CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Memorial Health Care Systems

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $269
Cash Discount Price: $457
vs. Medicare Baseline: 1.71x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Memorial Health Care Systems is $269. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $457. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.71x the Medicare baseline. Located in 300 North Columbia Ave, Seward, NE.

Cash / Self-Pay

$457

Average discount available for prompt cash payment at this facility.

Insurance Median

$269

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: $457 (291%)

Insurance Median: $269 (171%)

Cash: $457 (291% of Medicare)

Ins. Median: $269 (171% 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
Molina Mcaid-All Plans	$241 - $252	154%
Ne Total Care Mcaid-All Plans	$241 - $252	154%
UnitedHealthcare	$241 - $439	154%
Beshp Mcr Adv - All Plans	$254 - $266	162%
Blue Cross Blue Shield	$254 - $444	162%
Medica Mcare Cost	$254 - $266	162%
Medica Mcr Adv	$254 - $266	162%
Tricare	$254 - $266	162%
Wellcare Mcr Adv - All Plans	$259 - $272	165%
Phcs Ppo-All Plans	$424 - $444	270%
Ambetter / Centene	$428 - $448	273%
Medica Comm-All Other Plans	$428 - $448	273%
Medica Elevate	$428 - $448	273%
Midlands Choice-All Plans	$433 - $453	276%
Aetna	$437 - $458	278%

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 $457.
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 Memorial Health Care Systems 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.