CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Florida Orange Park Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $129
Cash Discount Price: $1,556
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Florida Orange Park Hospital is $129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,556. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.82x the Medicare baseline. Located in 2001 Kingsley Ave, Orange Park, FL.

Cash / Self-Pay

$1,556

Average discount available for prompt cash payment at this facility.

Insurance Median

$129

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: $1,556 (991%)

Insurance Median: $129 (82%)

Cash: $1,556 (991% of Medicare)

Ins. Median: $129 (82% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 Community	$85	54%
Hospice Haven	$95	61%
Humana	$102 - $638	65%
Careplus	$106	68%
Devoted Health	$106	68%
Ndms Definitive Care	$106	68%
United	$106 - $700	68%
United Behavioral Health	$106	68%
Veterans Evaluation Services	$106	68%
Wellmed	$107	68%
Blue Cross Blue Shield	$108	69%
Sunshine State	$111	71%
Wellcare	$111	71%
American Health Plan	$112	71%
Cigna	$113	72%
Florida Complete Care	$113	72%
Gold Kidney	$116	74%
Longevity	$127	81%
Optimum Healthcare	$131	83%
Clay County Sheriffs Office	$133	85%
Avmed	$187 - $436	119%
Simply Healthcare	$240	153%
Positive Healthcare	$342	218%
Sunshine State Health Plan	$397	253%
Molina Healthcare	$420	268%
Aetna	$467	297%
Medicare (plans)	$700	446%
Plotkin Health	$778	496%
Multiplan	$1,214 - $1,323	773%
Evernorth	$1,245	793%
Evolutions Healthcare	$1,245 - $1,323	793%
Ppo Next	$1,323	843%
Novanet	$1,400	892%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,556.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Orange Park Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.