CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Holmes County Hospital and Clinics

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $230
Cash Discount Price: $123
vs. Medicare Baseline: 1.47x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Holmes County Hospital and Clinics is $230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $123. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.47x the Medicare baseline. Located in 239 Bowling Green Road, Lexington, MS.

Cash / Self-Pay

$123

Average discount available for prompt cash payment at this facility.

Insurance Median

$230

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: $123 (78%)

Insurance Median: $230 (147%)

Cash: $123 (78% of Medicare)

Ins. Median: $230 (147% 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
Ms-Can-Magnolia-Lex	$86	55%
Ms-Can-Molina-Lex	$86	55%
Ms-Can-Truecare-Lex	$87	55%
Advhealth-Lex	$110	70%
Blue Cross Blue Shield	$125	80%
Cigna	$178	113%
Molina-Chip-Lex	$183	117%
Magnolia-Chip-Lex	$187	119%
Truecare-Chip-Lex	$187	119%
Tricare	$188	120%
Humana	$192	122%
Mpcn-Lex	$200	127%
Medadv_Uhc-Lex	$209	133%
Firstchoice-Lex	$215	137%
United-Lex	$229	146%
Ambetter / Centene	$230	147%
Medadv_Primewell-Lex	$230	147%
Medicare (plans)	$230	147%
Primewell-Lex	$230	147%
Va_Ccn-Lex	$230	147%
United-Options-Lex	$231	147%
Medadv_Uhcdsnp-Lex	$237	151%
Wellcare-Lex	$237	151%
Ppoplus	$239	152%
Devoted_Health-Lex	$242	154%
Firsthealth-Lex	$246	157%
Multiplan-Lex	$246	157%
Aetna	$261	166%
Phcs-Lex	$276	176%
Molina_Exchange-Lex	$307	196%

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 $123.
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 Holmes County Hospital and Clinics 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.