CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Sarasota Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $95
Cash Discount Price: $234
vs. Medicare Baseline: 0.61x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Sarasota Memorial Hospital is $95. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $234. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.61x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

$234

Average discount available for prompt cash payment at this facility.

Insurance Median

$95

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: $234 (149%)

Insurance Median: $95 (61%)

Cash: $234 (149% of Medicare)

Ins. Median: $95 (61% 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.

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
Simply Healthcare	$29 - $31	18%
Sunshine State	$31	20%
Amerihealth Caritas	$32	20%
Community Care Plan	$32	20%
Florida Community Care	$32 - $162	20%
Molina	$32	20%
Simply Healthcare Oncology	$32 - $76	20%
Sunshine State Oncology	$32 - $76	20%
Amerihealth Caritas Oncology	$33 - $79	21%
Community Care Plan Oncology	$33 - $79	21%
Molina Oncology	$33 - $78	21%
Florida Community Care Oncology	$40 - $129	25%
Blue Cross Blue Shield	$44 - $176	28%
UnitedHealthcare	$48 - $440	31%
Wellcare Oncology	$49 - $112	31%
Simply Freedom Optimum Oncology	$51 - $114	32%
Aetna	$54 - $469	34%
Oscar Oncology	$78 - $177	50%
Ambetter / Centene	$124 - $398	79%
Simply Freedom Optimum	$155	99%
Wellcare	$155	99%
Avmed	$428	273%
Usa Managed Care	$469	299%
First Health	$486	310%

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 $234.
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 Sarasota Memorial Hospital 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.