CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Community Memorial Hospital - Ventura

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $150
Cash Discount Price: $360
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Community Memorial Hospital - Ventura is $150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $360. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.96x the Medicare baseline. Located in 147 North Brent Street, Ventura, CA.

Cash / Self-Pay

$360

Average discount available for prompt cash payment at this facility.

Insurance Median

$150

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: $360 (229%)

Insurance Median: $150 (96%)

Cash: $360 (229% of Medicare)

Ins. Median: $150 (96% 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.

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
Valley Care	$120 - $228	76%
Blue Cross Blue Shield	$128 - $174	82%
California Workers Compensation	$128	82%
Medicare (plans)	$128 - $130	82%
Non Contracted	$128 - $148	82%
Tricare	$128	82%
Wellcare Of California	$128	82%
Alignment Health Plan	$130	83%
Humana	$130	83%
Scan Health Plan	$130	83%
UnitedHealthcare	$130 - $248	83%
Seaview	$134	85%
Aetna	$143 - $1,030	91%
Medi-Cal	$148	94%
Ventura County Health Care Plan	$150	96%
Gold Coast Health Plan	$210 - $222	134%
Medicaid / KanCare	$210 - $216	134%
Cigna	$264	168%
Multiplan	$360	229%
Kaiser Commercial	$517	329%
Blue Shield Epn	$566	361%
Health Net Commercial	$614	391%
Blue Shield Commercial	$635	405%

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 $360.
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 Community Memorial Hospital - Ventura 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.