CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Winter Haven Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $241
  • Cash Discount Price: $295
  • vs. Medicare Baseline: 1.54x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Winter Haven Hospital is $241. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $295. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.54x the Medicare baseline. Located in 200 Ave F Ne, Winter Haven, FL.
Cash / Self-Pay
$295

Average discount available for prompt cash payment at this facility.

Insurance Median
$241

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: $295 (188%)
Insurance Median: $241 (154%)
Cash: $295 (188% of Medicare)
Ins. Median: $241 (154% 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
Clear Health Alliance $30 19%
UnitedHealthcare $30 - $443 19%
Aetna $31 - $401 20%
Freedom Health $31 20%
Humana $31 - $128 20%
Molina Healthcare $31 20%
Simply Healthcare $31 - $89 20%
Sunshine Health $31 20%
Florida Community Care $32 20%
Molina $89 - $291 57%
Baycareplus $102 65%
Blue Cross Blue Shield $102 - $284 65%
Solis Health $112 71%
Careplus $118 75%
Cigna $118 - $428 75%
Health First $118 75%
Freedom $127 81%
Optimum $127 81%
Wellcare $143 91%
Ultimate Health Plan $148 94%
Avmed $153 - $241 97%
Florida Hospital $226 144%
Ambetter / Centene $230 - $492 147%
Evolutions $246 - $458 157%
Multiplan $394 251%
First Health $418 266%
United Behavioral Health $492 313%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Ave F Ne, Winter Haven, FL 33881
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals