CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Carolina East Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $239
  • Cash Discount Price: $271
  • vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Carolina East Medical Center is $239. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $271. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.52x the Medicare baseline. Located in 2000 Neuse Blvd, New Bern, NC.
Cash / Self-Pay
$271

Average discount available for prompt cash payment at this facility.

Insurance Median
$239

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: $271 (173%)
Insurance Median: $239 (152%)
Cash: $271 (173% of Medicare)
Ins. Median: $239 (152% 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
Humana $45 - $148 29%
Inclusive Health (Nchirp)-All Plans $45 - $148 29%
Tricare $45 - $634 29%
Pamlico Co Jail-All Plans $72 - $169 46%
UnitedHealthcare $94 - $451 60%
Medcost Ppo Employees And Retirees $177 - $416 113%
Medcost Ppo Ultra (Employees) $177 - $397 113%
Blue Cross Blue Shield $189 - $435 120%
Medcost Ppo City Employees $197 - $462 125%
Medcost Ppo County Employee $205 - $480 131%
Craven Co. Jail Systems - All Plans $214 - $239 136%
Benefit Mgmt, Svcs-All Plans $230 - $539 147%
Aetna $239 - $562 152%
Medcost Benefit Svc-All Other Plans $239 - $560 152%
Acs Consult Svc Inc-All Plans $244 - $573 155%
Medcost Ppo Standard $244 - $573 155%
Cigna $246 - $577 157%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Neuse Blvd, New Bern, NC 28560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals