CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: Monterey Park Hospital
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $186
- Cash Discount Price: $849
- vs. Medicare Baseline: 1.18x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Monterey Park Hospital is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $849. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.18x the Medicare baseline. Located in 900 S Atlantic Blvd, Monterey Park, CA.
Cash / Self-Pay
$849
Average discount available for prompt cash payment at this facility.
Insurance Median
$186
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: $849 (541%)
Insurance Median: $186 (118%)
Cash: $849 (541% of Medicare)
Ins. Median: $186 (118% 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
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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 |
|---|---|---|
| Altamed Health Services Corporation | $19 - $138 | 12% |
| Care 1St M Cal | $19 - $138 | 12% |
| Crown City Medical Group Inc | $19 - $138 | 12% |
| Family Health Alliance Medical Group | $19 - $412 | 12% |
| Garfield Medical Center | $19 - $138 | 12% |
| Physician Healthways | $19 - $344 | 12% |
| Universal Care M Cal/Advantage Health Network | $19 - $138 | 12% |
| Employee Health Systems Medical Group | $38 - $275 | 24% |
| Global Care Medical Group Ipa | $38 - $619 | 24% |
| Healthnet/Ehs Capitation | $38 - $275 | 24% |
| Blue Cross Blue Shield | $46 - $996 | 29% |
| Alta Med Health Services Corp | $47 - $344 | 30% |
| Hispanic Physicians Ipa Medical Corporation | $47 - $344 | 30% |
| Ahmc Healthcare Inc | $56 - $412 | 36% |
| Ahmc Reciprocity Agreement Senior/Commercial | $56 - $412 | 36% |
| Allied Physicians Ipa | $56 - $412 | 36% |
| Bella Vista Medical Group | $56 - $412 | 36% |
| Community Health Plan M Cal Joy Ipa | $56 - $412 | 36% |
| Esperanza Medical Group Ipa | $56 - $412 | 36% |
| Pacific Independent Physician Association | $56 - $412 | 36% |
| Tenet Reciprocity | $56 - $412 | 36% |
| Healthcare Partners Affiliates Medical Group | $67 - $491 | 43% |
| Molina Medical Centers | $73 - $536 | 47% |
| Central Health Plan Of California | $75 - $550 | 48% |
| Veterans Administration | $91 | 58% |
| Blue Shield Of California | $94 - $1,328 | 60% |
| La Care Health Plan | $103 - $756 | 66% |
| Applecare Medical Group | $104 - $148 | 66% |
| Health Net Of California | $112 - $822 | 71% |
| Alhambra Community Dialysis Unit Inc | $113 - $825 | 72% |
| Care 1St Health Plan | $113 - $825 | 72% |
| Greater Los Angeles Dialysis Inc | $113 - $825 | 72% |
| One Health Plan | $113 - $825 | 72% |
| Senior Citizens Choice | $116 | 74% |
| Access Ipa Ancillary | $117 - $148 | 75% |
| Associated Hispanic Physicians Ancillary | $117 - $148 | 75% |
| Choice Care Network | $122 - $894 | 78% |
| Health Net | $122 - $894 | 78% |
| Healthnet | $122 - $894 | 78% |
| Aetna | $128 - $1,001 | 82% |
| Aids Health Foundation | $128 - $148 | 82% |
| Alignment Health Plan | $128 | 82% |
| Allied Physicians | $128 - $196 | 82% |
| Altamed Health Network | $128 - $148 | 82% |
| Apa/Aco Inc | $128 | 82% |
| Avanti | $128 - $157 | 82% |
| Beverly Hospital | $128 - $148 | 82% |
| Brand New Day | $128 - $163 | 82% |
| Cms | $128 | 82% |
| Easy Choice Health Plan | $128 | 82% |
| First Health Senior | $128 | 82% |
| Foundation Health Plan | $128 | 82% |
| Health Net Inc | $128 - $974 | 82% |
| Humana | $128 | 82% |
| Medicare (plans) | $128 - $135 | 82% |
| Preferred Ipa | $128 - $163 | 82% |
| Scan Health Plan | $128 | 82% |
| Secure Horizons | $128 | 82% |
| Ucla/Impact Cancer | $128 | 82% |
| UnitedHealthcare | $128 - $962 | 82% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $130 | 83% |
| Emanate Health | $130 - $163 | 83% |
| La Care | $130 - $148 | 83% |
| La Care Covered Direct | $130 | 83% |
| Maxi Med Inc/Ipa | $130 - $148 | 83% |
| Self-Pay | $130 | 83% |
| Universal Care | $132 - $962 | 84% |
| Molina Healthcare Medi-Connect | $135 | 86% |
| Interplan | $141 - $1,031 | 90% |
| San Miguel Health Plan | $143 | 91% |
| Accountable Ipa | $148 | 94% |
| Altamed Health Services | $148 | 94% |
| Assess Ipa | $148 | 94% |
| Bella Vista Medical Group Ancillary | $148 | 94% |
| Care 1St Mcl/Gar Cap | $148 | 94% |
| Central Health Plan | $148 | 94% |
| Community Health Plan | $148 | 94% |
| Health Net Medi Cal | $148 | 94% |
| Healthnet Inc | $148 | 94% |
| Healthy Way La | $148 | 94% |
| Hollywood Presbyterian Adv Med Mcal | $148 | 94% |
| Hollywood Presbyterian Medpoint Mcal | $148 | 94% |
| Medi Cal | $148 | 94% |
| Medical Managed Care Program | $148 | 94% |
| Molina Healthcare | $148 | 94% |
| Other Non-Contracted Medi-Cal | $148 | 94% |
| Preferred Ipa Of California | $148 | 94% |
| Corvel Corporation | $150 - $1,100 | 96% |
| Preferred Health Network | $150 - $1,100 | 96% |
| Bce Emergis Corp | $160 - $1,169 | 102% |
| Multiplan | $160 - $1,169 | 102% |
| Ahmc Health Epo | $163 | 104% |
| Knox-Keene Act | $163 | 104% |
| Molina Healthcare Of California | $163 | 104% |
| Pacificare | $185 - $462 | 118% |
| Caloptima Direct | $188 - $218 | 120% |
| Commercial Non Contract | $188 - $1,375 | 120% |
| Mri/Ct Greater El Monte Hospital | $188 - $1,375 | 120% |
| Mri/Mra/Alhambra Hospital | $188 - $1,375 | 120% |
| Mri/Mra/Eladh | $188 - $1,375 | 120% |
| One Legacy | $188 - $1,375 | 120% |
| Cigna | $230 | 147% |