CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Healthone Presbyterian St Luke's

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $119
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Healthone Presbyterian St Luke's is $119. 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 0.76x the Medicare baseline. Located in 1719 E 19Th Ave, Denver, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$119

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: $119 (76%)
Ins. Median: $119 (76% 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
UnitedHealthcare $100 64%
Blue Cross Blue Shield $115 - $816 73%
Humana $116 - $117 74%
Aetna $117 75%
Bright Health $117 75%
Cigna $117 - $493 75%
Devoted Health $117 75%
Kaiser National Transplant $117 75%
Mutual Of Omaha $117 75%
Rocky Mountain Health $117 75%
Total Longterm Care $117 75%
Triwest Health Alliance $117 75%
United $117 - $263 75%
Innovage Pace $120 76%
Kaiser $120 76%
Wellcare $121 77%
Delaware Life Insurance $123 78%
Rocky Mountain Health Plan $263 168%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1719 E 19Th Ave, Denver, CO 80218
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals