CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Temecula Valley Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $664
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 4.23x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Temecula Valley Hospital is $664. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 4.23x the Medicare baseline. Located in 31700 Temecula Pkwy, Temecula, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$664

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%)
Insurance Median: $664 (423%)
Ins. Median: $664 (423% 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 423% of the Medicare baseline (a markup of 323%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Heritage $108 69%
Iehp $108 69%
Molina $108 69%
Aetna $111 71%
Health_Net $113 - $680 72%
United_Healthcare $113 - $185 72%
Kaiser $165 - $649 105%
Cigna $784 499%
Primecare $871 555%
Exclusive_Care $983 626%
Sharp_Health_Plan $983 626%
Palomar $1,027 654%
Blue_Shield $1,378 878%
Multiplan $1,966 1252%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 31700 Temecula Pkwy, Temecula, CA 92592
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals