Benefit $153 97%
Healthnet Seniority $153 97%
Humana $153 97%
Imperial Health Plan $153 97%
Jade Health Care Mg $153 - $438 97%
Medicare (plans) $153 97%
North East Medical Services $153 - $207 97%
Pacificare $153 97%
Tricare $153 97%
Apcmg $155 - $233 99%
Canopy Health $155 - $279 99%
Covid-19 Uninsured Program $155 99%
UnitedHealthcare $155 - $185 99%
Easy Choice Hospital Services $158 101%
Central Health Plan $165 105%
San Mateo County/San Mateo County General Hospital $182 116%
Ahmc Health $194 124%
Knox-Keene Act $194 124%
San Francisco Health Plan $207 132%
Interplan Corporation $525 334%
Cigna $612 390%
Multiplan/Bce Emergis $656 418%
Private Healthcare Sytems Inc $656 418%
The First Health Network $656 418%
Health Net $671 427%
Beech Street Corporation $700 446%
Healthcare Foundation Of San Mateo $700 446%
Choicecare Network $744 474%
Multiplan $744 474%
Mills Peninsula Health Services $788 502%
Indemnity $875 557%
Workers Compensation Federal $875 557%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1900 Sullivan Avenue, Daly City, CA 94015
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals