CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Loma Linda University Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $661
Cash Discount Price: $473
vs. Medicare Baseline: 4.21x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Loma Linda University Medical Center is $661. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $473. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 4.21x the Medicare baseline. Located in 11234 Anderson St, Loma Linda, CA.

Cash / Self-Pay

$473

Average discount available for prompt cash payment at this facility.

Insurance Median

$661

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: $473 (301%)

Insurance Median: $661 (421%)

Cash: $473 (301% of Medicare)

Ins. Median: $661 (421% 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 421% of the Medicare baseline (a markup of 321%). 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
Adventist Health	$210	134%
Lluh Dept Of Risk Management	$210	134%
Inland Empire Health Plan (Iehp)	$255	162%
Kaiser Foundation Hospitals	$281 - $700	179%
UnitedHealthcare	$322	205%
Blue Shield Of California	$417 - $637	266%
Epic Health Plan	$420	268%
Riverside University Health System	$420	268%
Alpha Care Medical Group	$578 - $892	368%
Blue Cross Blue Shield	$617 - $715	393%
Global Benefits Group	$630	401%
Temecula Valley Physicians Medical Group	$630	401%
Trivalley Medical Group	$630	401%
Aetna	$638	406%
Cigna	$672 - $777	428%
Networks By Design	$682	434%
Molina Healthcare Of Ca	$735	468%
Multiplan	$788	502%
Central Health Plan	$840	535%
Dignity Health	$892	568%
Galaxy Health	$892	568%
Prime Health Services	$892	568%
Vantage Medical Group	$892	568%
Health Management Network	$945	602%

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 $473.
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 Loma Linda University 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.