CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: Scripps Green Hospital
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $198
- Cash Discount Price: $224
- vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Scripps Green Hospital is $198. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $224. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.26x the Medicare baseline. Located in 10666 North Torrey Pines Road, La Jolla, CA.
Cash / Self-Pay
$224
Average discount available for prompt cash payment at this facility.
Insurance Median
$198
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: $224 (143%)
Insurance Median: $198 (126%)
Cash: $224 (143% of Medicare)
Ins. Median: $198 (126% 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.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Radys Cpmg [803] | $72 | 46% |
| Aetna | $132 - $452 | 84% |
| Astiva Mcr Adv [464] | $132 | 84% |
| Bc Mcr Adv [830] | $132 | 84% |
| Blue Cross Blue Shield | $132 - $237 | 84% |
| Bs Mcr Adv [829] | $132 | 84% |
| Central Health Mcr Adv [441] | $132 | 84% |
| Cigna | $132 - $355 | 84% |
| Clever Care Mcr Adv [465] | $132 | 84% |
| D-Snp Mcr Adv [889] | $132 | 84% |
| Dsnp/Csnp - Generic [458] | $132 | 84% |
| Family Health Centers Pace Mcr Adv Hmo [556] | $132 | 84% |
| Family Health Centers Pace Medi-Cal [555] | $132 | 84% |
| Gary And Mary West Pace Medi-Cal Hmo [557] | $132 | 84% |
| Gpmg/Altura - Mcr Adv [888] | $132 | 84% |
| Hn Mcr Adv [832] | $132 | 84% |
| Humana | $132 | 84% |
| Integrated Health Partners - Mcr Adv [895] | $132 | 84% |
| Kaiser Northern Ca Region Mcr Adv [386] | $132 | 84% |
| La Care Mcr Adv Hmo [612] | $132 | 84% |
| Medicare (plans) | $132 | 84% |
| Mpmg Mcr Adv [836] | $132 | 84% |
| Mpmg [800] | $132 | 84% |
| Ocn Mcr Adv [890] | $132 | 84% |
| San Diego Pace Medi-Cal [553] | $132 | 84% |
| Scan Mcr Adv [835] | $132 | 84% |
| Scan [500] | $132 | 84% |
| Scan [818] | $132 | 84% |
| Sharp Comm Med Grp Mcr Adv [840] | $132 | 84% |
| Sharp Health Plan Mcr Adv [531] | $132 | 84% |
| Sharp Health Plan Mcr Adv [897] | $132 | 84% |
| Sharp Rees Stealy Med Grp Mcr Adv [841] | $132 | 84% |
| St Paul'S Pace Medi-Cal [551] | $132 | 84% |
| Ucsd Mcr Adv [873] | $132 | 84% |
| Uh Mcr Adv [831] | $132 | 84% |
| Uh Palomar Health Mcr Adv [885] | $132 | 84% |
| UnitedHealthcare | $132 - $314 | 84% |
| Alignment Health Plan [443] | $136 | 87% |
| Mc Alignment [917] | $189 | 120% |
| Mc Blue Shield Promise Health Plan [914] | $189 | 120% |
| Mc Blue Shield [902] | $189 | 120% |
| Mc Health Net [904] | $189 | 120% |
| Mc Scan [905] | $189 | 120% |
| Mc United [906] | $189 | 120% |
| Bc [814] | $198 | 126% |
| Imperial County Phys Med Group [855] | $198 - $306 | 126% |
| Integrated Health Partners [894] | $198 | 126% |
| Perlman Med Group [899] | $198 | 126% |
| Sharp Comm Med Grp [812] | $198 - $408 | 126% |
| Sharp Rees Stealy Med Grp [811] | $198 - $408 | 126% |
| Ucsd [807] | $198 - $408 | 126% |
| Centivo [581] | $206 | 131% |
| Health Net [340] | $210 - $329 | 134% |
| Prime Healthcare [614] | $224 | 143% |
| Prospect Med Group [893] | $231 | 147% |
| Blue Shield [230] | $295 - $321 | 188% |
| Hn [815] | $302 | 192% |
| Bs [816] | $306 - $319 | 195% |
| Uh [819] | $314 | 200% |
| Rady Children'S Hospital [825] | $368 | 234% |
| Palomar Health [892] | $408 | 260% |
| Veba Med Grp [813] | $408 | 260% |
| Kaiser Northern Ca Region Hmo/Ppo [384] | $488 | 311% |
| Kaiser [380] | $488 | 311% |
| Kaiser [383] | $488 | 311% |
| Multi Plan Network [470] | $637 | 406% |
| First Health Network [330] | $673 | 429% |
| Pnoa [615] | $673 | 429% |
| Choice Care Network [270] | $718 | 457% |
| Healthsmart [350] | $718 | 457% |