CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Medstar Washington Hospital Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $231
  • Cash Discount Price: $536
  • vs. Medicare Baseline: 1.47x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Medstar Washington Hospital Center is $231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $536. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.47x the Medicare baseline. Located in 110 Irving Street Nw, Washington, DC.
Cash / Self-Pay
$536

Average discount available for prompt cash payment at this facility.

Insurance Median
$231

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: $536 (341%)
Insurance Median: $231 (147%)
Cash: $536 (341% of Medicare)
Ins. Median: $231 (147% 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
Kaiser Permanente $89 - $412 57%
Amerigroup $101 64%
Amerihealth Caritas District Of Columbia $101 64%
Hscsn $101 64%
Medstar Family Choice Inc $101 - $231 64%
Mamsi $122 78%
UnitedHealthcare $122 - $239 78%
Carefirst Advantage Inc $130 83%
Tricare $130 83%
Aetna $134 - $527 85%
Health Care Service Corporation $137 87%
Humana $137 87%
Carefirst Blue Choice Inc $484 308%
Pfc $536 341%
Ncppo Healthlink Ppo $618 394%
Private Healthcare Systems (Phcs) $659 420%
First Health $701 447%
Cigna $1,156 736%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 110 Irving Street Nw, Washington, DC 20010
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals