CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Florida Citrus Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $113
  • Cash Discount Price: $1,203
  • vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Florida Citrus Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,203. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.72x the Medicare baseline. Located in 502 W Highland Blvd, Inverness, FL.
Cash / Self-Pay
$1,203

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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: $1,203 (766%)
Insurance Median: $113 (72%)
Cash: $1,203 (766% of Medicare)
Ins. Median: $113 (72% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $57 36%
Access 2 Healthcare Physicians Freedom Health $72 46%
Access 2 Healthcare Physicians Optimum $72 46%
Freedom Health Care $78 50%
Optimum Healthcare $78 50%
Avmed $96 - $301 61%
Humana $99 - $337 63%
Caresource $102 65%
Aetna $106 - $361 68%
Hernando-Pasco Hospice $106 68%
Ndms Definitive Care $106 68%
United $106 - $541 68%
United Behavioral Health $106 68%
United Va Ccn $106 68%
Wellmed $106 68%
Blue Cross Blue Shield $108 69%
Ultimate Health Plan $108 69%
Sunshine State $111 71%
Wellcare $111 71%
American Health Plan $112 71%
Align Senior Care $113 72%
Cigna $113 72%
Florida Complete Care $113 72%
Secur $115 73%
Gold Kidney Of Florida $116 74%
Centurion $117 75%
Clear Spring Health $117 75%
Molina $229 - $325 146%
Sunshine State Health Plan $307 196%
Beacon Health Options $602 383%
Plotkin Health $602 383%
Prime Health Sheriff $602 383%
Evolutions Healthcare Systems $722 - $1,107 460%
Multiplan $902 - $1,023 575%
Evernorth $963 613%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 502 W Highland Blvd, Inverness, FL 34452
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals