CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: North Okaloosa Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $179
  • Cash Discount Price: $364
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at North Okaloosa Medical Center is $179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $364. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.14x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$364

Average discount available for prompt cash payment at this facility.

Insurance Median
$179

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: $364 (232%)
Insurance Median: $179 (114%)
Cash: $364 (232% of Medicare)
Ins. Median: $179 (114% 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
Amerigroup $29 18%
Medicaid / KanCare $29 18%
UnitedHealthcare $29 - $843 18%
Humana $30 - $110 19%
Simply Healthcare $30 - $110 19%
Integral Health $31 20%
Wellcare $31 - $107 20%
Magellan Health $32 20%
Prestige Health $34 22%
Tricare $97 62%
Node Champva $102 65%
Veterans Eval Services $102 65%
Aetna $104 - $1,214 66%
Blue Cross Blue Shield $104 - $461 66%
Cigna $104 - $1,263 66%
Medicare (plans) $104 66%
Node Non Par Hospice Agree $106 68%
Node Va $106 68%
Florida Department Of Corrections $115 73%
Evolutions $170 - $1,425 108%
Usa Managed Care Work Comp Fl $170 108%
Prime Health Work Comp Fl $174 111%
Amcomp Workers Comp $179 114%
State Auto Insurance Fl $212 135%
Node Us Dept Of Labor $256 163%
Occunet $265 169%
Self Pay $291 - $437 185%
Oscar $307 196%
Corizon Health Inc $547 348%
Phcs $1,457 928%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals