CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: North Vista Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $123
Cash Discount Price: $110
vs. Medicare Baseline: 0.78x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at North Vista Hospital is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $110. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 0.78x the Medicare baseline. Located in 1409 East Lake Mead Blvd, North Las Vegas, NV.

Cash / Self-Pay

$110

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

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: $110 (70%)

Insurance Median: $123 (78%)

Cash: $110 (70% of Medicare)

Ins. Median: $123 (78% 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
UnitedHealthcare	$96	61%
Triwest	$109	69%
Aetna	$111 - $156	71%
Blue Cross Blue Shield	$111 - $124	71%
Intermountain Healthcare (Hcp)	$111 - $199	71%
Medicare (plans)	$111	71%
Molina Healthcare	$111 - $127	71%
Renal Payor Solutions	$111	71%
Silver Summit	$111 - $177	71%
Tricare	$111	71%
Alignment	$113	72%
Medicaid / KanCare	$123 - $124	78%
Employer Direct Healthcare	$155	99%
Imperial Insurance Companies	$166 - $205	106%
Naphcare	$171	109%
Health Services Coalition	$210	134%
Nevada Health Partners	$211	134%
6 Degrees Health	$221	141%

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 $110.
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 North Vista 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.