CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Florida Raulerson Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $154
  • Cash Discount Price: $1,482
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Florida Raulerson Hospital is $154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,482. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.98x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$1,482

Average discount available for prompt cash payment at this facility.

Insurance Median
$154

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: $1,482 (944%)
Insurance Median: $154 (98%)
Cash: $1,482 (944% of Medicare)
Ins. Median: $154 (98% 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 $101 - $593 64%
Careplus $106 68%
Devoted Health $106 68%
Ndms Definitive Care $106 68%
United $106 - $667 68%
Veterans Evaluation Services $106 68%
Wellmed $106 68%
Blue Cross Blue Shield $108 69%
Ultimate Health Plan $108 69%
Aetna $109 - $445 69%
Prominence Healthfirst $111 71%
Sunshine State $111 - $117 71%
American Health Plan $112 71%
Cigna $113 72%
Florida Complete Care $113 72%
Centurion $117 75%
Amerihealth Caritas $127 81%
Freedom Health $127 - $237 81%
Longevity Health Plan $127 81%
Optimum $127 81%
Solis Health Plan $154 98%
Avmed $193 - $741 123%
Simply Healthcare Plans $193 123%
Molina $282 - $400 180%
Health Sun Health Plan $316 201%
Sunshine State Health Plan $378 241%
United Ppo $652 415%
Plotkin Health $741 472%
Prime Health Sherriff $741 472%
Multiplan $1,112 - $1,260 708%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals