CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Wayne General Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $155
Cash Discount Price: $221
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Wayne General Hospital is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $221. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.99x the Medicare baseline. Located in 950 Matthew Dr, Waynesboro, MS.

Cash / Self-Pay

$221

Average discount available for prompt cash payment at this facility.

Insurance Median

$155

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: $221 (141%)

Insurance Median: $155 (99%)

Cash: $221 (141% of Medicare)

Ins. Median: $155 (99% 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
Cigna	$66 - $139	42%
Ml Healthcare-All Plans	$88	56%
Humana	$125	80%
Al Healthcare Adv Mcaid-All Plans	$136	87%
Alabama Community Mcaid-All Plans	$136	87%
Medicaid / KanCare	$136	87%
Univita Healthcare Mcaid-All Plans	$136	87%
Amerigroup Mcare Adv-All Plans	$139	89%
Magnolia Mcare Adv	$139	89%
Molina Mcare Adv	$139	89%
Vantage Health Mcare Adv	$139	89%
Wellcare Mcare Adv-All Plans	$139	89%
Molina Chip-All Other Plans	$149	95%
Ahs-All Plans	$155	99%
Phcs-All Plans	$166	106%
Mhci/Healthlink Op Only-All Plans	$188	120%
Ms Health Partners-All Plans	$188	120%
Ppoplus-All Plans	$188	120%
First Choice-All Other Plans	$199	127%
First Health-All Plans	$199	127%
Geha Ppo-All Plans	$199	127%
Healthcare Advantage-All Plans	$199	127%
United Providers-All Plans	$199	127%
Three Rivers Provider Network-All Plans	$210	134%
Aetna	$221	141%
Magnolia Comm/Exchange-All Other Plans	$221	141%
First Choice Hie	$276	176%
Vantage Health-All Other Plans	$321	204%
Blue Cross Blue Shield	$413	263%

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 $221.
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 Wayne General 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.