CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Southwest Healthcare Rancho Springs Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $822
Cash Discount Price: $918
vs. Medicare Baseline: 5.24x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Southwest Healthcare Rancho Springs Hospital is $822. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $918. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 5.24x the Medicare baseline. Located in 25500 Medical Center Drive, Murrieta, CA.

Cash / Self-Pay

$918

Average discount available for prompt cash payment at this facility.

Insurance Median

$822

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: $918 (585%)

Insurance Median: $822 (524%)

Cash: $918 (585% of Medicare)

Ins. Median: $822 (524% 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 524% of the Medicare baseline (a markup of 424%). 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
Health_Net	$113 - $822	72%
Kaiser	$115 - $714	73%
United_Healthcare	$155 - $185	99%
Blue Cross Blue Shield	$164 - $1,519	104%
Heritage	$169 - $920	108%
Iehp	$200	127%
Aetna	$560	357%
Cigna	$784 - $863	499%
Primecare	$871 - $958	555%
Palomar	$1,027 - $1,130	654%
Rady_Children'S_Hospital	$1,530 - $1,683	975%
Multiplan	$1,966 - $2,164	1252%
Sharp_Health_Plan	$1,966 - $2,164	1252%

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 $918.
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 Southwest Healthcare Rancho Springs Hospital 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.