CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Marion Communtiy Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $113
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Marion Communtiy Hospital is $113. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.72x the Medicare baseline. Located in 1431 Sw 1St Ave, Ocala, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$113

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%)
Insurance Median: $113 (72%)
Ins. Median: $113 (72% 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
Humana $99 - $106 63%
Devoted Health $106 68%
Ndms Definitive Care $106 68%
United $106 - $263 68%
Va Purchased Care Program $106 68%
Veterans Evaluation Services $106 68%
Wellmed $106 68%
Blue Cross Blue Shield $108 69%
Freedom Optimum $108 69%
Sunshine State $111 71%
Wellcare $111 71%
American Health Plan $112 71%
Avmed $112 71%
Align Senior Care $113 72%
Cigna $113 72%
Florida Complete Care $113 72%
Secur $115 73%
Gold Kidney Of Florida $116 74%
Aetna $117 75%
Centurion $117 75%
Clear Spring Health $117 75%
Careplus $121 77%
Ultimate Health Plan $122 78%
Longevity Health Plan $127 81%
Naphcare $223 - $255 142%
University Ma Federal Corrections $223 142%
Wellpath $223 - $255 142%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1431 Sw 1St Ave, Ocala, FL 34471
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals