CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: University of Michigan Health - West

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $385
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 2.45x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at University of Michigan Health - West is $385. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.45x the Medicare baseline. Located in 5900 Byron Center Avenue, Sw, Wyoming, MI.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$385

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: $214 (136%)
Insurance Median: $385 (245%)
Cash: $214 (136% of Medicare)
Ins. Median: $385 (245% 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 245% of the Medicare baseline (a markup of 145%). 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
Web Tpa $235 150%
Priority Health $321 204%
Aetna $358 228%
Alliance Health & Life Ppo $358 228%
Asr Physicians $358 228%
Hap $358 228%
Golden Rule Ins $385 245%
Medica $385 245%
Student Ins/Mega Life $385 245%
UnitedHealthcare $385 245%
Humana $401 255%
Asr Cofinity $446 284%
Cofinity Commercial $446 284%
Cofinity Weyco $446 284%
Core Source $446 284%
Epoch Group $446 284%
Health Partners $446 284%
Hlthcomp Admin $446 284%
Mid America $446 284%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 Byron Center Avenue, Sw, Wyoming, MI 49519
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals