CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: The Medical Center of Aurora & South Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $510
  • Cash Discount Price: $1,674
  • vs. Medicare Baseline: 3.25x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at The Medical Center of Aurora & South Hospital is $510. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,674. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.25x the Medicare baseline. Located in 1501 S Potomac St, Aurora, CO.
Cash / Self-Pay
$1,674

Average discount available for prompt cash payment at this facility.

Insurance Median
$510

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: $1,674 (1066%)
Insurance Median: $510 (325%)
Cash: $1,674 (1066% of Medicare)
Ins. Median: $510 (325% 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 325% of the Medicare baseline (a markup of 225%). 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 - $1,294 73%
Humana $116 74%
Aetna $117 - $923 75%
Bright Health $117 - $524 75%
Cigna $117 - $1,119 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 - $787 75%
Kaiser $120 - $621 76%
Wellcare $121 77%
Delaware Life Insurance $123 78%
Vail Health $243 - $266 155%
Rocky Mountain Health Plan $263 168%
Colorado Program For Children With Special Needs $672 - $734 428%
Western Plains Community Health $1,040 - $1,136 663%
Multiplan $1,120 - $1,573 713%
Northcare $1,120 - $1,224 713%
Physician Health Partners $1,120 - $1,224 713%
Pinnacol Workers Comp $1,201 - $1,311 765%
Medical Development International $1,281 - $1,399 816%
Prime Health $1,441 - $1,573 918%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1501 S Potomac St, Aurora, CO 80012
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals