CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Holland Community Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $238
Cash Discount Price: $209
vs. Medicare Baseline: 1.52x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Holland Community Hospital is $238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $209. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.52x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.

Cash / Self-Pay

$209

Average discount available for prompt cash payment at this facility.

Insurance Median

$238

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: $209 (133%)

Insurance Median: $238 (152%)

Cash: $209 (133% of Medicare)

Ins. Median: $238 (152% 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
Molina Mcaid - All Plans	$111	71%
Ph Mcaid	$111	71%
Life Circles-All Plans	$139	89%
Health Alliance Mcr Adv	$147	94%
Ph Mcr Adv	$147	94%
Va Ccn - All Plans	$147	94%
Aetna	$151 - $178	96%
Longevity Health Plan-All Plans	$158	101%
Cigna	$207	132%
Priority Health - All Other Plans	$229	146%
Cofinity -All Plans	$236	150%
Sisco Epi	$238	152%
Sisco-All Other Plans	$238	152%
Blue Cross Blue Shield	$281	179%
Multiplan - All Plans	$303	193%
Benefit Source Inc-All Plans	$313	199%
First Health-All Plans	$313	199%
Usa Managed Care-All Plans	$313	199%
Integrated Health Plans-All Plans	$331	211%
Health Alliance Hmo	$333	212%
Asr - All Plans	$348	222%
Health Alliance Ahl - All Other Plans	$348	222%
UnitedHealthcare	$348	222%
Nomi Health - All Plans	$713	454%

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 $209.
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 Holland Community Hospital 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.