CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: San Luis Valley Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $410
Cash Discount Price: $243
vs. Medicare Baseline: 2.61x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at San Luis Valley Regional Medical Center is $410. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.61x the Medicare baseline. Located in 106 Blanca Ave, Alamosa, CO.

Cash / Self-Pay

$243

Average discount available for prompt cash payment at this facility.

Insurance Median

$410

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: $243 (155%)

Insurance Median: $410 (261%)

Cash: $243 (155% of Medicare)

Ins. Median: $410 (261% 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 261% of the Medicare baseline (a markup of 161%). 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
Uc Health Plan Pb	$82	52%
Rocky Mountain	$155	99%
Aetna	$164 - $512	104%
Multiplan Physician	$164	104%
Cigna	$195 - $556	124%
Rocky Mountain Pb	$195	124%
Uchpa Phs - Pb	$195	124%
Tricare	$208 - $213	133%
Kaiser	$213 - $556	136%
Triwest	$213	136%
Co Choice Healthplan - Lutheran Hosp Assoc	$398	254%
Hmo Health Plans	$410	261%
Presbyterian Health Plan	$479	305%
UnitedHealthcare	$514 - $538	327%
Blue Cross Blue Shield	$515	328%
Galaxy Health Network	$515	328%
Multiplan	$515 - $526	328%
Humana	$526	335%
Pinnacol Assurance	$544	347%
Colorado Access	$553	352%
Foundation Health Corp	$556	354%
Uc Health Plan	$556	354%
Uchpa Phs	$556	354%

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 $243.
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 San Luis Valley Regional Medical Center 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.