CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Florida Kendall Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $189
  • Cash Discount Price: $1,180
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Florida Kendall Hospital is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,180. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.20x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.
Cash / Self-Pay
$1,180

Average discount available for prompt cash payment at this facility.

Insurance Median
$189

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: $1,180 (752%)
Insurance Median: $189 (120%)
Cash: $1,180 (752% of Medicare)
Ins. Median: $189 (120% 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
Freedom Health $101 - $189 64%
Optimum $101 64%
Humana $109 - $401 69%
Careplus Sfl $116 74%
Cigna $116 74%
Devoted Health $116 74%
Leon Health $116 74%
Ndms Definitive Care $116 74%
United $116 - $531 74%
United Behavioral Health $116 74%
Veterans Evaluation Services $116 74%
Wellmed $116 74%
Blue Cross Blue Shield $118 75%
Aetna $120 - $354 76%
Oscar $122 78%
Prominence Healthfirst $122 78%
Sunshine State $122 - $128 78%
American Health Plan $123 78%
Align $124 79%
Florida Complete Care $124 79%
Avmed $125 - $590 80%
Centurion $128 82%
Doctors Healthcare Plan $128 82%
Gold Kidney $130 83%
Amerihealth Caritas $139 89%
Longevity Health Plan $139 89%
Simply Healthcare Plans $153 97%
Solis Health Plan $168 107%
Naphcare $197 125%
Molina $224 - $319 143%
Seven Corners $244 - $279 155%
Wellpath $244 - $279 155%
Health Sun Health Plan $251 160%
Aids Healthcare $260 - $1,416 166%
Mmm Of Fl (Health Advantage Plan) $271 173%
United Ppo $280 178%
Sunshine State Health Plan $307 196%
Plotkin Health $590 376%
Prime Health Sherriff $590 376%
Medica Healthcare $684 436%
Multiplan $885 - $1,003 564%
Evernorth Bh $944 601%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11750 Bird Rd, Miami, FL 33175
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals