CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Stillwater Medical Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77066
Insurance Median: $282
Cash Discount Price: $400
vs. Medicare Baseline: 1.80x Medicare

The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Stillwater Medical Center is $282. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $400. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.80x the Medicare baseline. Located in 1323 West 6Th Street, Stillwater, OK.

Cash / Self-Pay

$400

Average discount available for prompt cash payment at this facility.

Insurance Median

$282

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: $400 (255%)

Insurance Median: $282 (180%)

Cash: $400 (255% of Medicare)

Ins. Median: $282 (180% 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
Aetna	$75 - $426	48%
Blue Cross Blue Shield	$75 - $426	48%
Cigna	$76 - $434	48%
Community Care	$98 - $553	62%
Ebms (Employee Benefit Management Services Inc.)	$98 - $553	62%
UnitedHealthcare	$100 - $570	64%
Coventry	$112 - $638	71%
First Health	$128 - $723	82%
Osma Health	$132 - $749	84%
Multiplan	$135 - $766	86%
Preferred Community Choice	$135 - $766	86%
Healthchoice	$282	180%

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 $400.
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 Stillwater Medical Center 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.