CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Blue Ridge Regional Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $104
  • Cash Discount Price: $484
  • vs. Medicare Baseline: 0.66x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Blue Ridge Regional Hospital is $104. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $484. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.66x the Medicare baseline. Located in 125 Hospital Drive, Spruce Pine, NC.
Cash / Self-Pay
$484

Average discount available for prompt cash payment at this facility.

Insurance Median
$104

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: $484 (308%)
Insurance Median: $104 (66%)
Cash: $484 (308% of Medicare)
Ins. Median: $104 (66% 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
Blue Cross Blue Shield $78 - $81 50%
United $82 - $229 52%
Wellcare $84 - $102 54%
Amerihealth $85 54%
Partners Health Management $85 54%
Vaya Health $85 54%
Apex Health $97 - $99 62%
Alignment Health $99 - $101 63%
Devoted Health $99 - $101 63%
Nhc Advantage $100 - $103 64%
Aetna $101 - $350 64%
Cigna $102 - $198 65%
Humana $102 - $103 65%
Amerihealth Caritas $104 - $179 66%
Healthteam Advantage $104 - $109 66%
Provider Partners Health Plan $104 - $105 66%
Troy Healthcare $104 - $107 66%
Longevity Health Plan $106 - $119 68%
Caresource $213 136%
Medcost $226 - $251 144%
Magellan $291 185%
Magellan Behavioral Health $291 185%
Multiplan $388 247%
Avalon Administrative Services $412 262%
Prime Health $426 - $436 271%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 125 Hospital Drive, Spruce Pine, NC 28777
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals