CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Caromont Regional Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $155
  • Cash Discount Price: $415
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Caromont Regional Medical Center is $155. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $415. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.99x the Medicare baseline. Located in 2525 Court Dr, Gastonia, NC.
Cash / Self-Pay
$415

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: $415 (264%)
Insurance Median: $155 (99%)
Cash: $415 (264% 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.

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
Kintegra Health $44 28%
Blue Cross Blue Shield $62 - $148 39%
Carolina Complete Health $62 39%
Partners Behavioral Health $62 39%
Alliance Behavioral Health $64 41%
Amerihealth Caritas $64 41%
Carolina Complete Health Tailored Plans $64 41%
UnitedHealthcare $64 - $193 41%
Vaya Behavioral Health $64 41%
Wellcare $64 41%
Absolute Total Care $117 75%
Molina $117 - $155 75%
Gaston County Jail $125 80%
Aetna $134 - $154 85%
Devoted Health $155 99%
Healthteam $155 99%
Longevity Health $155 99%
Humana $158 - $365 101%
Surgery Plus $259 165%
Cigna $275 - $536 175%
Medcost $282 180%
Carolina Caring $329 - $370 210%
Beech Street $340 217%
Multiplan $340 217%
Self Pay $374 238%
First Health Network $394 251%
Corporate Benefits Service $398 254%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2525 Court Dr, Gastonia, NC 28052
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals