CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Florida Lake City Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $127
  • Cash Discount Price: $909
  • vs. Medicare Baseline: 0.81x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Florida Lake City Hospital is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $909. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.81x the Medicare baseline. Located in 340 Nw Commerce Dr, Lake City, FL.
Cash / Self-Pay
$909

Average discount available for prompt cash payment at this facility.

Insurance Median
$127

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: $909 (579%)
Insurance Median: $127 (81%)
Cash: $909 (579% of Medicare)
Ins. Median: $127 (81% 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
Hospice Of North Central Fl $95 61%
Humana $99 - $182 63%
Ndms Definitive Care $106 68%
United $106 - $409 68%
Wellmed $106 68%
Blue Cross Blue Shield $108 69%
Aetna $109 - $273 69%
Avmed $109 - $454 69%
Sunshine State $111 71%
Wellcare $111 71%
American Health Plan $112 71%
Align Senior Care $113 72%
Cigna $113 72%
Florida Complete Care $113 72%
Gold Kidney Of Florida $116 74%
Centurion $117 75%
Clear Spring Health $117 75%
Ultimate Health Plan $122 78%
Longevity Health Plan $127 81%
Simply $140 89%
Sunshine State Health Plan $232 148%
Molina Healthcare $291 185%
Plotkin Health $454 289%
Prime Health Sheriff $454 289%
Hamilton County Jail $491 313%
Multiplan $709 - $773 452%
Evolutions $773 492%
Ppo Next $773 492%
Novanet $818 521%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 340 Nw Commerce Dr, Lake City, FL 32055
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals