CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $117
  • Cash Discount Price: $367
  • vs. Medicare Baseline: 0.75x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Florida Lawnwood Hospital is $117. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $367. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.75x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
$367

Average discount available for prompt cash payment at this facility.

Insurance Median
$117

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: $367 (234%)
Insurance Median: $117 (75%)
Cash: $367 (234% of Medicare)
Ins. Median: $117 (75% 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 $32 - $59 20%
Optimum $32 20%
Avmed $48 - $184 31%
Simply Healthcare Plans $48 31%
Molina $70 - $99 45%
Health Sun Health Plan $78 50%
Sunshine State Health Plan $94 60%
Humana $105 - $147 67%
Aetna $110 - $117 70%
Careplus $113 72%
Devoted Health $113 - $117 72%
Ndms Definitive Care $113 72%
United $113 - $263 72%
United Behavioral Health $113 72%
Veterans Evaluation Services $113 72%
Wellmed $113 72%
Blue Cross Blue Shield $115 - $816 73%
Ultimate Health Plan $115 73%
Bright Health $117 75%
Cigna $117 - $475 75%
Mutual Of Omaha $117 75%
Rocky Mountain Health $117 75%
Total Longterm Care $117 75%
Triwest Health Alliance $117 75%
Prominence Healthfirst $118 75%
Sunshine State $118 - $124 75%
American Health Plan $119 76%
Florida Complete Care $120 76%
Innovage Pace $120 76%
Kaiser $120 76%
Wellcare $121 77%
Delaware Life Insurance $123 78%
Centurion $124 79%
Office Of Sheiff Highland Co $128 82%
Amerihealth Caritas $135 86%
Longevity Health Plan $135 86%
United Ppo $161 103%
Solis Health Plan $163 104%
Plotkin Health $184 117%
Prime Health Sherriff $184 117%
Rocky Mountain Health Plan $263 168%
Multiplan $275 - $312 175%
Evernorth Bh $294 187%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals