CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Healthone Rose

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $379
  • Cash Discount Price: $2,652
  • vs. Medicare Baseline: 2.41x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Healthone Rose is $379. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,652. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.41x the Medicare baseline. Located in 4567 E 9Th Ave, Denver, CO.
Cash / Self-Pay
$2,652

Average discount available for prompt cash payment at this facility.

Insurance Median
$379

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: $2,652 (1689%)
Insurance Median: $379 (241%)
Cash: $2,652 (1689% of Medicare)
Ins. Median: $379 (241% 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 241% of the Medicare baseline (a markup of 141%). 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
Blue Cross Blue Shield $115 - $1,962 73%
Humana $116 74%
Aetna $117 - $1,400 75%
Bright Health $117 - $796 75%
Cigna $117 - $1,697 75%
Devoted Health $117 75%
Mutual Of Omaha $117 75%
Rocky Mountain Health $117 75%
Total Longterm Care $117 75%
Triwest Health Alliance $117 75%
United $117 - $1,193 75%
Innovage Pace $120 76%
Kaiser $120 - $690 76%
Wellcare $121 77%
Delaware Life Insurance $123 78%
Rocky Mountain Health Plan $263 168%
Vail Health $403 257%
Colorado Program For Children With Special Needs $1,193 760%
Western Plains Community Health $1,724 1098%
Multiplan $1,856 - $2,387 1182%
Northcare $1,856 1182%
Physician Health Partners $1,856 1182%
Pinnacol Workers Comp $1,989 1267%
Medical Development International $2,122 1352%
Rocky Mtn Planned Parenthood $2,254 1436%
Prime Health $2,387 1521%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4567 E 9Th Ave, Denver, CO 80220
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals