CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Desert Valley Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $121
Cash Discount Price: $121
vs. Medicare Baseline: 0.77x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Desert Valley Hospital is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.77x the Medicare baseline. Located in 16850 Bear Valley Rd, Victorville, CA.

Cash / Self-Pay

$121

Average discount available for prompt cash payment at this facility.

Insurance Median

$121

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: $121 (77%)

Insurance Median: $121 (77%)

Cash: $121 (77% of Medicare)

Ins. Median: $121 (77% 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 Shield Of Promise	$108 - $121	69%
Heritage Victor Valley Medical Group	$108 - $157	69%
High Desert Pace	$108 - $121	69%
Molina	$108 - $121	69%
Traditional Medi-Cal	$108	69%
Vantage Care	$108 - $121	69%
Health Net Of Ca	$116 - $180	74%
Blue Shield Of Ca	$120	76%
Aetna	$121 - $252	77%
Alignment	$121	77%
Blue Cross Blue Shield	$121 - $455	77%
Choice Physicians Network	$121	77%
Elite Health Plan	$121	77%
Epic Health Plan	$121	77%
High Desert Primary Care	$121	77%
Inland Empire Foundation For Medical Care	$121	77%
Inland Empire Health Plan	$121 - $157	77%
Medicare (plans)	$121	77%
Renal Payor Solutions	$121	77%
The Geo Group Inc	$121	77%
Tricare	$121	77%
UnitedHealthcare	$121 - $201	77%
Brand New Day	$122 - $182	78%
Imperial Health Plan Of Ca	$128	82%
Wellpath	$145	92%
Prime Health Services Inc	$153	97%
Workers Compensation	$159	101%
Employer Direct Healthcare	$169	108%
Naphcare	$169	108%

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 $121.
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 Desert Valley 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.