CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Doctors Hospital

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$158

about 1.0× the $157 Medicare rate · typically $94–$171

modeled estimate · not a bill or quote

What this hospital charges insurers

$101

Below the fair price — a good deal

about $57 under the fair price · 0.6× Medicare

Medicare pays $157 Fair price $158 This hospital $101 Cash price $1,460 Hospital's list price $1,460

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

Highest price of the 9 GA hospitals we have prices for — worth calling around.

Cheapest $47 Priciest $101

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Diagnostic mammogram (both breasts) is about $158 (about 1.0× the $157 Medicare rate). Doctors Hospital charges insurers about $101, or about $1,460 in cash — below the fair price — a good deal. Located in Augusta, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$99 - $681	63%
Blue Cross Blue Shieldmajor	$68 - $313	43%
Aetnamajor	$100 - $834	64%
Humanamajor	$93 - $99	59%
Ambetter (Centene)	$205 - $221	131%
Amerigroup	$200 - $215	127%
Cigna HealthSpring	$100	64%
Clover Health	$104	66%
Devoted Health	$99	63%
Health Net	$96 - $1,211	61%
WellCare	$101 - $303	64%
+ 15 smaller / regional plans	$49 - $1,362

Government programs also on file: Medicaid.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,460), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Doctors Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Doctors Hospital

Compare: Diagnostic mammogram (both breasts) at other GA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.