CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Tift Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $210
Cash Discount Price: $222
vs. Medicare Baseline: 1.34x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Tift Regional Medical Center is $210. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $222. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.34x the Medicare baseline. Located in 901 E 18Th Street, Tifton, GA.

Cash / Self-Pay

$222

Average discount available for prompt cash payment at this facility.

Insurance Median

$210

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: $222 (141%)

Insurance Median: $210 (134%)

Cash: $222 (141% of Medicare)

Ins. Median: $210 (134% 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
Wellcare	$70 - $104	45%
Va Contract	$72	46%
Amerigroup	$80 - $120	51%
Medicaid / KanCare	$80 - $120	51%
Peachstate	$84 - $126	54%
Caresource	$88 - $132	56%
Hospice	$94	60%
Medicare (plans)	$94	60%
Aetna	$96 - $460	61%
Blue Cross Blue Shield	$96 - $532	61%
Clover Health	$96	61%
Tricare	$96 - $137	61%
UnitedHealthcare	$96 - $450	61%
Humana	$101 - $266	64%
Pruitt Health Premier	$104	66%
Health One Alliance	$139 - $203	89%
Caresource Marketplace Exchange	$144 - $210	92%
Peach State Health Plan	$159	101%
Self Pay 50	$178 - $266	113%
Zelis Network Solutions	$192 - $238	122%
Misc Commercial Insurance Plans	$320 - $479	204%
Self Pay	$320 - $479	204%
Cigna	$325 - $486	207%
Misc Non Contracted Commercial Plans	$356 - $532	227%
Ga Workers Comp	$476	303%

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 $222.
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 Tift Regional Medical Center 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.