CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Baptist Hospital of Miami

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $173
  • Cash Discount Price: $560
  • vs. Medicare Baseline: 1.10x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Baptist Hospital of Miami is $173. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $560. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.10x the Medicare baseline. Located in 8900 N Kendall Dr, Miami, FL.
Cash / Self-Pay
$560

Average discount available for prompt cash payment at this facility.

Insurance Median
$173

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: $560 (357%)
Insurance Median: $173 (110%)
Cash: $560 (357% of Medicare)
Ins. Median: $173 (110% 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
Aetna $16 - $690 10%
Medicaid / KanCare $16 - $33 10%
Sunshine State $16 - $31 10%
Amerigroup $30 19%
UnitedHealthcare $31 - $862 20%
Wellcare $31 20%
Medicare (plans) $116 - $157 74%
Blue Cross Blue Shield $120 - $559 76%
Medica Health Plan $124 79%
Humana $127 81%
Avmed $128 - $424 82%
Leon Medical $130 83%
Cigna $132 - $690 84%
Vista $173 110%
Non Contracted $316 201%
Amerihealth $388 247%
International $560 357%
Dimension Health Plan $646 - $776 412%
Affordable $733 467%
Phcs $776 494%
Quality Health $776 494%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8900 N Kendall Dr, Miami, FL 33176
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals