CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Healthone Mountain Ridge

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $768
  • Cash Discount Price: $4,008
  • vs. Medicare Baseline: 4.89x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Healthone Mountain Ridge is $768. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,008. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 4.89x the Medicare baseline. Located in 9191 Grant St, Thornton, CO.
Cash / Self-Pay
$4,008

Average discount available for prompt cash payment at this facility.

Insurance Median
$768

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: $4,008 (2553%)
Insurance Median: $768 (489%)
Cash: $4,008 (2553% of Medicare)
Ins. Median: $768 (489% 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 489% of the Medicare baseline (a markup of 389%). 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 - $3,741 73%
Humana $116 74%
Aetna $117 - $2,669 75%
Bright Health $117 - $1,517 75%
Cigna $117 - $3,235 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 - $2,275 75%
Innovage Pace $120 76%
Kaiser $120 - $1,795 76%
Wellcare $121 77%
Delaware Life Insurance $123 78%
Rocky Mountain Health Plan $263 168%
Life Source Services $350 223%
Vail Health $450 - $768 287%
Colorado Program For Children With Special Needs $1,007 - $1,719 641%
Western Plains Community Health $1,924 - $3,286 1226%
Multiplan $2,072 - $4,550 1320%
Northcare $2,072 - $3,539 1320%
Physician Health Partners $2,072 - $3,539 1320%
Pinnacol Workers Comp $2,220 - $3,791 1414%
Medical Development International $2,368 - $4,044 1508%
Prime Health $2,664 - $4,550 1697%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 9191 Grant St, Thornton, CO 80229
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals