CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: University of Miami Hospital and Clinics

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $621
Cash Discount Price: $288
vs. Medicare Baseline: 3.96x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at University of Miami Hospital and Clinics is $621. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $288. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.96x the Medicare baseline. Located in 1475 Nw 12Th Ave Suite 2175, Miami, FL.

Cash / Self-Pay

$288

Average discount available for prompt cash payment at this facility.

Insurance Median

$621

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: $288 (183%)

Insurance Median: $621 (396%)

Cash: $288 (183% of Medicare)

Ins. Median: $621 (396% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 396% of the Medicare baseline (a markup of 296%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Careplus	$267	170%
Sunshine Health	$278	177%
Molina Healthcare Of Fl	$334	213%
Oscar Health Of Fl	$351	224%
Amerihealth Caritas Fl	$354	226%
UnitedHealthcare	$369 - $485	235%
Aetna	$372 - $586	237%
Blue Cross Blue Shield	$411 - $691	262%
Cigna	$515 - $620	328%
Curative	$566	361%
Avmed	$609 - $694	388%
Employers Health Network	$641	408%
Simply Healthcare	$641	408%
First Health	$694	442%
Health First New York Health Insurance	$694	442%
Broward Health	$748	476%
Beech Street	$854	544%
Dimension Health	$854	544%
Multiplan	$854	544%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $288.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm University of Miami Hospital and Clinics is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.