CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Adventist Health Tehachapi Valley

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $219
  • Cash Discount Price: $157
  • vs. Medicare Baseline: 1.40x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Adventist Health Tehachapi Valley is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $157. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.40x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.
Cash / Self-Pay
$157

Average discount available for prompt cash payment at this facility.

Insurance Median
$219

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: $157 (100%)
Insurance Median: $219 (140%)
Cash: $157 (100% of Medicare)
Ins. Median: $219 (140% 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
Aetna $47 - $596 30%
Healthnet Mcare $47 - $117 30%
Tricare $47 - $117 30%
UnitedHealthcare $47 - $301 30%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla $47 - $117 30%
Ah Employee Health Plan - All Plans $52 - $326 33%
Network Providers- All Plans $52 - $150 33%
Oscar Health Plan- All Plans $54 - $269 34%
Cigna $56 - $480 36%
Coventry- All Plans $57 - $554 36%
Blue Shield Epn- All Other Plans $63 - $260 40%
Blue Shield Non-Epn $66 - $308 42%
Healthnet- All Other Plans $69 - $474 44%
Centivo - All Plans $71 - $263 45%
Western Grwrs/Pinnacle - All Plans $71 - $258 45%
Blue Cross Blue Shield $98 - $355 62%
Medicare (plans) $110 - $117 70%
Medi-Cal $148 - $222 94%
Universal Ipa Mcal Op/Profee Only $148 - $222 94%
Kaiser Ip/Op Only- All Other Plans $190 - $201 121%
Kaiser Medi-Cal Ip/Op Only $222 141%
Bc Mcal $229 146%
Healthnet Medi-Cal $272 173%
Khs-Kern Hlth Systm Mcal $286 182%
Klhp-Kern Legacy Epo -All Other Plans $290 - $308 185%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1100 Magellan, Tehachapi, CA 93561
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals