CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Adventist Health Delano

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $222
Cash Discount Price: $109
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Adventist Health Delano is $222. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $109. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.41x the Medicare baseline. Located in 1401 Garces Highway, Delano, CA.

Cash / Self-Pay

$109

Average discount available for prompt cash payment at this facility.

Insurance Median

$222

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: $109 (69%)

Insurance Median: $222 (141%)

Cash: $109 (69% of Medicare)

Ins. Median: $222 (141% 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
Blue Cross Blue Shield	$47 - $455	30%
Dignty Hlth Com/Mcr Op Only - All Other Plans	$60	38%
Dignty Hlth Mcal Op Only	$60	38%
Blue Shield Epn - All Other Plans	$120	76%
Bakersfield Fam Med Grp-All Plans	$168	107%
Healthnet Mcr Adv	$168	107%
Kern Mcr Adv Dual Dnsp-All Other Plans	$168	107%
Medicare (plans)	$168 - $269	107%
Tricare	$168	107%
UnitedHealthcare	$168 - $188	107%
Universal Care Mcr- All Other Plans	$168	107%
Kaiser Medi-Cal Ip/Op Only	$222	141%
Medi-Cal	$222	141%
Universal Care Mcal	$222	141%
Healthnet Medi-Cal	$264	168%
Kern Health System Mcal	$286	182%
Kaiser Comm Ip/Op Only- All Other Plans	$289	184%
Ah Employee Health Plan - All Plans	$303	193%
Coventry- All Plans	$328	209%
Blue Shield Non-Epn	$356	227%
Healthnet- All Other Plans	$368	234%
Centivo - All Plans	$379	241%
County Of Kern Network - All Plans	$383	244%
Gem Care- All Plans	$383	244%
Aetna	$404	257%
Foundation For Medical Care Of Kern County - All P	$410	261%
Cigna	$438	279%
Western Growers - All Plans	$443	282%

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 $109.
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 Adventist Health Delano 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.