CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: East Morgan County Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $141
  • Cash Discount Price: $196
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at East Morgan County Hospital is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $196. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.90x the Medicare baseline. Located in 2400 W Edison St, Brush, CO.
Cash / Self-Pay
$196

Average discount available for prompt cash payment at this facility.

Insurance Median
$141

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: $196 (125%)
Insurance Median: $141 (90%)
Cash: $196 (125% of Medicare)
Ins. Median: $141 (90% 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
Pinnacol Assurance Workers Comp $43 - $183 27%
Aetna $44 - $404 28%
Banner Health $44 - $187 28%
Blue Cross Blue Shield $44 - $356 28%
Clear Spring Health $44 - $187 28%
Healthspring Life & Health Insurance Company, Inc. $44 - $187 28%
Medica $44 - $362 28%
Medicare (plans) $44 - $187 28%
Triwest Healthcare Alliance Corp - Va Ccn $44 - $187 28%
UnitedHealthcare $44 - $404 28%
Longevity $46 - $192 29%
Humana $47 - $198 30%
Devoted Health Services $49 - $205 31%
Assist Health Group $53 - $224 34%
Denver Health Medical Plan $82 - $347 52%
Apostrophe, Inc. $93 - $391 59%
First Choice Health Network $93 - $391 59%
Hue Health, Inc $98 - $412 62%
Rocky Mountain Health Plans $98 - $412 62%
Multiplan $100 - $421 64%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 W Edison St, Brush, CO 80723
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals