CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Lower Keys Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $196
  • Cash Discount Price: $202
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Lower Keys Medical Center is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $202. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.25x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$202

Average discount available for prompt cash payment at this facility.

Insurance Median
$196

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: $202 (129%)
Insurance Median: $196 (125%)
Cash: $202 (129% of Medicare)
Ins. Median: $196 (125% 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
Florida Childrens Medical Services $45 29%
Medicaid / KanCare $45 - $49 29%
South Florida Community Care Network $45 29%
Humana $46 - $114 29%
Amerigroup $49 31%
Positive Healthcare $49 31%
Simply Healthcare $49 - $202 31%
Wellcare $49 31%
Wellcare Healthease $49 31%
Molina $51 32%
Prestige Health Choice $52 33%
Magellan $54 34%
UnitedHealthcare $62 - $501 39%
Veterans Eval Services $102 65%
Tricare $107 68%
Node Champva $112 71%
Blue Cross Blue Shield $114 - $652 73%
Medicare (plans) $114 73%
Ultimate Health $114 73%
Node Non Par Hospice Agree $116 74%
Node United Behavioral Va Ccn $116 74%
Node Va $116 74%
Correct Care Solutions $128 82%
Self Pay $176 - $228 112%
Prime Health Work Comp Fl $190 121%
Fl Work Comp $196 125%
Heritage Summit Work Comp Fl $196 125%
State Auto Insurance Fl $232 148%
Cigna $385 245%
Aetna $455 290%
Monroe County $489 312%
Evolutions Healthcare Systems $522 - $619 333%
Keys Energy $522 333%
Prime Health Ppo $522 333%
Avmed Health Plan $554 353%
Direct Healthcare $652 415%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals