CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Florida Fawcett Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $119
  • Cash Discount Price: $1,525
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Florida Fawcett Hospital is $119. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,525. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.76x the Medicare baseline. Located in 21298 Olean Blvd, Port Charlotte, FL.
Cash / Self-Pay
$1,525

Average discount available for prompt cash payment at this facility.

Insurance Median
$119

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: $1,525 (971%)
Insurance Median: $119 (76%)
Cash: $1,525 (971% of Medicare)
Ins. Median: $119 (76% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members $72 46%
Humana $99 - $427 63%
Caresource $102 65%
Aetna $106 - $458 68%
Ndms Definitive Care $106 68%
United $106 - $686 68%
United Va Ccn $106 68%
Wellmed $106 68%
Blue Cross Blue Shield $108 69%
Ultimate Health Plan $108 69%
Access 2 Healthcare Physicians Freedom Health $110 70%
Access 2 Healthcare Physicians Optimum $110 70%
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%
Secur $115 73%
Gold Kidney Of Florida $116 74%
Centurion $117 75%
Clear Spring Health $117 75%
Freedom Health Care $119 76%
Optimum Healthcare $119 76%
Avmed $122 - $381 78%
Simply Healthcare $235 150%
Molina $290 - $412 185%
Sunshine State Health Plan $389 248%
Behealthy America $595 379%
Evolutions Healthcare Systems $763 - $1,403 486%
Healthcare Sarasota $763 486%
Plotkin Health $763 486%
Prime Health Sheriff $763 486%
Multiplan $1,144 - $1,296 729%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 21298 Olean Blvd, Port Charlotte, FL 33952
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals