CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Intermountain Health St. Mary's Regional Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $448
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.85x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Intermountain Health St. Mary's Regional Hospital is $448. 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 2.85x the Medicare baseline. Located in 2635 N 7Th St, Grand Junction, CO.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$448

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: $448 (285%)
Ins. Median: $448 (285% 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 285% of the Medicare baseline (a markup of 185%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Select Health $160 102%
UnitedHealthcare $160 - $472 102%
Blue Cross Blue Shield $186 - $536 118%
Monument Health $268 171%
Cigna $330 - $383 210%
Allegiance $383 244%
Aetna $404 - $473 257%
Kaiser Perm Ppo/Pos $435 277%
Geha $448 - $472 285%
Meritain Health $448 285%
Humana $471 300%
Cofinity $473 301%
First Health Network $473 301%
Private Hlthcare Sys $498 317%
Public Employees Health $519 331%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2635 N 7Th St, Grand Junction, CO 81501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals