CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Southern Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $116
  • Cash Discount Price: $112
  • vs. Medicare Baseline: 0.74x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Southern Regional Medical Center is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $112. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.74x the Medicare baseline. Located in 11 Upper Riverdale Road, Sw, Riverdale, GA.
Cash / Self-Pay
$112

Average discount available for prompt cash payment at this facility.

Insurance Median
$116

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: $112 (71%)
Insurance Median: $116 (74%)
Cash: $112 (71% of Medicare)
Ins. Median: $116 (74% 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 $107 - $312 68%
Aetna $112 - $730 71%
Americas Choice Provider Network $112 71%
Blue Cross Blue Shield $112 - $190 71%
Cigna $112 - $191 71%
Clear Spring Health Plan $112 71%
Corvel $112 71%
Georgia Workers’ Compensation $112 71%
Medicare (plans) $112 71%
Multiplan $112 71%
Novanet $112 71%
Prime Health Services $112 71%
Provider Select $112 71%
Riverwood Behavioral Health $112 - $141 71%
Three Rivers $112 71%
Tricare $112 71%
UnitedHealthcare $112 71%
Caresource $116 - $197 74%
Devoted Health $116 74%
Peach State $116 - $135 74%
Sonder Health Plan $118 75%
Wellcare $118 75%
Oscar Health Plan $146 93%
Employer Direct Healthcare $157 100%
Centurion $169 108%
Naphcare $174 111%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11 Upper Riverdale Road, Sw, Riverdale, GA 30274
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals