CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Carolinas Medical Center/Behav Health

Billing Code: 77066 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$121

about 0.8× the $157 Medicare rate · typically $87–$155

modeled estimate · not a bill or quote

What this hospital charges insurers

$105

Below the fair price — a good deal

about $16 under the fair price · 0.7× Medicare

Medicare pays $157 Fair price $121 This hospital $105 Cash price $443 Hospital's list price $885

How we calculate the fair BaseRate →

How this hospital compares to other NC hospitals

Highest price of the 9 NC hospitals we have prices for — worth calling around.

Cheapest $46 Priciest $105

Black dot = this hospital, among the 9 NC hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Diagnostic mammogram (both breasts) is about $121 (about 0.8× the $157 Medicare rate). Carolinas Medical Center/Behav Health charges insurers about $105, or about $443 in cash — below the fair price — a good deal. Located in Charlotte, NC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$36 - $450	23%
Blue Cross Blue Shieldmajor	$44 - $513	28%
Aetnamajor	$46 - $646	29%
Cignamajor	$44 - $708	28%
Humanamajor	$45 - $726	29%
Ambetter (Centene)	$257 - $418	164%
AmeriHealth	$36 - $193	23%
Health Net	$391	249%
Molina	$42	27%
WellCare	$36 - $197	23%
+ 19 smaller / regional plans	$35 - $885

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 443), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 77066.

Insurance Before you use insurance

Call your insurance company to confirm Carolinas Medical Center/Behav Health is in-network.
Ask your insurer whether prior approval is required for CPT code 77066.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Carolinas Medical Center/Behav Health

Compare: Diagnostic mammogram (both breasts) at other NC hospitals

Insurance negotiated median for the same procedure, sorted lowest first.