CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Ascension Providence Rochester Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $99
  • Cash Discount Price: $204
  • vs. Medicare Baseline: 0.63x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Ascension Providence Rochester Hospital is $99. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $204. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.63x the Medicare baseline. Located in 1101 W University Drive, Rochester, MI.
Cash / Self-Pay
$204

Average discount available for prompt cash payment at this facility.

Insurance Median
$99

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: $204 (130%)
Insurance Median: $99 (63%)
Cash: $204 (130% of Medicare)
Ins. Median: $99 (63% 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.

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
Bluecaid $53 34%
Medicaid / KanCare $53 34%
Total Health Care Hmo $53 34%
Smarthealth $88 56%
Hap $95 61%
Blue Cross Blue Shield $99 - $308 63%
Hap Senior Plus $99 63%
Humana $99 63%
Medicare (plans) $99 - $104 63%
Priority Health Advantage (Mcr) $99 63%
- None - $104 66%
Meridian Health Plan $124 79%
Mva $188 120%
Aetna $192 122%
Blue Care Network $308 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1101 W University Drive, Rochester, MI 48307
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals