CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Casa Colina Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $180
  • Cash Discount Price: $234
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Casa Colina Hospital is $180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $234. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.15x the Medicare baseline. Located in 255 E Bonita Ave, Pomona, CA.
Cash / Self-Pay
$234

Average discount available for prompt cash payment at this facility.

Insurance Median
$180

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: $234 (149%)
Insurance Median: $180 (115%)
Cash: $234 (149% of Medicare)
Ins. Median: $180 (115% 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
Heritage Prvdr Ntwrk Mcal $144 92%
Heritage Prvdr Ntwrk Comm - All Other Plans $157 100%
Heritage Prvdr Ntwrk Mcr $157 100%
Healthnet Comm - All Other Plans $161 103%
Prospect Hp Mcal $162 103%
Promed Hlth Ntwrk Op Only - All Plans $171 109%
Aetna $180 - $216 115%
Blue Cross Blue Shield $180 - $230 115%
Blue Shield Mcr Adv $180 115%
Caremore Mcr Adv - All Plans $180 115%
Central Hlth Plan - All Plans $180 115%
Doctors Managed Op Only - All Plans $180 115%
Empire Healthcare Op Only - All Plans $180 115%
Epic Comm - All Other Plans $180 115%
Epic Mcr Adv $180 115%
Focus Healthcare Wc - All Plans $180 115%
Healthnet Mcr Adv $180 115%
Humana $180 - $196 115%
Iehp - All Other Plans $180 115%
Iehp Mcr Adv $180 115%
Kaiser Comm - All Other Plans $180 115%
Kaiser Mcr Adv $180 115%
Premiercare Op Only - All Plans $180 115%
Prospect Hp Mcr Adv $180 115%
Triwest - All Plans $180 115%
UnitedHealthcare $180 - $196 115%
Wellcare Mcr Adv - All Plans $180 115%
Corvel - All Plans $196 125%
Coventry - All Plans $196 125%
Multiplan - All Plans $196 125%
Three Rivers - All Plans $196 125%
Prospect Hp Comm - All Other Plans $198 126%
Medi-Cal $222 141%
Affiliated Hlth Funds - All Plans $225 143%
Brand New Day Mcr Adv - All Plans $235 150%
Kaiser Mcal $244 155%
Galaxy Provdr Ntwrk - All Plans $274 175%
Blue Shield Comm - All Other Plans $290 185%
Cigna $309 197%
Healthcare Partners - All Other Plans $314 200%
Healthcare Partners Mcr $314 200%
Primecare Comm - All Other Plans $314 200%
Primecare Mcr Adv $314 200%
Prospect Med Grp Alta - All Plans $333 212%
Iehp Mcal $392 250%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 255 E Bonita Ave, Pomona, CA 91767
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals