CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Larkin Community Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $168
  • Cash Discount Price: $406
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Larkin Community Hospital is $168. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $406. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.07x the Medicare baseline. Located in 7031 Sw 62Nd Ave, South Miami, FL.
Cash / Self-Pay
$406

Average discount available for prompt cash payment at this facility.

Insurance Median
$168

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: $406 (259%)
Insurance Median: $168 (107%)
Cash: $406 (259% of Medicare)
Ins. Median: $168 (107% 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
Medicaid / KanCare $21 - $31 13%
Corvel Mcaid Workers Comp $26 17%
Sunshine Behavioral $26 17%
Aetna $29 - $580 18%
Ambetter / Centene $29 18%
Community Care Phks Mcaid-All Other Plans $29 18%
Florida Comm Care Mcaid $29 18%
Humana $29 - $580 18%
Magellan Complete Care $29 18%
Molina Exch Marketplace-All Other Plans $29 18%
UnitedHealthcare $29 - $216 18%
Cigna $145 92%
Blue Cross Blue Shield $152 - $387 97%
Florida Comm Care Mcare-All Other Plans $160 102%
Medicare (plans) $160 - $609 102%
Ops Maritime-All Plans $160 102%
Opus Hospice Ip Only-All Plans $160 102%
Preferred Care Partners Mcare-All Plans $160 102%
Clear Springs Hlth-All Plans $168 107%
Unicare Simply Mcare Ppo-All Plans $168 107%
Healthsun-All Plans $174 111%
Wellpath-All Plans $176 112%
Fci-All Plans $184 117%
Allianz (Azga)-All Plans $208 133%
Star Network-All Plans $232 148%
Jmh Health Plan Hmo/Ppo-All Other Plans $319 203%
Global Excel-All Plans $348 222%
Haa Preferred Partners-All Plans $348 222%
Corvel Mcare Workers Comp-All Plans $522 333%
Avmed-All Plans $580 369%
Careplus Health-All Other Plans $580 369%
Centurion-All Plans $580 369%
Coventry Comml-All Plans $580 369%
Doctors Healthcare-All Plans $580 369%
First Med Hp Of Fl-All Plans $580 369%
Florida Health Solution/Hmo-All Plans $580 369%
Bright Health-All Other Plans $696 443%
Oscar Health-All Plans $1,160 739%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7031 Sw 62Nd Ave, South Miami, FL 33143
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals