CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Barstow Community Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $495
Cash Discount Price: $486
vs. Medicare Baseline: 3.15x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Barstow Community Hospital is $495. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $486. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.15x the Medicare baseline. Located in 820 E Mountain View Street, Barstow, CA.

Cash / Self-Pay

$486

Average discount available for prompt cash payment at this facility.

Insurance Median

$495

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: $486 (310%)

Insurance Median: $495 (315%)

Cash: $486 (310% of Medicare)

Ins. Median: $495 (315% 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 315% of the Medicare baseline (a markup of 215%). 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
Blue Shield Epn	$79 - $85	50%
Blue Cross Blue Shield	$119 - $128	76%
Medi-Cal	$222	141%
UnitedHealthcare	$398	254%
Cigna	$469 - $502	299%
Multiplan Primary Network-All Other Plans	$469 - $502	299%
Blue Shield-All Other Plans	$488 - $523	311%
Multiplan Complementary Network	$508 - $544	324%
Humana	$547 - $586	348%
Healthnet-All Plans	$625 - $670	398%

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 $486.
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 Barstow Community Hospital 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.