CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Vidant Roanoke Chowan Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $834
Cash Discount Price: $755
vs. Medicare Baseline: 5.31x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Vidant Roanoke Chowan Hospital is $834. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $755. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 5.31x the Medicare baseline. Located in 500 S Academy St, Ahoskie, NC.

Cash / Self-Pay

$755

Average discount available for prompt cash payment at this facility.

Insurance Median

$834

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: $755 (481%)

Insurance Median: $834 (531%)

Cash: $755 (481% of Medicare)

Ins. Median: $834 (531% 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 531% of the Medicare baseline (a markup of 431%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Blue Cross Blue Shield	$100 - $737	64%
Humana	$100	64%
UnitedHealthcare	$102 - $744	65%
Aetna	$105 - $1,103	67%
Liberty Advantage [1313]	$105	67%
Longevity Health [1411]	$130	83%
Carolina Complete Health [1317]	$335	213%
Wellcare [1320]	$336	214%
Amerihealth McAid Adv [1316]	$338	215%
Nc Dept of Public Safety [1095]	$491	313%
Medcost [1067]	$834 - $879	531%
Cigna	$1,146 - $1,294	730%
Multiplan [1031]	$1,281	816%

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 $755.
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 Vidant Roanoke Chowan 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.