CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Kapiolani Medical Center for Women & Children

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $218
Cash Discount Price: $417
vs. Medicare Baseline: 1.39x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Kapiolani Medical Center for Women & Children is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $417. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.39x the Medicare baseline. Located in 1319 Punahou Street, Honolulu, HI.

Cash / Self-Pay

$417

Average discount available for prompt cash payment at this facility.

Insurance Median

$218

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: $417 (266%)

Insurance Median: $218 (139%)

Cash: $417 (266% of Medicare)

Ins. Median: $218 (139% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Hmsa	$78 - $208	50%
Ohana	$149 - $250	95%
UnitedHealthcare	$158 - $208	101%
Mdx	$172 - $556	110%
Alohacare	$203 - $229	129%
Kaiser	$208 - $612	133%
Devoted	$218	139%
Uha	$348 - $521	222%
Mimoh	$486 - $521	310%
Calvos	$521	332%
Hwmg/Hmaa	$552	352%
Hcha	$556	354%
Multiplan	$556 - $591	354%
Verdegard	$556 - $4,055	354%
Mccp	$591	376%
Coventry	$626	399%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $417.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77066.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Kapiolani Medical Center for Women & Children is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77066.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.