CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Florida Palms West Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $227
  • Cash Discount Price: $1,745
  • vs. Medicare Baseline: 1.45x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Florida Palms West Hospital is $227. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,745. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.45x the Medicare baseline. Located in 13001 Southern Blvd, Loxahatchee, FL.
Cash / Self-Pay
$1,745

Average discount available for prompt cash payment at this facility.

Insurance Median
$227

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: $1,745 (1112%)
Insurance Median: $227 (145%)
Cash: $1,745 (1112% of Medicare)
Ins. Median: $227 (145% 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 $105 - $593 67%
Careplus Sfl $113 72%
Devoted Health $113 72%
Ndms Definitive Care $113 72%
United $113 - $785 72%
Veterans Evaluation Services $113 72%
Wellmed $113 72%
Blue Cross Blue Shield $115 73%
Aetna $116 - $524 74%
Oscar $118 75%
Prominence Healthfirst $118 75%
Sunshine State $118 - $124 75%
American Health Plan $119 76%
Align $120 76%
Cigna $120 76%
Florida Complete Care $120 76%
Centurion $124 79%
Doctors Healthcare Plan $124 79%
Gold Kidney $126 80%
Amerihealth Caritas $135 86%
Longevity Health Plan $135 86%
Freedom Health $150 - $279 96%
Optimum $150 96%
Solis Health Plan $163 104%
Avmed $227 - $872 145%
Simply Healthcare Plans $227 145%
Molina $332 - $471 211%
Health Sun Health Plan $372 237%
Aids Healthcare $384 - $2,094 245%
Mmm Of Fl (Health Advantage Plan) $401 255%
United Ppo $414 264%
Sunshine State Health Plan $454 289%
Healthy Palm Beaches $550 350%
Health Care District $872 555%
Palm Beach Juvenile Correction $872 555%
Plotkin Health $872 555%
Prime Health Sherriff $872 555%
Medica Healthcare $1,012 645%
Multiplan $1,309 - $1,483 834%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 13001 Southern Blvd, Loxahatchee, FL 33470
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals