CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: Greater El Monte Community Hospital
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $195
- Cash Discount Price: $975
- vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Greater El Monte Community Hospital is $195. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $975. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.24x the Medicare baseline. Located in 1701 Santa Anita Ave, South El Monte, CA.
Cash / Self-Pay
$975
Average discount available for prompt cash payment at this facility.
Insurance Median
$195
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: $975 (621%)
Insurance Median: $195 (124%)
Cash: $975 (621% of Medicare)
Ins. Median: $195 (124% 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.
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 |
|---|---|---|
| In Custody-Ca Highway Patrol | $20 | 13% |
| Blue Cross Blue Shield | $46 - $655 | 29% |
| Clinica Medica Familiar | $50 | 32% |
| Veterans Administration | $91 | 58% |
| Care 1St Medi Cal Hmo Cap Exceptional Care | $98 | 62% |
| Aids Health Foundation | $128 - $148 | 82% |
| Alignment Health Plan | $128 | 82% |
| Allied Physicians | $128 - $148 | 82% |
| Altamed Health Network | $128 - $148 | 82% |
| Apa/Aco Inc | $128 | 82% |
| Avanti | $128 - $157 | 82% |
| Beverly Hospital | $128 - $148 | 82% |
| Blue Shield Of California | $128 - $1,257 | 82% |
| Brand New Day | $128 - $163 | 82% |
| Cms | $128 | 82% |
| Easy Choice Health Plan | $128 | 82% |
| Health Net Inc | $128 - $690 | 82% |
| La Care Health Plan | $128 - $536 | 82% |
| Other Non Contracted Senior Hmo | $128 | 82% |
| Pacific Alliance Medical Center Reciprocal Contract | $128 | 82% |
| Scan Health Plan | $128 | 82% |
| UnitedHealthcare | $128 - $837 | 82% |
| Champus Foundation | $129 | 82% |
| Associated Hispanic Physicians | $130 - $148 | 83% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $130 | 83% |
| Emanate Health | $130 - $163 | 83% |
| Good Samaritan Medical Practice Assoc | $130 - $585 | 83% |
| Health Net Foundation | $130 - $634 | 83% |
| La Care Covered Direct | $130 | 83% |
| Pacificare Of California | $130 - $844 | 83% |
| Self-Pay | $130 | 83% |
| Molina Healthcare | $135 | 86% |
| Inter Valley Health Plan | $137 | 87% |
| Molina Healthcare Of California | $137 - $380 | 87% |
| San Miguel Health Plan | $143 | 91% |
| Ahmc Healthcare Inc | $148 | 94% |
| Allied Physicians Medical Group | $148 - $292 | 94% |
| Healthy Way La | $148 | 94% |
| Hollywood Presbyterian Adv Med Mcal | $148 | 94% |
| Hollywood Presbyterian Medpoint Mcal | $148 | 94% |
| Other Non Contracted Medi-Cal Hmo | $148 | 94% |
| State Of California | $148 | 94% |
| Chinatown Service Center Pace | $154 | 98% |
| Knox-Keene Act | $163 | 104% |
| Bella Vista Medical Group Ipa | $195 - $439 | 124% |
| Employee Health Systems Medical Group | $195 | 124% |
| Global Care Medical Group Ipa | $195 - $439 | 124% |
| Caloptima | $218 | 139% |
| Cigna | $230 | 147% |
| Alta Med Health Services Med Grp | $244 | 155% |
| Central Health Plan | $265 - $682 | 169% |
| Ahmc Reciprocity Agreement | $292 | 186% |
| Ahmc Reciprocity Agreement Senior/Commercial | $292 | 186% |
| Lincoln Hospital Medical Center | $292 | 186% |
| California Thoroughbred Horesmans Foundation | $488 | 311% |
| Universal Care | $488 - $682 | 311% |
| Care 1St Health Plan | $585 | 373% |
| Cost Containment Strategies | $634 | 404% |
| In Custody Police Dept | $634 | 404% |
| Interplan | $634 - $731 | 404% |
| Community Care Network | $780 | 497% |
| Multiplan | $829 | 528% |
| Health Payors Organization | $878 | 559% |
| Commercial Non Contract | $975 | 621% |
| Medi-Cal Sub Acute | $975 | 621% |
| Nuclear Medicine/Whmc | $975 | 621% |
| One Legacy | $975 | 621% |