CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Florida North Florida Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $263
  • Cash Discount Price: $1,146
  • vs. Medicare Baseline: 1.68x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Florida North Florida Hospital is $263. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,146. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.68x the Medicare baseline. Located in 6500 W Newberry Rd, Gainesville, FL.
Cash / Self-Pay
$1,146

Average discount available for prompt cash payment at this facility.

Insurance Median
$263

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: $1,146 (730%)
Insurance Median: $263 (168%)
Cash: $1,146 (730% of Medicare)
Ins. Median: $263 (168% 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 $103 - $235 66%
Ndms Definitive Care $106 68%
United $106 - $528 68%
United Behavioral Health $106 68%
Wellmed $106 68%
Blue Cross Blue Shield $108 69%
Capital Health Plan $108 69%
Aetna $109 - $352 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%
Avmed $134 - $587 85%
Simply $172 - $181 110%
Molina Healthcare $212 - $376 135%
Sunshine State Health Plan $285 - $299 182%
Plotkin Health $559 - $587 356%
Prime Health Sheriff $559 - $587 356%
Corizon Phs $671 - $704 427%
Multiplan $872 - $998 555%
Evernorth $894 - $939 569%
Evolutions Healthcare $950 - $998 605%
Ppo Next $950 - $998 605%
Novanet $1,006 - $1,056 641%
Beacon Health Options $1,118 - $1,174 712%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6500 W Newberry Rd, Gainesville, FL 32605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals