CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Pali Momi Medical Center

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$141
about 0.9× the $157 Medicare rate · typically $105–$187
modeled estimate · not a bill or quote
What this hospital charges insurers
$139
About the fair price
about $2 under the fair price · 0.9× Medicare
Medicare pays $157 Fair price $141 This hospital $139 Cash price $417 Hospital's list price $695

How we calculate the fair BaseRate →

How this hospital compares to other HI hospitals

On the higher side — 6 of 8 other HI hospitals charge less.

Cheapest $47 Priciest $169

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

A fair price for a Diagnostic mammogram (both breasts) is about $141 (about 0.9× the $157 Medicare rate). Pali Momi Medical Center charges insurers about $139, or about $417 in cash — about the fair price. Located in Aiea, HI.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Aetna✓ Kaiser Permanente Blue Cross Blue ShieldCignaHumana

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 $105 - $174 67%
Aetnamajor $591 376%
Kaiser Permanentemajor $556 354%
Devoted Health $218 139%
+ 9 smaller / regional plans $104 - $556
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 98-1079 Moanalua Road, Aiea, HI 96701
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals