CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $583
  • Cash Discount Price: $900
  • vs. Medicare Baseline: 3.71x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Baptist Health Medical Center - Jacksonville is $583. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $900. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.71x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$900

Average discount available for prompt cash payment at this facility.

Insurance Median
$583

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: $900 (573%)
Insurance Median: $583 (371%)
Cash: $900 (573% of Medicare)
Ins. Median: $583 (371% 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 371% of the Medicare baseline (a markup of 271%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Amerigroup Of Georgia $29 18%
Caresource Of Georgia $29 - $861 18%
Daniel Memorial $29 18%
Humana $29 - $32 18%
Peach State Health Plan $29 - $861 18%
Simply Healthcare Plans $31 - $35 20%
Simply Healthcare Plans - Cha $31 20%
Amerihealth Caritas $32 20%
Florida Community Care $32 - $218 20%
Sunshine State Health Plan $32 20%
United Community Plan $32 20%
Vivida Health $32 20%
Aetna $35 - $1,059 22%
Molina Healthcare Of Florida $35 22%
Corvel $123 - $1,298 78%
Coventry Workers Comp $123 - $1,298 78%
Non-Contracted $199 127%
Community Hospice Of Northeast Florida $208 133%
Pace $208 133%
Va Ccn $208 133%
UnitedHealthcare $210 - $694 134%
Tomorrow'S Rainbow $211 134%
Devoted $220 140%
Upmc $229 146%
Blue Cross Blue Shield $384 - $9,763 245%
Avmed $424 - $688 270%
Ambetter / Centene $499 318%
Cigna $516 - $808 329%
Borland Groover $530 338%
Occunet $530 - $662 338%
Northeast Florida State Hospital $556 - $622 354%
Centivo $583 - $1,125 371%
Capital Health Plan $609 388%
Innovative Healthware Services $622 396%
Geo Group $662 422%
Volusia Health Network $728 464%
Watchtower $728 464%
Fscj Student Insurance $794 506%
Suddath Company $834 531%
Medicaid / KanCare $861 548%
Uf Health Proton Therapy Institute $927 591%
Nemours Research $983 626%
Phcs $993 - $1,059 633%
Evolutions Healthcare $1,192 759%
Multiplan $1,192 759%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals