CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Hialeah Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $117
  • Cash Discount Price: $1,199
  • vs. Medicare Baseline: 0.75x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Hialeah Hospital is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,199. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.75x the Medicare baseline. Located in 651 E 25Th St, Hialeah, FL.
Cash / Self-Pay
$1,199

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $1,199 (764%)
Insurance Median: $117 (75%)
Cash: $1,199 (764% of Medicare)
Ins. Median: $117 (75% 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
Humana $30 - $549 19%
Medicaid / KanCare $30 - $32 19%
UnitedHealthcare $31 - $110 20%
Aetna $36 - $863 23%
Veterans Administration Mill Bill $77 49%
Medicare (plans) $99 - $241 63%
Devoted Health $110 70%
Leon Health Inc $110 70%
Bristol Hospice- Miami Dade Llc $112 71%
Catholic Hospice $112 71%
Comprehensive Home Health Care Dba Opuscare Of South Florida $112 71%
Employer Direct Healthcare $112 - $200 71%
Hcr Manor Care Services Of Fl $112 71%
Hospice Other $112 71%
Odyssey Healthcare Of Marion County Dba Kindred Hospice $112 71%
Seasons Hospice And Pallative Care Of Southern Florida Inc $112 71%
Tricare $112 71%
Veterans Administration Vaccn $112 71%
Vitas Healthcare Hospice Corporation Of Fl $112 71%
Vitas Hospice Unit Agreement $112 71%
Cigna $116 - $353 74%
Healthsun Health Plans $116 - $165 74%
Longevity Health Plan $117 75%
Avmed Broad Network $131 83%
Florida Pace Centers $133 85%
Bright Health Management Commercial $135 86%
Bc/Bs Myblue Hmo Hix $137 87%
Self Pay/Uninsured $138 - $197 88%
Bc/Bs Of Fl Simplyblue $144 92%
Bc/Bs Of Fl Miami Dade Blue Select $149 95%
Naphcare Inc $155 99%
Imagine Health $181 115%
Bc/Bs Of Fl Network Blue $192 122%
Avmed Exchange $196 125%
Bc/Bs Of Fl Health Options Hmo $197 125%
Bc/Bs Of Fl Ppo $203 129%
Ambetter / Centene $208 133%
Bc/Bs Of Fl Blue Select Exchange Non Par $214 136%
Molina Marketplace Program Exchange $214 136%
Auto Insurance $224 143%
Oscar Health Plan Hix $224 143%
Avmed Select Network $230 147%
Amerihealth Caritas Next Exchange $241 154%
Bc/Bs Of Fl Phs $622 396%
Dimensions International $779 496%
First Health $815 519%
Dimension Health Ppo $899 573%
Dimension Health Wc $899 573%
Workers Compensation $899 573%
Commercial Non-Contracted $1,199 764%
Self Pay - Mcd Pending 100 Percent $1,199 764%
Single Case Agreement $1,199 764%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 651 E 25Th St, Hialeah, FL 33013
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals