CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Florida Highlands Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $127
  • Cash Discount Price: $2,672
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Florida Highlands Hospital is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,672. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.81x the Medicare baseline. Located in 3600 S Highlands Ave, Sebring, FL.
Cash / Self-Pay
$2,672

Average discount available for prompt cash payment at this facility.

Insurance Median
$127

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: $2,672 (1702%)
Insurance Median: $127 (81%)
Cash: $2,672 (1702% of Medicare)
Ins. Median: $127 (81% 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
Devoted Health $106 68%
Humana $106 - $1,069 68%
Ndms Definitive Care $106 68%
United $106 - $1,202 68%
Wellmed $106 68%
Blue Cross Blue Shield $108 69%
Aetna $109 - $802 69%
Prominence Healthfirst $111 71%
Sunshine State $111 - $117 71%
American Health Plan $112 71%
Cigna $113 72%
Florida Complete Care $113 72%
Centurion $117 75%
Amerihealth Caritas $127 81%
Longevity Health Plan $127 81%
Freedom Health $230 147%
Avmed $347 - $1,336 221%
Molina $508 324%
Office Of Sheiff Highland Co $935 596%
United Ppo $1,176 749%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3600 S Highlands Ave, Sebring, FL 33870
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals