CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Artesia General Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $521
Cash Discount Price: $416
vs. Medicare Baseline: 3.32x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Artesia General Hospital is $521. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $416. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 3.32x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$416

Average discount available for prompt cash payment at this facility.

Insurance Median

$521

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: $416 (265%)

Insurance Median: $521 (332%)

Cash: $416 (265% of Medicare)

Ins. Median: $521 (332% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 332% of the Medicare baseline (a markup of 232%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Zelis	$145 - $347	92%
Humana	$180	115%
Blue Cross Blue Shield	$188 - $416	120%
Molina Healthcare Of New Mexico	$192	122%
Presbyterian Health Plan	$192 - $222	122%
UnitedHealthcare	$192 - $590	122%
First Health	$205 - $625	131%
New Mexico Health Connections	$416	265%
Geha	$486 - $555	310%
Omni Networks	$486	310%
Three Rivers Provider Network	$520	331%
Cigna	$590 - $625	376%
Triwest	$611	389%
Galaxy Health	$625	398%
One Health Plan	$625	398%
Multiplan	$632	403%
United Payors & United Providers	$645	411%
Providence Risk & Insurance Services	$659	420%

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 $416.
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 Artesia General Hospital 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.