CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Gulf Breeze Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $249
Cash Discount Price: $160
vs. Medicare Baseline: 1.59x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Gulf Breeze Hospital is $249. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $160. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.59x the Medicare baseline. Located in 1110 Gulf Breeze Pkwy, Gulf Breeze, FL.

Cash / Self-Pay

$160

Average discount available for prompt cash payment at this facility.

Insurance Median

$249

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: $160 (102%)

Insurance Median: $249 (159%)

Cash: $160 (102% of Medicare)

Ins. Median: $249 (159% 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
Aetna	$30 - $777	19%
Cha Health Plan	$30	19%
UnitedHealthcare	$30 - $282	19%
Fl Community Care Ltc	$32	20%
Humana	$32 - $212	20%
Sunshine Health	$32	20%
Wellcare	$32 - $218	20%
Simply Healthcare Healthy Kids	$35	22%
Pensacola	$160	102%
Hospice Covenant	$208	133%
Fl Blue	$214 - $406	136%
Medicare (plans)	$216	138%
Bc Fl	$253	161%
Hospice Regency	$319	203%
Cigna	$505 - $1,064	322%
Hospice Emerald Coast	$532	339%
Private Healthcare	$692	441%
Uwf Athletes	$692	441%
First Health	$739	471%
Wc Corvel	$758 - $1,011	483%
Choicecare	$798	508%
Multiplan	$947	603%

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 $160.
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 Gulf Breeze 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.