CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Loma Linda University Children's Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $526
Cash Discount Price: $383
vs. Medicare Baseline: 3.35x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Loma Linda University Children's Hospital is $526. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $383. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.35x the Medicare baseline. Located in 11234 Anderson Street Suite A, Loma Linda, CA.

Cash / Self-Pay

$383

Average discount available for prompt cash payment at this facility.

Insurance Median

$526

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: $383 (244%)

Insurance Median: $526 (335%)

Cash: $383 (244% of Medicare)

Ins. Median: $526 (335% 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 335% of the Medicare baseline (a markup of 235%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Adventist Health	$170	108%
Lluh Dept Of Risk Management	$204	130%
Inland Empire Health Plan (Iehp)	$249	159%
Kaiser Foundation Hospitals	$281 - $567	179%
UnitedHealthcare	$322	205%
Epic Health Plan	$340	217%
Blue Shield Of California	$343 - $520	218%
Alpha Care Medical Group	$468 - $722	298%
Global Benefits Group	$510	325%
Temecula Valley Physicians Medical Group	$510	325%
Trivalley Medical Group	$510	325%
Blue Cross Blue Shield	$522	333%
Cigna	$544 - $629	347%
Networks By Design	$552	352%
Aetna	$558	355%
Molina Healthcare Of Ca	$595	379%
Multiplan	$680	433%
Dignity Health	$722	460%
Galaxy Health	$722	460%
Prime Health Services	$722	460%
Vantage Medical Group	$722	460%

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 $383.
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 Loma Linda University Children's 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.