CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Orthocolorado Hosp at St Anthony Med Campus

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $195
  • Cash Discount Price: $378
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Orthocolorado Hosp at St Anthony Med Campus is $195. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $378. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.24x the Medicare baseline. Located in 11650 W 2Nd Pl, Lakewood, CO.
Cash / Self-Pay
$378

Average discount available for prompt cash payment at this facility.

Insurance Median
$195

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: $378 (241%)
Insurance Median: $195 (124%)
Cash: $378 (241% of Medicare)
Ins. Median: $195 (124% 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 $111 - $263 71%
Aetna $112 - $191 71%
Blue Cross Blue Shield $112 - $251 71%
Cigna $112 - $210 71%
Devoted Health $112 71%
Humana $112 71%
Innovage $112 71%
Kaiser $112 - $261 71%
Medicare (plans) $112 71%
Centura Employee Plan $122 78%
Direct To Employer $134 - $378 85%
Peak Health $179 - $369 114%
Denver Health $223 142%
Multiplan $235 - $804 150%
United Colorado Doctor'S Plan $263 168%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11650 W 2Nd Pl, Lakewood, CO 80228
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals