CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: Coastal Communities Hospital
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $207
- Cash Discount Price: $810
- vs. Medicare Baseline: 1.32x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Coastal Communities Hospital is $207. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $810. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.32x the Medicare baseline. Located in 2701 S Bristol St, Santa Ana, CA.
Cash / Self-Pay
$810
Average discount available for prompt cash payment at this facility.
Insurance Median
$207
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: $810 (516%)
Insurance Median: $207 (132%)
Cash: $810 (516% of Medicare)
Ins. Median: $207 (132% 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 |
|---|---|---|
| Monarch | $121 - $143 | 77% |
| Altamed Health Services | $124 - $207 | 79% |
| Champus | $124 | 79% |
| Blue Shield | $130 - $497 | 83% |
| Caloptima | $130 - $207 | 83% |
| Central Health Plan Of California | $130 | 83% |
| Champion Health Plan | $130 | 83% |
| Choice Physicians Network | $130 | 83% |
| Citizens Choice Health Plan | $130 | 83% |
| Clever Care Health Plan | $130 | 83% |
| Easy Choice Health Plan | $130 | 83% |
| For Your Benefit | $130 | 83% |
| Health Net | $130 - $591 | 83% |
| Healthcare Partners Sr Hmo | $130 | 83% |
| Heritage | $130 | 83% |
| Hollywood Presbyterian | $130 - $148 | 83% |
| Humana | $130 | 83% |
| Imperial Health Plan Of Ca | $130 | 83% |
| Innovative Integrated Health | $130 | 83% |
| Kaiser | $130 - $499 | 83% |
| Kpc Healthcare Inc | $130 - $207 | 83% |
| Medcare Partners | $130 | 83% |
| Onecare | $130 | 83% |
| Onecare Connect | $130 | 83% |
| Other Senior Non Contract | $130 | 83% |
| Prospect Health Plan | $130 - $207 | 83% |
| Scan Health Plan | $130 | 83% |
| Self Pay Ab774/Cbo Use Only | $130 | 83% |
| UnitedHealthcare | $130 - $163 | 83% |
| Us Dept Of Labor | $130 | 83% |
| Us Federal Marshall/Department Of Immigration | $130 | 83% |
| Velocity Provider Network Sr | $130 | 83% |
| Verda Health Plan Sr | $130 | 83% |
| Veterans Administration | $130 | 83% |
| Victim Of Violent Crime | $130 | 83% |
| Victoria Hospice | $130 | 83% |
| Brand New Day | $146 | 93% |
| Altamed Mcal Hmo (Ancillary) | $148 | 94% |
| Healthcare Partners | $148 | 94% |
| Medi-Cal Hmo/Non Contract | $148 | 94% |
| Medicaid / KanCare | $148 | 94% |
| Prime Health Srvs | $150 - $648 | 96% |
| Monarch Health Plan | $152 | 97% |
| County Of Orange/Custody/Advanced Medmgt | $163 | 104% |
| Veterans Evaluation Services | $163 | 104% |
| Staywell/Island Home Ins | $183 | 117% |
| Choc Health Alliance | $207 | 132% |
| County Of Orange | $207 | 132% |
| Family Choice | $207 | 132% |
| Heritage Provider Network | $207 - $486 | 132% |
| Three Rivers Network | $228 | 145% |
| Velocity National Provider Network Ppo | $228 | 145% |
| Cigna | $235 - $526 | 150% |
| Ihhi Reciprocity | $243 | 155% |
| Aetna | $331 | 211% |
| Velocity National Provider Network Wc | $364 | 232% |
| First Health | $425 | 271% |
| Magellan | $486 | 310% |
| Multiplan | $567 | 361% |
| Networks By Design | $567 | 361% |
| Networks By Design Wc | $567 | 361% |
| Healthsmart | $608 | 387% |
| Interplan | $608 | 387% |
| Prime Health | $608 | 387% |
| Pnoa-Provider Network Of America | $648 | 413% |
| Prime Health Srvs/Network | $688 | 438% |
| Lucet Behavioral Health Sr | $810 | 516% |
| Managed Health Network | $810 | 516% |
| Other Insurance Loa | $810 | 516% |
| Other Non Contracted Plans | $810 | 516% |
| Private Pay | $810 | 516% |
| Us Behavioral Health Plan | $810 | 516% |
| Vitas Hospice | $810 | 516% |