CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Florida West Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $166
  • Cash Discount Price: $828
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Florida West Hospital is $166. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $828. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.06x the Medicare baseline. Located in 8383 N Davis Hwy, Pensacola, FL.
Cash / Self-Pay
$828

Average discount available for prompt cash payment at this facility.

Insurance Median
$166

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: $828 (527%)
Insurance Median: $166 (106%)
Cash: $828 (527% of Medicare)
Ins. Median: $166 (106% 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 - $166 63%
Value Options $102 65%
Freedom Health $105 67%
Triwest Healthcare Alliance $105 67%
Ndms Definitive Care $106 68%
United $106 - $373 68%
United Behavioral Health $106 68%
Wellmed $106 68%
Blue Cross Blue Shield $108 69%
Aetna $109 - $248 69%
Sunshine State $111 71%
Wellcare $111 71%
American Health Plan $112 71%
Align Senior Care $113 72%
Florida Complete Care $113 72%
Healthspring Of Florida $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%
Simply $128 82%
Molina Healthcare $157 - $265 100%
Avmed $199 - $414 127%
Sunshine State Health Plan $211 134%
Naphcare $223 - $255 142%
Seven Corners $223 - $255 142%
Pensacola Christian $331 211%
Plotkin Health $414 264%
Prime Health Sheriff $414 264%
Evolutions Healthcare $538 - $704 343%
Multiplan $646 - $704 412%
Evernorth $662 422%
Ppo Next $704 448%
Novanet $745 475%
Beacon Health Options $828 527%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 8383 N Davis Hwy, Pensacola, FL 32514
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals