CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Great Plains Health

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $219
Cash Discount Price: $254
vs. Medicare Baseline: 1.40x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Great Plains Health is $219. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $254. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.40x the Medicare baseline. Located in 601 West Leota St, North Platte, NE.

Cash / Self-Pay

$254

Average discount available for prompt cash payment at this facility.

Insurance Median

$219

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: $254 (162%)

Insurance Median: $219 (140%)

Cash: $254 (162% of Medicare)

Ins. Median: $219 (140% 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.

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
Nebraska Total Care	$48	31%
Molina	$52	33%
Midwest Network Alliance	$90 - $588	57%
Blue Cross Blue Shield	$94 - $596	60%
Ambetter / Centene	$101 - $620	64%
Medica	$118 - $620	75%
Midlands Choice	$159 - $627	101%
Oscar Health	$162 - $627	103%
Coventry	$164 - $640	104%
Geha	$164 - $634	104%
Mutual Of Omaha	$165 - $640	105%
UnitedHealthcare	$273 - $640	174%

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 $254.
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 Great Plains Health 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.