CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Fairview Park Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $176
  • Cash Discount Price: $878
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Fairview Park Hospital is $176. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $878. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.12x the Medicare baseline. Located in 200 Industrial Boulevard, Dublin, GA.
Cash / Self-Pay
$878

Average discount available for prompt cash payment at this facility.

Insurance Median
$176

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: $878 (559%)
Insurance Median: $176 (112%)
Cash: $878 (559% of Medicare)
Ins. Median: $176 (112% 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
Blue Cross Blue Shield $63 - $267 40%
Humana $93 - $99 59%
Health Net $96 61%
Devoted Health $99 63%
Hospice Care Options $99 63%
Southern Care Birmingham $99 63%
United $99 - $395 63%
Aetna $100 - $484 64%
Healthspring $100 64%
Coventry $101 64%
Wellcare $101 - $176 64%
Clover $104 66%
Eon Health $104 66%
Georgia Assurance $104 66%
Shared Health $104 66%
Amerigroup $118 75%
Ambetter / Centene $128 82%
Ryan White Care Act $148 94%
Nhc Advantage $167 106%
Pruitt Health $167 106%
Health One Alliance $175 111%
Peach State $176 112%
Memorial Health Plan $193 - $395 123%
Core Resources $232 148%
Centurion $243 155%
Americas 1St Choice $246 157%
Leavitt Risk Partners $263 168%
Dodge County Hospital $439 280%
American Steel Products $746 475%
City Of Eastman $746 475%
Dodge Co Board Of Commissioners $746 475%
Graham Brothers Construction $746 475%
Multiplan $790 503%
Novanet $790 503%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Industrial Boulevard, Dublin, GA 31021
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals