CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Florida Englewood Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $148
Cash Discount Price: $1,300
vs. Medicare Baseline: 0.94x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Florida Englewood Hospital is $148. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,300. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.94x the Medicare baseline. Located in 700 Medical Blvd, Englewood, FL.

Cash / Self-Pay

$1,300

Average discount available for prompt cash payment at this facility.

Insurance Median

$148

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: $1,300 (828%)

Insurance Median: $148 (94%)

Cash: $1,300 (828% of Medicare)

Ins. Median: $148 (94% 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
Access 2 Healthcare Physicians Freedom Optimum Group Members	$38 - $85	24%
Access 2 Healthcare Physicians Freedom Health	$58 - $130	37%
Access 2 Healthcare Physicians Optimum	$58 - $130	37%
Freedom Health Care	$62 - $140	39%
Optimum Healthcare	$62 - $140	39%
Avmed	$64 - $450	41%
Humana	$99 - $504	63%
Caresource	$102	65%
Aetna	$106 - $540	68%
Ndms Definitive Care	$106	68%
United	$106 - $809	68%
United Va Ccn	$106	68%
Wellmed	$106	68%
Blue Cross Blue Shield	$108	69%
Ultimate Health Plan	$108	69%
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%
Simply Healthcare	$123 - $277	78%
Molina	$152 - $486	97%
Sunshine State Health Plan	$204 - $459	130%
Behealthy America	$312 - $701	199%
Evolutions Healthcare Systems	$401 - $1,655	255%
Healthcare Sarasota	$401 - $899	255%
Plotkin Health	$401 - $899	255%
Prime Health Sheriff	$401 - $899	255%
Multiplan	$601 - $1,529	383%

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 $1,300.
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 HCA Florida Englewood 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.