CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Fishermen's Community Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $225
  • Cash Discount Price: $560
  • vs. Medicare Baseline: 1.43x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Fishermen's Community Hospital is $225. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $560. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.43x the Medicare baseline. Located in 3301 Overseas Hwy, Marathon, FL.
Cash / Self-Pay
$560

Average discount available for prompt cash payment at this facility.

Insurance Median
$225

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: $560 (357%)
Insurance Median: $225 (143%)
Cash: $560 (357% of Medicare)
Ins. Median: $225 (143% 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
Medicaid / KanCare $16 - $32 10%
Amerigroup $29 18%
UnitedHealthcare $29 - $862 18%
Wellcare $30 19%
Aetna $31 - $660 20%
Sunshine State $31 20%
Vista $31 20%
Blue Cross Blue Shield $144 - $862 92%
Leon Medical $181 115%
Medica Health Plan $181 115%
Medicare (plans) $181 - $244 115%
Humana $197 125%
Avmed $199 - $714 127%
Cigna $206 - $690 131%
Non Contracted $316 201%
International $560 357%
Amerihealth $646 412%
Dimension Health Plan $646 - $776 412%
Affordable $776 494%
Phcs $776 494%
Quality Health $776 494%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3301 Overseas Hwy, Marathon, FL 33050
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals