CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Jeff Davis Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $490
  • Cash Discount Price: $247
  • vs. Medicare Baseline: 3.12x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Jeff Davis Hospital is $490. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $247. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.12x the Medicare baseline. Located in 163 South Tallahassee Street, Hazlehurst, GA.
Cash / Self-Pay
$247

Average discount available for prompt cash payment at this facility.

Insurance Median
$490

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: $247 (157%)
Insurance Median: $490 (312%)
Cash: $247 (157% of Medicare)
Ins. Median: $490 (312% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 312% of the Medicare baseline (a markup of 212%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Medicaid / KanCare $112 - $447 71%
Humana $115 - $709 73%
Peach_State $115 - $166 73%
Wellcare $115 - $166 73%
Medicare (plans) $179 - $261 114%
Blue Cross Blue Shield $182 - $626 116%
Care_Improvement_Plus $182 - $264 116%
Pen_Network $223 142%
Coventry_Hmo $404 - $584 257%
Coventry_Pos $404 - $584 257%
Uhc_Hmo $433 - $626 276%
Uhc_Indemnity $433 - $626 276%
Uhc_Ppo $433 - $626 276%
Coventry_Ppo $444 - $642 283%
Beech_Street $461 - $667 294%
Care_Source $461 - $667 294%
Cigna $461 - $667 294%
One_Health_Ppo $461 - $667 294%
Choicecare $490 - $709 312%
Community_Care_Network $490 - $709 312%
Georgia_Hospital_Network $490 - $709 312%
Industry_Buying_Group $490 - $709 312%
Novanet $490 - $709 312%
Principal_Health_Care_Of_Georgia $490 - $709 312%
Three_Rivers_Provider_Network $490 - $709 312%
Usa_Managed_Care $490 - $709 312%
Memorial_Health_Partners $519 - $751 331%
Tricare $536 - $776 341%
Multiplan $548 - $792 349%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 163 South Tallahassee Street, Hazlehurst, GA 31539
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals