CMS Price Transparency Data
Diagnostic mammogram (both breasts)
Facility: Palmetto General Hospital
Billing Code: 77066 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 77066
- Insurance Median: $135
- Cash Discount Price: $868
- vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Palmetto General Hospital is $135. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $868. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.86x the Medicare baseline. Located in 2001 W 68Th St, Hialeah, FL.
Cash / Self-Pay
$868
Average discount available for prompt cash payment at this facility.
Insurance Median
$135
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: $868 (553%)
Insurance Median: $135 (86%)
Cash: $868 (553% of Medicare)
Ins. Median: $135 (86% 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 |
|---|---|---|
| Aetna | $26 - $618 | 17% |
| Humana | $30 - $352 | 19% |
| Medicaid / KanCare | $30 - $868 | 19% |
| UnitedHealthcare | $31 - $110 | 20% |
| Veterans Administration Mill Bill | $77 | 49% |
| Medicare (plans) | $99 - $868 | 63% |
| Devoted Health | $110 | 70% |
| Leon Health Inc | $110 | 70% |
| Bristol Hospice- Miami Dade Llc | $112 | 71% |
| Catholic Hospice | $112 | 71% |
| Compassionate Care Hospice Of Miami Dade And The Fl Keys Inc | $112 | 71% |
| Employer Direct Healthcare | $112 - $200 | 71% |
| Hospice Other | $112 | 71% |
| Ima Evalutations Inc | $112 | 71% |
| Odyssey Healthcare Of Marion County Dba Kindred Hospice | $112 | 71% |
| Opuscare Of South Fl | $112 | 71% |
| Seasons Hospice And Pallative Care Of Southern Florida Inc | $112 | 71% |
| Select Specialty Hospital | $112 | 71% |
| Tricare | $112 | 71% |
| Veterans Administration Vaccn | $112 | 71% |
| Vitas Healthcare Hospice | $112 | 71% |
| Westchester General Hospital | $112 | 71% |
| Cigna | $116 - $434 | 74% |
| Healthsun Health Plans | $116 - $165 | 74% |
| Longevity Health Plan | $118 | 75% |
| Florida Pace Centers | $133 | 85% |
| Bc/Bs Myblue Hmo Hix | $135 | 86% |
| Bright Health Management Commercial | $135 | 86% |
| Self Pay/Uninsured | $138 - $197 | 88% |
| Avmed Broad Network | $142 | 90% |
| Bc/Bs Of Fl Simplyblue | $142 | 90% |
| Bc/Bs Of Fl Miami Dade Blue Select | $149 | 95% |
| Naphcare Inc | $155 | 99% |
| Imagine Health | $181 | 115% |
| Bc/Bs Of Fl Network Blue | $190 | 121% |
| Bc/Bs Of Fl Health Options Hmo | $193 | 123% |
| Avmed Exchange | $196 | 125% |
| Bc/Bs Of Fl Ppo | $203 | 129% |
| Ambetter / Centene | $208 | 133% |
| Bc/Bs Of Fl Blue Select Exchange Non Par | $211 | 134% |
| Molina Marketplace Program Exchange | $214 | 136% |
| Auto Insurance | $224 | 143% |
| Oscar Health Plan Hix | $224 | 143% |
| Avmed Select Network | $230 | 147% |
| Amerihealth Caritas Next Exchange | $241 | 154% |
| Liga Contra El Cancer | $434 | 276% |
| Bc/Bs Of Fl Phs | $435 | 277% |
| Magellan Behavioral Health | $521 | 332% |
| Dimensions International | $564 | 359% |
| First Health | $581 | 370% |
| Dimension Health Ppo | $651 | 415% |
| Dimension Health Wc | $651 | 415% |
| Workers Compensation | $651 | 415% |
| Beacon Health Strategies Commercial | $868 | 553% |
| Commercial Non-Contracted | $868 | 553% |
| Self Pay - Mcd Pending 100 Percent | $868 | 553% |
| Single Case Agreement | $868 | 553% |
| United Behavioral Health Psych | $868 | 553% |