CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Sampson Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $163
  • Cash Discount Price: $296
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Sampson Regional Medical Center is $163. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $296. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.04x the Medicare baseline. Located in 607 Beaman St, Clinton, NC.
Cash / Self-Pay
$296

Average discount available for prompt cash payment at this facility.

Insurance Median
$163

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: $296 (189%)
Insurance Median: $163 (104%)
Cash: $296 (189% of Medicare)
Ins. Median: $163 (104% 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
Healthy Blue Mcaid - All Plans $84 54%
Wellcare Mcaid - All Plans $84 54%
UnitedHealthcare $85 - $307 54%
Blue Cross Blue Shield $148 - $263 94%
Liberty Adv - All Plans $151 96%
Aetna $154 - $381 98%
Gateway Mcr Adv - All Plans $154 98%
Medicare (plans) $163 104%
Prime/Travelers/Three Rivers - All Plans $163 104%
Medcost - All Plans $327 208%
Cigna $381 243%
Multiplan - All Plans $389 248%
Bc Nc Indemnity Ip/Op Only $423 269%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 607 Beaman St, Clinton, NC 28328
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals