CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: High Point Regional Health System

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $398
  • Cash Discount Price: $502
  • vs. Medicare Baseline: 2.54x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at High Point Regional Health System is $398. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $502. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 2.54x the Medicare baseline. Located in 601 N Elm St, High Point, NC.
Cash / Self-Pay
$502

Average discount available for prompt cash payment at this facility.

Insurance Median
$398

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: $502 (320%)
Insurance Median: $398 (254%)
Cash: $502 (320% of Medicare)
Ins. Median: $398 (254% 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 254% of the Medicare baseline (a markup of 154%). 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
Amerihealth $145 - $326 92%
Carolina Complete $145 92%
Healthy Blue $145 92%
Partners $145 92%
UnitedHealthcare $147 - $670 94%
Vaya $147 94%
Wellcare $147 94%
Alliance $148 94%
Trillium $150 96%
Blue Cross Blue Shield $197 - $315 125%
Medcost $269 - $643 171%
Aetna $299 - $652 190%
Oscar $301 - $401 192%
Ambetter / Centene $321 204%
Cigna $551 351%
Directnet $593 378%
Private Healthcare Systems $822 524%
Multiplan $903 575%
Humana $933 - $953 594%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 601 N Elm St, High Point, NC 27261
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals