CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Grady Memorial Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $154
Cash Discount Price: $1,146
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Grady Memorial Hospital is $154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,146. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.98x the Medicare baseline. Located in 80 Jesse Hill, Jr Drive Se, Atlanta, GA.

Cash / Self-Pay

$1,146

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: $1,146 (730%)

Insurance Median: $154 (98%)

Cash: $1,146 (730% 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.

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
Amerigroup	$44 - $186	28%
Caresource	$44 - $246	28%
Peach State	$44 - $171	28%
Aetna	$45 - $510	29%
Ambetter / Centene	$45 - $170	29%
Blue Cross Blue Shield	$45 - $917	29%
Cigna	$45 - $678	29%
Humana	$45 - $154	29%
Kaiser	$45 - $869	29%
Medicare (plans)	$45 - $154	29%
UnitedHealthcare	$45 - $825	29%
Vaccn	$45 - $154	29%
Wellcare	$45 - $154	29%
Clear Spring Health	$48 - $161	31%
Clover	$48 - $161	31%
Usp Naphcare	$50 - $688	32%
Oscar Health	$64 - $745	41%
Multiplan	$882	562%

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 $1,146.
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 Grady Memorial 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.