CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Adventist Health Sonora

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $185
  • Cash Discount Price: $107
  • vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Adventist Health Sonora is $185. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $107. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.18x the Medicare baseline. Located in 1000 Greenley Road, Sonora, CA.
Cash / Self-Pay
$107

Average discount available for prompt cash payment at this facility.

Insurance Median
$185

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: $107 (68%)
Insurance Median: $185 (118%)
Cash: $107 (68% of Medicare)
Ins. Median: $185 (118% 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 Shield Mcare $47 - $168 30%
Central Ca Alliance Mcr Adv Profee Only $47 30%
Healthnet Mcr Adv $47 - $168 30%
Tricare $47 - $168 30%
UnitedHealthcare $47 - $919 30%
Ah Employee Health Plan - All Plans $52 - $302 33%
Cigna $58 - $1,016 37%
Greatwest Oa/Pos/Hmo $61 - $909 39%
Greatwest Ppo - All Other Plans $61 - $962 39%
Blue Shield Epn $63 - $810 40%
Blue Shield - All Other Plans $66 - $812 42%
Healthnet - All Other Plans $69 - $936 44%
Western Growers/Pinnacle - All Plans $70 - $567 45%
Bc Mcs $98 - $1,133 62%
Bc Non-Mcs - All Other Plans $98 - $945 62%
Bc Mcal $148 94%
Celtic Ca Hlth Well Mcal - All Plans $148 - $306 94%
Central Ca Alliance Mcal $148 - $252 94%
Healthnet Mcal $148 - $331 94%
Medi-Cal $148 - $222 94%
Beech Street- All Plans $166 - $909 106%
Trpn - Three Rivers Ppo - All Plans $166 - $855 106%
Aetna $168 - $705 107%
Phs Prime Health Srvcs-All Plans $168 107%
Central Ca Alliance Ccs Mcal $185 - $252 118%
Central Ca Alliance Chdp Mcal $185 - $252 118%
Central Ca Alliance Comm Profee Only-All Other Pla $185 118%
Kaiser - All Plans $534 340%
Bc Exchange $850 541%
Affordable Health - All Plans $962 613%
Interplan - All Plans $962 613%
Multiplan - All Plans $962 613%
Phcs Ppo - All Plans $962 613%
Stanilaus Foundation - All Plans $1,016 647%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Greenley Road, Sonora, CA 95370
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals